Use of Nonprostate Ultrasound in Urology Practice

Alexandra Rehfuss, Stephen Nakada, Margaret S Pearle, J. Brantley Thrasher, Paul J. Feustel, Barry A. Kogan

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction Ultrasound imaging is necessary for the care of urology patients, and urology residents are encouraged to learn ultrasound technique and interpretation. However, there is limited mandated education in this field. Currently the only ultrasound procedure considered an index case is transrectal ultrasound for prostate biopsy. We investigated the current use of nonprostate ultrasound in urological practice. Methods We reviewed ABU (American Board of Urology) certification and recertification logs of practicing urologists from 2012 to 2014. We obtained data for the codes 76700-76776 (kidney), 76870 (scrotal), 76999 (unlisted) and 93975-93981 (Doppler including penile). Codes 51798 (post-void residual) and 76950 (ultrasound for interstitial radiotherapy) were excluded from the study. We analyzed the results based on self-identified demographic information provided by the urologists. Results The practices of 2,427 urologists were reviewed and of these, 43% billed for at least 1 renal, scrotal or penile ultrasound. General and subspecialist urologists perform similar percentages of ultrasound studies, except for pediatrics (0% penile) and andrology (40% penile). Of those who reported on practice type (2,067) 82% self-identify as in private practice and performed more ultrasound studies than academic urologists, including renal 42% vs 23%, scrotal 33% vs 15% and penile 8% vs 6%, respectively. Men performed more nonprostate ultrasounds than women (44% vs 36%, p <0.001). Conclusions In addition to prostate ultrasound, renal and scrotal ultrasound is relevant to all urologists regardless of practice model or subspecialty. Graduating residents can expect to perform ultrasound examinations in their practices and, therefore, in addition to prostate ultrasound we should train residents in renal and scrotal ultrasound.

Original languageEnglish (US)
Pages (from-to)430-435
Number of pages6
JournalUrology Practice
Volume4
Issue number5
DOIs
StatePublished - Sep 1 2017

Fingerprint

Urology
Kidney
Prostate
Andrology
Private Practice
Certification
Brachytherapy
Urologists
Ultrasonography
Patient Care
Demography
Pediatrics
Biopsy
Education

Keywords

  • internship and residency
  • ultrasonography
  • urology

ASJC Scopus subject areas

  • Urology

Cite this

Rehfuss, A., Nakada, S., Pearle, M. S., Thrasher, J. B., Feustel, P. J., & Kogan, B. A. (2017). Use of Nonprostate Ultrasound in Urology Practice. Urology Practice, 4(5), 430-435. https://doi.org/10.1016/j.urpr.2016.09.009

Use of Nonprostate Ultrasound in Urology Practice. / Rehfuss, Alexandra; Nakada, Stephen; Pearle, Margaret S; Thrasher, J. Brantley; Feustel, Paul J.; Kogan, Barry A.

In: Urology Practice, Vol. 4, No. 5, 01.09.2017, p. 430-435.

Research output: Contribution to journalArticle

Rehfuss, A, Nakada, S, Pearle, MS, Thrasher, JB, Feustel, PJ & Kogan, BA 2017, 'Use of Nonprostate Ultrasound in Urology Practice', Urology Practice, vol. 4, no. 5, pp. 430-435. https://doi.org/10.1016/j.urpr.2016.09.009
Rehfuss A, Nakada S, Pearle MS, Thrasher JB, Feustel PJ, Kogan BA. Use of Nonprostate Ultrasound in Urology Practice. Urology Practice. 2017 Sep 1;4(5):430-435. https://doi.org/10.1016/j.urpr.2016.09.009
Rehfuss, Alexandra ; Nakada, Stephen ; Pearle, Margaret S ; Thrasher, J. Brantley ; Feustel, Paul J. ; Kogan, Barry A. / Use of Nonprostate Ultrasound in Urology Practice. In: Urology Practice. 2017 ; Vol. 4, No. 5. pp. 430-435.
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abstract = "Introduction Ultrasound imaging is necessary for the care of urology patients, and urology residents are encouraged to learn ultrasound technique and interpretation. However, there is limited mandated education in this field. Currently the only ultrasound procedure considered an index case is transrectal ultrasound for prostate biopsy. We investigated the current use of nonprostate ultrasound in urological practice. Methods We reviewed ABU (American Board of Urology) certification and recertification logs of practicing urologists from 2012 to 2014. We obtained data for the codes 76700-76776 (kidney), 76870 (scrotal), 76999 (unlisted) and 93975-93981 (Doppler including penile). Codes 51798 (post-void residual) and 76950 (ultrasound for interstitial radiotherapy) were excluded from the study. We analyzed the results based on self-identified demographic information provided by the urologists. Results The practices of 2,427 urologists were reviewed and of these, 43{\%} billed for at least 1 renal, scrotal or penile ultrasound. General and subspecialist urologists perform similar percentages of ultrasound studies, except for pediatrics (0{\%} penile) and andrology (40{\%} penile). Of those who reported on practice type (2,067) 82{\%} self-identify as in private practice and performed more ultrasound studies than academic urologists, including renal 42{\%} vs 23{\%}, scrotal 33{\%} vs 15{\%} and penile 8{\%} vs 6{\%}, respectively. Men performed more nonprostate ultrasounds than women (44{\%} vs 36{\%}, p <0.001). Conclusions In addition to prostate ultrasound, renal and scrotal ultrasound is relevant to all urologists regardless of practice model or subspecialty. Graduating residents can expect to perform ultrasound examinations in their practices and, therefore, in addition to prostate ultrasound we should train residents in renal and scrotal ultrasound.",
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