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Related Experiment Videos

Pediatric office procedures.

D L Clair1, A A Caldamone

  • 1Department of Urology, Brown University, Providence, Rhode Island.

The Urologic Clinics of North America
|November 1, 1988
PubMed
Summary
This summary is machine-generated.

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Pediatric urology procedures increasingly move to outpatient and office settings, with over 60% now ambulatory. Patient comfort and procedure suitability limit the scope of office-based pediatric urology care.

Area of Science:

  • Pediatric Urology
  • Ambulatory Surgery
  • Office-Based Procedures

Background:

  • Pediatric urology practice has significantly evolved over the past 25 years.
  • A major shift has occurred from inpatient to ambulatory surgical cases, now exceeding 60% of all procedures.
  • This trend continues, with an increasing number of cases being performed as office procedures.

Purpose of the Study:

  • To analyze the shift in pediatric urology procedures towards ambulatory and office settings.
  • To identify common office-based procedures in pediatric urology.
  • To discuss the factors influencing the suitability of procedures for office-based settings.

Main Methods:

  • Review of trends in pediatric urology surgical case settings over 25 years.

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  • Identification of common pediatric urology procedures now performed in office settings.
  • Analysis of patient-related factors and procedural characteristics for office-based suitability.

    • Main Results:

    • Over 60% of pediatric urology surgeries are now performed as ambulatory cases.
    • Common office procedures include circumcision, meatotomy for stenosis, lysis of labial adhesions, and meatal dilatation.
    • Careful attention to detail minimizes complications, but significant morbidity or mortality can occur, as seen with circumcision.

    Conclusions:

    • The trend towards outpatient and office-based pediatric urology procedures is well-established.
    • Patient comfort, minimal pain, effective hemostasis, and patient/family cooperation are critical for successful office procedures.
    • While ambulatory care is increasing, there remains a finite number of pediatric urology cases suitable for performance in an office setting.