ANNUAL REVIEW master Final3a - St Vincent's University Hospital

St. Vincent’s Healthcare Group Limited - Annual Review 2007
Department - Urology
Healy CE, Leonard DS, Cahill R, Mulvin D, Quinlan D: Primary endourologic realignment of complete
posterior urethral disruption. Ir Med J 100(6):488-9. 2007.
Quinlan MR, Teahan S, Mulvin D, Quinlan DM: Is digital rectal examination still necessary in the early
detection of prostate cancer? Ir J Med Sci 176(3):161-3. 2007.
Lim CH, Quinlan DM: Are doctors examining prostates in university hospital? Urology: 70(5):843-5, 2007.
Connolly SS, Mulvin DW, Quinlan DM, Lennon GM: Painful hydronephrosis of pregnancy. Eur J Obst Gynecol
Reprod Biol, Dec 2007
O'Daly BJ, O'Brien MF, Dowling CM, Crotty TB, Watson AJ, Moriarty MJ, Mulvin DW:
Squamous cell carcinoma of the renal pelvis after curative retroperitoneal
radiotherapy for seminoma. Urology 70(4):812, 2007.
Future Plans
The plans for 2008 must again emergently focus around improvements in ward accommodation for inpatients
on St Charles’ Ward, particularly regarding privacy, shower and toilet facilities. This is an ongoing
problem for the two specialties affecting women and men (Gynaecology and Urology) where the highest
levels of privacy, hygiene and access to toilet and bathing/showering facilities are required. Plans have been
drawn up for improvements to St Charles’ Ward but, unfortunately, we again anticipate their implementation.
Urology has the potential to take advantage of its new outpatient setting with the development of “one stop
shops” for:
• Haematuria Clinics (with same day renal ultrasound and flexi-cystoscopy)
• Prostate Clinics (with same day urodynamics, PSA testing etc)
• Dysfunctional Voiding / Incontinence Clinics (with same day urodynamics and flexi-cystoscopy)
For the first time in 2007 the Ambulatory Day Care Unit started its service for patients undergoing flexible
cystoscopies. The plans for 2008 are for this to occur during outpatient clinics to facilitate a “one stop shop”
for patients with haematuria and voiding dysfunction.
The application for a fourth Urological Consultant has now been submitted following the resolution of the
new consultants’ contract.
Outpatient numbers pose a difficult problem. The numbers per clinic must be reduced to provide a higher
quality service to each individual patient. Demand far outstrips supply of appointments. A fourth Urological
appointment would certainly help. Novel solutions such as private practice Urologists being contracted for
outpatient sessions may need to be looked at to cope with the growing volumes of patients.
Unfortunately, the Post Graduate Diploma in Urology Nursing was stalled this year by University College
Dublin due to a lack of candidates. Discussions are afoot to plan the future of the course.
2008 will see the introduction of an annual “Visiting Professor” with Dr Alan Partin, Chief of Urology at Johns
Hopkins arriving in July 2008.
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