Introduction: Bladder trauma injuries, which are graded by severity, often require immediate care and surgical management by General Surgeons (GS) or Urologists. This study seeks to understand the inconsistencies that exist in collaboration between GS and Urologists in bladder trauma management. We hypothesize that the decision for GS to involve Urologists in bladder trauma management is a multifactorial decision with severity of bladder trauma being the primary determining factor as opposed to other factors like provider experience or hospital setting.
Methods: This cross-sectional descriptive study surveyed GS to determine how likely they were to involve Urologists in bladder trauma management and then compared their responses to questionnaires completed by Urologists. The primary outcome for the questionnaire was the likelihood that GS would involve Urologists in bladder trauma management. The questionnaires were developed in collaboration with GS to ensure relevance to both specialties.
Results: This study is currently in the data collection phase. There have been 108 GS questionnaire responses (39 respondents are fellowship trained) and 102 Urologist responses (40 respondents are fellowship trained). The response rate provides two similar cohorts for comparison and statistical analysis once the data collection phase is complete and any pending responses are tallied.
Discussion: The results thus far demonstrate a meaningful and comparable number of responses from both GS and Urologists despite the difficulty of survey dissemination with limited resources. Once data collection and statical analysis is complete, the results will hopefully improve the understanding of bladder trauma management differences between GS and Urologists.
Schultz, Joseph and Chung, MD, Paul, "Factors Influencing General Surgeons To Involve Urologists In Bladder Trauma Management" (2021). Phase 1. Paper 58.