With your support, we want to be able to invest in an ultrasound machine to run the haematuria clinic in our recently opened Reeves Day Surgical Unit. This machine will allow us
Patients are regularly referred by their GP to the Urology team in TUH because the patient is passing blood in their urine (haematuria). The Haematuria Clinic performs tests on your urinary tract to identify the cause of the bleeding.
In order to establish the cause of the haematuria, patients need blood tests, an ultrasound scan, physical exam and a flexible cystoscopy (under local anaesthetic). A flexible cystoscopy is an investigation involving a scope being passed through the urethra into the bladder for direct visual inspection of the urethra, prostate and bladder. A flow test (to check the amount of urine voided during urination, the flow and the volume of urine retained in the bladder) may also be required.
The ultrasound scan involves placing a warm jelly over the areas to be examined and scanning your kidneys and bladder with a probe which emits ultrasound waves.
Yes we do but there are currently 189 patients awaiting investigation for haematuria, with a wait time of 0-30 months. The patients require an ultrasound prior to the clinic – this adds to their overall wait time. An average of 4 haematuria patients are booked into the procedure clinic per week (out of a total of 24 patients) – this is the maximum number that can be accommodated in this clinic, as each haematuria patient appointment takes between 45 minutes to an hour. The waiting list and wait time directly reflects the fact that we cannot book as many patients through per week as we need to. The major limiting factor is clinical space in the Urology OPD – it is therefore not possible to schedule any additional clinics.
Our recently opened Reeves Day Surgery Centre (RDSC) provides a potential solution to this problem. We have 3 clinic rooms available that would be suitable for a dedicated ‘one stop’ haematuria clinic. The clinic would run once weekly, with 8 haematuria patients booked in. This represents a 200% in our current numbers and would reduce our waiting list within six months to the point where all new referrals would be seen within 4 weeks. The patient would have their ultrasound scan at the clinic.
In order to run the haematuria clinic in RDSC,we need an additional ultrasound machine – this would be left in RDSC (and offers scope for further additional clinics to be run in RDSC requiring ultrasound).