Korean J Urol.  2012 Sep;53(9):619-624. 10.4111/kju.2012.53.9.619.

Roles of Urology as Assessed by an Analysis of Inpatients Referred to Urology

• Lee GJ
• Kim MS
• Song SM
• Rho J
• Cho WJ

• KMID: 2061700
• DOI: http://doi.org/10.4111/kju.2012.53.9.619

Abstract

PURPOSE
The purpose of this study was to identify the necessity for professional urology treatment and the roles of urology in the treatment of inpatients referred to the urology department.
MATERIALS AND METHODS
The subjects were patients referred to the department of urology among the inpatients of Chosun University Hospital from January 1, 2009, to December 31, 2011. The patients' sex and age, the referring department, and the disease group were extracted from the patients' medical records. Disease groups were classified as urination disorder, infection, tumor, calculus, trauma, pediatrics, andrology, and others. The urination disorder group was classified into the subcategories of neurogenic bladder, benign prostatic hypertrophy, urinary retention, urinary incontinence, and overactive bladder.
RESULTS
The total number of referrals was 3,261, and males made up 54.79%. In the age distribution, 2,321 patients (71.17%) were over 60 years of age and the largest population group was patients in their 70s (32.72%). According to the department referring the patients, internal medicine (34.06%) and orthopedic surgery (16.83%) made up a high percentage. Concerning the disease group, urination disorder was the highest, being 61.26%. In the subclassification of the urination disorder group, benign prostatic hypertrophy was the highest category at 32.23%.
CONCLUSIONS
In this urology cooperative behavior analysis of our hospital over 3 years, a high percentage of older patients over 60 years of age and a high percentage of urination disorders were found. Urination disorder-related diseases in persons of advanced age are expected to increase as Korea becomes an aged society, and doctors in other departments should be aware that professional treatment and management by a urologist is needed for the treatment of these disorders.

Keyword

Advanced age; Cooperative behavior; Inpatients; Urination disorders

MeSH Terms

Age Distribution
Aged
Andrology
Calculi
Cooperative Behavior
Humans
Inpatients
Internal Medicine
Korea
Male
Medical Records
Orthopedics
Pediatrics
Population Groups
Prostatic Hyperplasia
Referral and Consultation
Urinary Bladder, Neurogenic
Urinary Incontinence
Urinary Retention
Urination
Urination Disorders
Urology

Figure

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  FIG. 1 Distribution of the sex of the patients referred to the department of urology over 3 years (n=3,261).

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  FIG. 2 Distribution of the ages of the patients referred to the department of urology over 3 years.

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  FIG. 3 Distribution of departments making referrals to the department of urology over 3 years. IM, internal medicine; OS, orthopedics; NS, neurosurgery; GS, general surgery; OBGY, obstetrics and gynecology; NE, department of neurology; CS, thoracic and cardiovascular surgery; NP, neuropsychiatry; RE, rehabilitation medicine; PS, plastic surgery; ENT, otorhinolaryngology; PD, pediatrics; Others, ophthalmology, dentistry, dermatology, emergency medicine, and anesthesiology.

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  FIG. 4 Distribution of diseases referred to the department of urology over 3 years. LUTS, lower urinary tract symptoms.

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  FIG. 5 Distribution of diseases related to LUTS referred to the department of urology over 3 years. LUTS, lower urinary tract symptoms; OAB, overactive bladder; BPH, benign prostatic hypertrophy.

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