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Office Dilation of the Female Urethra: A Quality of Care Problem in the Field of Urology

2008; Lippincott Williams & Wilkins; Volume: 180; Issue: 5 Linguagem: Inglês

10.1016/j.juro.2008.07.037

1527-3792

Richard A. Santucci, Christopher K. Payne, Christopher S. Saigal,

Urologic and reproductive health conditions

No AccessJournal of UrologyAdult Urology1 Nov 2008Office Dilation of the Female Urethra: A Quality of Care Problem in the Field of Urologyis accompanied byEffects of Long-Term Dietary Soy Treatment on Female Urethral Morphology and Function in Ovariectomized Nonhuman Primatesis corrected byErratum Richard A. Santucci, Christopher K. Payne, Christopher S. Saigal, and Urologic Diseases in America Project Richard A. SantucciRichard A. Santucci Detroit Receiving Hospital and The Detroit Medical Center, Detroit, Michigan , Christopher K. PayneChristopher K. Payne Stanford University School of Medicine, Stanford, California , Christopher S. SaigalChristopher S. Saigal University of California, Los Angeles, Los Angeles, California , and Urologic Diseases in America Project View All Author Informationhttps://doi.org/10.1016/j.juro.2008.07.037AboutFull TextPDF Cite Export CitationSelect Citation formatNLMAMAIEEEACMAPAChicagoMLAHarvardTips on citation downloadDownload citationCopy citation ToolsAdd to favoritesTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Historically dilation of the female urethra was thought to be of value in the treatment of a variety of lower urinary tract symptoms. Subsequent work has more accurately classified these complaints as parts of various diseases or syndromes in which scant data exist to support the use of dilation. Yet Medicare reimbursement for urethral dilation remains generous and we describe practice patterns regarding female urethral dilation to characterize a potential quality of care issue. Materials and Methods: Health care use by females treated with urethral dilation was compiled using a complementary set of databases. Data sets were examined for relevant inpatient, outpatient and emergency room services for women of all ages. Results: Female urethral dilation is common (929 per 100,000 patients) and is performed almost as much as treatment for male urethral stricture disease. Approximately 12% of these patients are subjected to costly studies such as retrograde urethrography. The overall national costs for treatment exceed $61 million per year and have increased 10% to 17% a year since 1994. A diagnosis of female urethral stricture increases health care expenditures by more than $1,800 per individual per year in insured populations. Conclusions: Urethral dilation is still common despite the fact that true female urethral stricture is an uncommon entity. 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Related articlesJournal of Urology22 Sep 2008Effects of Long-Term Dietary Soy Treatment on Female Urethral Morphology and Function in Ovariectomized Nonhuman PrimatesJournal of Urology20 Mar 2009Erratum Volume 180Issue 5November 2008Page: 2068-2075 Advertisement Copyright & Permissions© 2008 by American Urological AssociationKeywordsurethral diseasesincidencedemographyfemaleurinary bladder, overactiveMetrics Author Information Richard A. Santucci Detroit Receiving Hospital and The Detroit Medical Center, Detroit, Michigan More articles by this author Christopher K. Payne Stanford University School of Medicine, Stanford, California More articles by this author Christopher S. Saigal University of California, Los Angeles, Los Angeles, California More articles by this author Urologic Diseases in America Project More articles by this author Expand All Advertisement PDF downloadLoading ...