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MP33-12 DO PEDIATRICIANS ROUTINELY PERFORM GENITOURINARY EXAMINATIONS DURING WELL-CHILD VISITS? A REVIEW FROM A LARGE TERTIARY PEDIATRIC HOSPITAL

2019; Lippincott Williams & Wilkins; Volume: 201; Issue: Supplement 4 Linguagem: Inglês

10.1097/01.ju.0000557561.90113.32

1527-3792

Jonathan A. Gerber, Adithya Balasubramanian, Mihir Shukla, Jake S. Jacob, Huirong Zhu, Kunj R. Sheth, Carolina J. Jorgez, Angela G. Mittal, Duong D. Tu, Chester J. Koh, Nicolette Janzen, Ming-Hsien Wang, Paul F. Austin, Edmond T. Gonzales, David R. Roth, Abhishek Seth,

Adolescent and Pediatric Healthcare

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Quality of Life and Shared Decision Making I (MP33)1 Apr 2019MP33-12 DO PEDIATRICIANS ROUTINELY PERFORM GENITOURINARY EXAMINATIONS DURING WELL-CHILD VISITS? A REVIEW FROM A LARGE TERTIARY PEDIATRIC HOSPITAL Jonathan A. Gerber*, Adithya Balasubramanian, Mihir A. Shukla, Jake S. Jacob, Huirong Zhu, Kunj R. Sheth, Carolina J. Jorgez, Angela G. Mittal, Duong D. Tu, Chester J. Koh, Nicolette K. Janzen, Ming-Hsien Wang, Paul F. Austin, Edmond T. Gonzales, David R. Roth, and Abhishek Seth Jonathan A. Gerber*Jonathan A. Gerber* More articles by this author , Adithya BalasubramanianAdithya Balasubramanian More articles by this author , Mihir A. ShuklaMihir A. Shukla More articles by this author , Jake S. JacobJake S. Jacob More articles by this author , Huirong ZhuHuirong Zhu More articles by this author , Kunj R. ShethKunj R. Sheth More articles by this author , Carolina J. JorgezCarolina J. Jorgez More articles by this author , Angela G. MittalAngela G. Mittal More articles by this author , Duong D. TuDuong D. Tu More articles by this author , Chester J. KohChester J. Koh More articles by this author , Nicolette K. JanzenNicolette K. Janzen More articles by this author , Ming-Hsien WangMing-Hsien Wang More articles by this author , Paul F. AustinPaul F. Austin More articles by this author , Edmond T. GonzalesEdmond T. Gonzales More articles by this author , David R. RothDavid R. Roth More articles by this author , and Abhishek SethAbhishek Seth More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000557561.90113.32AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: Pediatric urology, like all pediatric subspecialties, relies heavily upon the referral patterns of general pediatricians. The GU exam is often omitted by primary care providers due to its uncomfortable nature. Based on previously reported rates, we hypothesize that 20-25% of male well child visits did not record a genital exam. METHODS: 998 consecutive male well child visits at our institution were reviewed. Visits took place across the institutions’s main tertiary center and community-based practice locations. These visits were evaluated for documentation within EPIC EMR of a detailed GU exam, as well as all abnormal findings from these exams. Additionally, past medical and surgical histories of each child were reviewed to determine if a diagnosis of undescended testicles (UDT) was noted. RESULTS: Pediatricians at our institution document GU exams an astonishing 99.1% of the time during well child visits. Interestingly, and significantly different from the previously reported rates, only 1.1% of our cohort had a documentation of UDT. Of the 11 patients with UDT, 6 (54.5%) had spontaneous descent with no referral to urology while 5 (45.5%) required orchidopexy. An additional 6 patients had concern for UDT, however urology referral deemed these to have retractile testicles. CONCLUSIONS: Pediatricians do, in fact, document GU examinations on a routine basis. This finding allows surgical subspecialists like pediatric urologists to rest assured that, at the very least, the genitalia are being examined indicating that the most egregious pathology will be identified and referred appropriately. While our data demonstrated a lower than expected rate of UDT, this could indicate that although examinations are being performed, the accuracy of the examinations may be diminished due to lack of specialized training in the performance of genitourinary examination. Follow up studies are required to verify these potentially changing rates. Source of Funding: None Houston, TX© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e457-e458 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jonathan A. Gerber* More articles by this author Adithya Balasubramanian More articles by this author Mihir A. Shukla More articles by this author Jake S. Jacob More articles by this author Huirong Zhu More articles by this author Kunj R. Sheth More articles by this author Carolina J. Jorgez More articles by this author Angela G. Mittal More articles by this author Duong D. Tu More articles by this author Chester J. Koh More articles by this author Nicolette K. Janzen More articles by this author Ming-Hsien Wang More articles by this author Paul F. Austin More articles by this author Edmond T. Gonzales More articles by this author David R. Roth More articles by this author Abhishek Seth More articles by this author Expand All Advertisement PDF downloadLoading ...