Office Management of Genitourinary and Gastrointestinal Procedures

Area of Science:

• Urology
• Colorectal Surgery

Background:

• Urinary catheterization is common for obstruction and sample collection.
• Suprapubic catheter management can be complex.
• Thrombosed external hemorrhoids cause significant pain and discomfort.

Purpose of the Study:

• To evaluate the feasibility and outcomes of performing urinary catheterization in outpatient settings.
• To assess the safety and efficacy of routine suprapubic catheter exchange in primary care.
• To determine the effectiveness of in-office excision for thrombosed external hemorrhoids.

Main Methods:

• Review of procedures for Foley catheter insertion and suprapubic catheter exchange in primary care.
• Analysis of outcomes for office-based excision of thrombosed external hemorrhoids within 72 hours of symptom onset.

Main Results:

• Urinary catheter insertion is a viable outpatient procedure for managing acute urinary obstruction and obtaining samples.
• Routine suprapubic catheter exchange is safe and effective in primary care settings.
• Excision of thrombosed external hemorrhoids in the office yields better clinical outcomes compared to conservative management when done early.

Conclusions:

• Office-based procedures, including urinary catheterization and hemorrhoid excision, can be safely and effectively performed in outpatient and primary care settings.
• Early intervention for thrombosed external hemorrhoids improves outcomes.
• Decentralizing these procedures enhances patient access and potentially reduces healthcare costs.