BAUS 2015

Male LUTS clinic: a frequent problem with an urgent solution
BAUS ePoster online library. Scrimgeour G. 06/22/21; 319139; pCU-2 Disclosure(s): Nil
Ms. Gemma Scrimgeour
Ms. Gemma Scrimgeour
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Abstract
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Introduction: Approximately 3.4 million men in the UK are affected by lower urinary tract symptoms (LUTS). These patients represent a significant proportion of the outpatient workload at our Trust. Our previous LUTS pathway involved multiple hospital visits for patients, resulting in long waiting times for treatment, particularly for those requiring surgical intervention. We introduced a one-stop LUTS clinic in our department to improve the care of these patients.
Patients and Methods: The one-stop LUTS clinic was piloted between October-November 2018, during which a total of 119 patients were seen. The live one-stop LUTS clinic began in August 2020 and a total of 100 patients have been seen.
Results: The proportion of patients discharged or listed for surgery after their initial appointment increased from 35% to 90% in the pilot and 76% in the live clinic. The proportion of patients requiring follow-up appointments decreased from 60% in the traditional clinic to 5% in the pilot and 13% in the live clinic. Patient feedback was very positive, with 98% reporting a preference for the one-stop model. Additionally, the one-stop model confers an approximate cost saving of £108 per patient.
Conclusions:
The introduction of a one-stop LUTS clinic has significantly improved outcomes for patients by reducing the number of hospital visits as well as time to diagnosis and time to intervention. The service also offers considerable cost savings and improved outpatient and diagnostics utility for the Trust.
Introduction: Approximately 3.4 million men in the UK are affected by lower urinary tract symptoms (LUTS). These patients represent a significant proportion of the outpatient workload at our Trust. Our previous LUTS pathway involved multiple hospital visits for patients, resulting in long waiting times for treatment, particularly for those requiring surgical intervention. We introduced a one-stop LUTS clinic in our department to improve the care of these patients.
Patients and Methods: The one-stop LUTS clinic was piloted between October-November 2018, during which a total of 119 patients were seen. The live one-stop LUTS clinic began in August 2020 and a total of 100 patients have been seen.
Results: The proportion of patients discharged or listed for surgery after their initial appointment increased from 35% to 90% in the pilot and 76% in the live clinic. The proportion of patients requiring follow-up appointments decreased from 60% in the traditional clinic to 5% in the pilot and 13% in the live clinic. Patient feedback was very positive, with 98% reporting a preference for the one-stop model. Additionally, the one-stop model confers an approximate cost saving of £108 per patient.
Conclusions:
The introduction of a one-stop LUTS clinic has significantly improved outcomes for patients by reducing the number of hospital visits as well as time to diagnosis and time to intervention. The service also offers considerable cost savings and improved outpatient and diagnostics utility for the Trust.
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