METHODS: We surveyed all urological departments performing UDS as well as a representative sample of private practices in Germany in 2023. We examined structural situation, waiting times, capacities and limitations of UDS. All invasive urodynamic examinations were defined as UDS.
RESULTS: In 2019, 259/474 (55%) urological departments in Germany performed UDS. 206/259 (80%) urological departments responded to the survey. 163/200 (82%) urological departments stated that their capacities were exhausted, a main reason being lack of medical and nursing staff. 54.8% urological departments performed more than 50% of their UDS for referring physicians. Urological departments with a low number of UDS/year (≤ 100) showed a shorter waiting time (up to 4 weeks: 49% vs. 30%; p = 0.01), reduced UDS capacities (55% vs. 12%; p < 0.001) and these capacities were often not fully utilized (25% vs. 9%; p = 0.007). 122/280 (44%) office urologists responded to the survey. 18/122 (15%) office urologists performed UDS. Main reasons for not offering UDS were lack of personnel and low reimbursement.
CONCLUSIONS: In German urological departments, UDS capacities are consistently fully utilized, primarily due to staffing shortages. This trend towards centralization prompts questions about the role of UDS in urologists\' training.
方法:我们在2023年调查了所有执行UDS的泌尿科以及德国私人诊所的代表性样本。我们检查了结构情况,等待时间,UDS的容量和局限性。所有侵入性尿动力学检查均定义为UDS。
结果:2019年,德国259/474(55%)泌尿科进行了UDS。206/259(80%)泌尿科对调查做出了回应。163/200(82%)泌尿科表示他们的能力已经耗尽,主要原因是缺乏医疗和护理人员。54.8%的泌尿科为转诊医师执行了50%以上的UDS。UDS/年数量低(≤100)的泌尿科显示出更短的等待时间(最多4周:49%vs.30%;p=0.01),减少UDS容量(55%与12%;p<0.001),这些容量通常没有得到充分利用(25%与9%;p=0.007)。122/280(44%)办公室泌尿科医生对调查做出了回应。18/122(15%)办公室泌尿科医师进行了UDS。不提供UDS的主要原因是缺乏人员和报销费用低。
结论:在德国泌尿科,UDS能力始终得到充分利用,主要是由于人员短缺。这种集中化的趋势引发了人们对UDS在泌尿科医师培训中的作用的质疑。