Summary
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.
Keywords
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Article info
Publication history
Published online: May 24, 2006
Accepted:
February 8,
2006
Received:
January 17,
2005
Identification
Copyright
© 2006 The British Association of Plastic Surgeons. Published by Elsevier Inc. All rights reserved.
