• E García-Rojo, J Medina-Polo, R Sopeña-Sutil, F Guerrero-Ramos, B García-Gómez, L Aguilar-Gisbert, G García-Álvarez, M R Azcutia-Gómez, F Gómez-Martín, J M Molero-García, E Pereda-Arregui, M C Vargas-Machuca Cabañero, F Villacampa-Aubá, and Á Tejido Sánchez.
• Servicio de Urología, Hospital Universitario 12 de Octubre, Madrid, España. Electronic address: esthergrojo@hotmail.com.
• Actas Urol Esp. 2019 May 1; 43 (4): 176-181.

ObjectiveTo analyse the evolution and adequacy of referrals from Primary Care to Urology, after the implementation of referral protocols on the most frequent urological diseases and the establishment of a continuing education program.Material And MethodsA Primary Care-Urology work group was created in 2011. Initially, performance and clinical practice protocols in prostatic pathology (BPH and PSA) were established. These were supported by training sessions for primary care physicians. After analysing the effect of the mentioned joint work, 3more (scrotal pathology, urinary tract infections and urinary incontinence) were included. We analysed and compared the referrals and their adequacy before and after the establishment of the protocols.ResultsThe most common referral causes were symptoms of the lower urinary tract due to BPH, which initially represented 22.8% of the total, and decreased to 16.9%. After the introduction of the new algorithms, we observed a decrease in referrals for scrotal pathology (13-14% to 7.8%), an increase in urinary incontinence referrals (3% al 10.3%) and those related to urinary tract infections remained stable. The adequacy to the protocols improved progressively: LUTS from 46% to 65.3%; PSA from 55% to 84.4% and urinary incontinence from 66.2% to 73.1%. Adequacy in scrotal pathology decreased (de 67.1% a 63.3%), while in UTI it stayed much the same (around 76%).ConclusionsThe joint work between Urology and Primary Care achieves an improvement in referrals adequacy regarding the most frequent urological pathologies.Copyright © 2019 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

42 keywords...

hide…