REGULAR CONTENT
Introduction
'One-stop' clinics in urology have been established in several hospitals in the UK. Most centres see only selective patients in these clinics – most commonly haematuria. Our department has recently opened a purpose-built, 'one-stop' clinic for all new referrals. We report our experience of the first 10 weeks.
Patients and Methods
A prospective database recorded diagnosis and investigations undertaken in the clinic. Time spent in the clinic and the outcome were logged. Patients were asked to complete a satisfaction survey.
Results
828 patients were seen in the clinic as new referrals. A total of 642 investigations were carried out, including 193 scans and radiographs and 267 flexible cystoscopies. Mean appointment time was 77 minutes.
A range of different referrals were seen:
| LUTS | 22% |
| Haematuria | 21.2% |
| Peno-Scrotal | 14.5% |
| PSA / Ca Prostate | 9.6% |
| Stones | 8.7% |
| UTI | 8.4% |
| Renal Mass | 3.3% |
21% of patients were suspected cancers referred on 2 week wait.
40% of patients referred for suspected prostate cancer underwent TRUS biopsy in the clinic.
Haematuria patients were offered imaging including CT urogram as part of one stop visit.
34% (n=284) of patients were discharged after one visit.
Extremely high patient satisfaction with 96% of respondents being 'satisfied' or ‘very satisfied’ with the service.
Conclusions
It is feasible to see all new urology patients in a one stop set up providing diagnostics including CT urogram and TRUS Biopsy as part of this setup
High patient satisfaction rates are achieved through rapid diagnostics and avoiding multiple patient visits to the hospital.
Introduction
'One-stop' clinics in urology have been established in several hospitals in the UK. Most centres see only selective patients in these clinics – most commonly haematuria. Our department has recently opened a purpose-built, 'one-stop' clinic for all new referrals. We report our experience of the first 10 weeks.
Patients and Methods
A prospective database recorded diagnosis and investigations undertaken in the clinic. Time spent in the clinic and the outcome were logged. Patients were asked to complete a satisfaction survey.
Results
828 patients were seen in the clinic as new referrals. A total of 642 investigations were carried out, including 193 scans and radiographs and 267 flexible cystoscopies. Mean appointment time was 77 minutes.
A range of different referrals were seen:
| LUTS | 22% |
| Haematuria | 21.2% |
| Peno-Scrotal | 14.5% |
| PSA / Ca Prostate | 9.6% |
| Stones | 8.7% |
| UTI | 8.4% |
| Renal Mass | 3.3% |
21% of patients were suspected cancers referred on 2 week wait.
40% of patients referred for suspected prostate cancer underwent TRUS biopsy in the clinic.
Haematuria patients were offered imaging including CT urogram as part of one stop visit.
34% (n=284) of patients were discharged after one visit.
Extremely high patient satisfaction with 96% of respondents being 'satisfied' or ‘very satisfied’ with the service.
Conclusions
It is feasible to see all new urology patients in a one stop set up providing diagnostics including CT urogram and TRUS Biopsy as part of this setup
High patient satisfaction rates are achieved through rapid diagnostics and avoiding multiple patient visits to the hospital.