Centralisation of a hypospadias repair service--the Warwickshire experience
Hardwicke, J Clarkson, J Park, A
Hardwicke, J
Clarkson, J
Park, A
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Affiliation
George Eliot Hospital NHS Trust
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Publication date
2007
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Abstract
An audit of the hypospadias repair service provided in the county of Warwickshire has shown that centralising all referrals to a single surgeon who uses limited, well-practiced techniques, greatly improves outcome. Comparison to previous audit of the service, when provided by a number of surgeons in the region, shows complication rates dropping - fistulae occurrence reducing from 35.8% to 6.7% and urethral stricture rates showing similar improvement from 4.4% to 0%. Overall productivity increased, and referral out of region dropped from 13% to 0%. This provides definitive evidence that restructuring of a service already in place has decreased morbidity and increased efficiency to give results comparable to published data.
Citation
Hardwicke J, Clarkson J, Park A. Centralisation of a hypospadias repair service--the Warwickshire experience. J Plast Reconstr Aesthet Surg. 2007;60(1):61-3. doi: 10.1016/j.bjps.2006.02.004. Epub 2006 May 15.
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Article