Urogenit Tract Infect.  2023 Aug;18(2):50-59. 10.14777/uti.2023.18.2.50.

Exploring National Trends in Bladder-Related Urological Procedures: A Nationwide Population-Based Cohort Study

• Kwon H
• Yang W
• Park S
• Lee H
• Kim JK
• Han JH

• KMID: 2545912
• DOI: http://doi.org/10.14777/uti.2023.18.2.50

Abstract

Purpose
This study examined the epidemiological trends of bladder-related urological procedures in South Korea from 2009 to 2021.
Materials and Methods
The data were obtained from the Health Insurance Review and Assessment Service (HIRA) database, encompassing various bladder-related urological procedures. The frequencies and trends were analyzed using statistical methods.
Results
Uroflowmetry, cystoscopy, prostate biopsy, and urethral dilation showed a positive trend, while prostate massage exhibited a negative trend. The 72-hour voiding function test, which started in 2017, also demonstrated a positive trend in frequency. A urodynamic study and mid-urethral sling operation exhibited an overall decreasing trend. Bladder-indwelling catheter, Nelaton catheterization, and cystostomy catheter change showed increasing trends, while suprapubic cystostomy showed a decreasing trend.
Conclusions
This 12-year analysis provided valuable insights into the epidemiological patterns and utilization of bladder-related urological procedures in South Korea. These trends highlight the evolving landscape of diagnostic and therapeutic approaches in bladder-related conditions and the importance of interdisciplinary collaboration between urology and other medical departments. The results highlight the need for optimizing catheter-related care protocols, resource allocation, and continued monitoring of practices across healthcare settings.

Keyword

Urinary bladder diseases; Catheters, indwelling; Urinary catheterization; Cystoscopy; Urodynamics