+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A prospective audit of the use of a prostate clinic



A prospective audit of the use of a prostate clinic



British Journal of Urology 78(5): 733-736



Objective: To assess the efficiency of a prostate clinic and to determine the treatment outcomes and the proportion of patients who could potentially be managed by their General Practitioners (GPs). Patients and methods: Referral letters from GPs were screened by the consultant urologists and appropriate patients seen in the next available prostate clinic. The initial assessment consisted of an International Prostate Symptom Score and a medical history, uroflowmetry, ultrasonographically determined post-void urine volumes, renal function tests and measurement of prostate specific antigen, in addition to a physical examination and a digital rectal examination. Further investigations were requested as required. Results: Over a period of 18 months, 403 patients were seen, 90% of them within 12 weeks from the time of referral. Uroflowmetry was performed in 96% of patients and further urodynamics in 22%. Bladder outlet obstruction was diagnosed in 246 (61%) patients and primary detrusor instability was detected in 20 (5%) patients. Fourteen per cent of patients were returned to the care of the GP following their first visit. The audit identified a potential group of patients (52%) who could be managed by their GP. Seven per cent underwent prostate surgery for the relief of bladder outlet obstruction. Conclusion: The prostate clinic significantly reduced the delay for patients to be seen at the hospital and facilitated rapid assessment and investigation, much of which was carried out by a nurse practitioner during the first visit (in most cases). Several patients were identified who could be managed in the community.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 008066893

Download citation: RISBibTeXText

PMID: 8976769

DOI: 10.1046/j.1464-410x.1996.20112.x


Related references

A prospective audit of the use of frequency/volume charts in a one stop prostate assessment clinic. Neurourology and Urodynamics 16(5): 502-503, 1997

Non-attendance at the colorectal clinic: a prospective audit. Annals of the Royal College of Surgeons of England 90(5): 377-380, 2008

The ENT emergency clinic: a prospective audit to improve effectiveness of an established service. Journal of Laryngology and Otology 123(2): 229-233, 2009

First seizures, the epilepsies and other paroxysmal disorders prospective audit of a first seizure clinic. Scottish Medical Journal 49(4): 126-130, 2004

Should consultant surgeons see new or follow-up patients? A prospective audit of a change in clinic organisation. Annals of the Royal College of Surgeons of England 78(5 Suppl): 225-227, 1996

Prospective audit of the quality of ENT emergency clinic notes before and after introduction of a computerized template. Journal of Laryngology and Otology 119(4): 264-266, 2005

Cancellation of surgery in patients attending the preoperative anaesthesia assessment clinic: a prospective audit. Jpma. Journal of the Pakistan Medical Association 59(8): 547-550, 2009

A nurse-/pharmacy-led capecitabine clinic for colorectal cancer: results of a prospective audit and retrospective survey of patient experiences. European Journal of Oncology Nursing 11(3): 247-254, 2007

Newly presenting psychogenic nonepileptic seizures: incidence, population characteristics, and early outcome from a prospective audit of a first seizure clinic. Epilepsy and Behavior 20(2): 308-311, 2011

A prospective audit of the 10-year outcomes from low dose-rate brachytherapy for early stage prostate cancer. New Zealand Medical Journal 131(1485): 13-18, 2018

One stop breast clinics--victims of their own success? A prospective audit of referrals to a specialist breast clinic. European Journal of Surgical Oncology 26(5): 452-454, 2000

UK National Audit of Sexual History-taking: clinic policies audit. International Journal of Std and Aids 20(5): 355-357, 2009

Audit clinic. Apples and oranges don't mix: a case of unrestricted audit population. Qrb. Quality Review Bulletin 3(1): 6-7, 1977

National audit of asymptomatic screening in UK genitourinary medicine clinics: clinic policies audit. International Journal of Std and Aids 21(7): 512-515, 2010

UK national audit of chlamydial infection management in sexual health clinics Clinic policies audit. International Journal Of Std and Aids: 7, 477-479, 2008