Practice Variations for Surgical Oncological Cases Among Adult Urologists in the Philippines in the Management of Post-Surgical Reconstruction and Complications

Abstract

Objectives: To identify practice variations among adult urologists in the surgical management of their oncologic cases and postoperative complications.

Methods: Beginning March 2022 to October 2022 an internet-based survey was performed among members of the PUA practicing in the Philippines.

Results: 82 Philippine urologists answered the survey during the study period. Majority have no subspecialty training (n=42) and practice primarily in the NCR (n=49). Open radical prostatectomy is the option of choice (n=58) with reported incidence of complications similar to that of previous studies. Conduit (n=77) is the diversion of choice after radical cystectomy with the majority recommending a two-surgeon approach in the harvest and reconstruction.

Conclusion: Practice is focused within the NCR with the majority having no subspecialty training thus preferring open surgical approach and two-surgeon team. Implantable devices are the preferred method in managing erectile dysfunction and urinary incontinence but is still lacking local availability.