BACKGROUND AND OBJECTIVE

Residency satisfaction is an important indicator of training quality and may influence physician well-being and performance. Surgical trainees are generally reported to have lower satisfaction compared to other specialties. This study assessed satisfaction among urology residents in the Philippines and evaluated a structured questionnaire for measuring training experience.

MATERIALS AND METHODS

A cross-sectional survey was conducted among residents in accredited urology programs (2024-2024-5). A 12-domain Likert-scale questionnaire was developed and validated. Internal consistency and test-retest reliability were assessed. Satisfaction scores were analyzed overall and across subgroups.

RESULTS

A total of 106 residents participated. The instrument demonstrated good internal consistency (Cronbach's α = 0.870) and strong test-retest reliability (r = 0.896). Overall satisfaction was high (52.41 5.4/60). Clinical exposure was the highest-rated domain, while work-life balance was the lowest. No significant differences were observed by gender, training year, or institution type. Key areas for improvement were case exposure and academic learning.

CONCLUSION

Urology residents in the Philippines report high overall satisfaction. The validated questionnaire is reliable and useful for assessing multidimensional aspects of residency training. Improvements in case exposure, academic support, and work-life balance may further enhance training quality.

Human ; Cross-sectional Studies ; Internship And Residency

OBJECTIVE: To report the outcomes of patients with traumatic renal injury who were managedconservatively in a tertiary trauma center from date of admission to discharge PATIENTS AND METHODS: The study is a comprehensive chart review on patients diagnosed with traumaticrenal injury, managed conservatively between January 2013- August 2018. Demographic dataincluding age and gender were recorded. RESULTS: A total of 92 patients with renal injury were managed in East Avenue Medical Center fromJanuary 2013 to August 2018. Only 25 of them were managed conservatively and were included inthis study. The patients included in this study had Grade II to V renal injuries and were sent homestable and improved. CONCLUSION Renal injury may be a life-threatening event in a setting of acute trauma. But if handledappropriately, it can be managed safely without the need for surgical intervention.

BACKGROUND: Fournier's gangrene is a serious illness which involves the external genitalia and perineum.It is rare but a life-threatening form of necrotizing fasciitis. Despite aggressive treatment, the mortalityrate is still high. In this study, the authors will discuss the risk factors and mortality of the saiddisease. METHODS: This is a descriptive retrospective study of patients with Fournier's gangrene treated at atertiary government hospital in the Philippines between January 2014 to December 2016. RESULTS: The data from a total of 16 patients (M:F = 15:1) were analyzed. The most number of patientswere in the 5th decade of life (range 17-75 years). The most commonly-associated morbidity wasdiabetes mellitus (50%). Bacterial culture results were obtained in only 15 (93.7%) patients. Of these,13 (86.6%) had polymicrobial bacterial growth while 2 (13.3%) had monomicrobial bacterial growth.Escherichia coli (93.3%) was the most frequent bacterial organism isolated. All the microorganismsisolated showed high resistance to commonly-used antibiotics except for Meropenem, Piperacillin-Tazobactam, and Ceftriaxone. All patients were treated with broad-spectrum antibiotics, and emergentsurgical debridement. The median length of hospital stay (LOS) was 14.3 days and mortality rate was6.25 %. CONCLUSION Fournier's gangrene is still a grave disease that can be treated by determining the cause ofinfection and prompt surgical treatment is needed to improve patient outcome.

INTRODUCTION: Hematuria is a common complication of transurethral electrosurgical procedures in the postoperative period. Presently, there is no standard diagnostic tool that will determine the degree of hematuria among postoperative catheterized patients. An innovative way of assessing the degree of hematuria is through the use of Hematuria Meter Application, a mobile device software program.
OBJECTIVE: The objective of this study was to determine the reliability of the Hematuria Meter Application as a diagnostic tool to assess the degree of hematuria in post-TURP and post-TURBT patients. This study aimed to determine if there is agreement between the Hematuria Meter Application readings and the RBCs counter per high power field by Direct Manual Quantitative Microscopy method and to determine if there is inter-observer agreement in using the Hematuria Meter Application between the patient or relative, nurse, intern and resident urologist.
METHODS: Using the Hematuria Meter Application, the color of the urine was graded by the patient or relative, resident, intern and nurse. Urine was then collected and sent to the laboratory for quantitative manual RBC counting under the microscope. Intraclass correlation coefficient (ICC) was used to determine teh agreement of the applicatin readings with RBC/hpf and inter-observer agreement among the observers.
RESULTS: From July 2014 to December 2015, a total of 159 eligible patients were included in this study. The average age was 69. Majority were males (91%). 118 patients out of 159 (74%) underwent TURP, while 41 patients (26%) underwent TURBT. The median age of patients who underwent TURP was 68 while the median age was 66 for patients who underwent TURBT.
The agreements of the Hematuria Meter Application readings with RBCs/hpf counted with Direct Manual Quantitative Microscopy method were almost perfect. ICC was 0.743 (p-value 0.000) in day 0 post-operative and 0.985 (p-value 0.000) in day 2 post-operative. Similarly, inter observer agreement was almost perfect and increasing at each period of assessment. In the immediate post-operative period, ICC was 0.832 (p-value 0.000). On second post operative day, ICC was 0.999 (p-value 0.000).
CONCLUSION: The Hematuria Meter Application is a reliable diagnostic tool in assessing the degree of hematuria in post-TURP and post-TURBT patients. There is inter-observer agreement in using this application.

Human ; Male ; Microscopy ; Hematuria ; Reproducibility Of Results ; Electrosurgery ; Transurethral Resection Of Prostate ; Urologists ; Erythrocyte Count ; Physicians

OBJECTIVE: To examine the ability of an antimicrobial agent Ciprofloxacin to diffuse through a Foley catheter retention balloon.
METHODS: The Utraviolet-Visible (UV-Vis) Spectophotometer (UV-1700 PharmaSpec) was utilized to detect the diffusion of the analyte (Ciprofloxacin) through end parameters such as peak absorbance and corresponding wavelengths.
RESULTS: On UV-Vis spectophotometer, the control sample of sterile water was analyzed and found to have the lowest peak absorbance value of only 0.003 at a wavelength of 343 nm. The peak absorbance values of subsequent samples, taken from the same environment (sterile water), since submersion of the catheter balloon, on day-3, day-8, day-15 had increasing peak absorbance values on their corresponding wavelengths.
CONCLUSIONS: In this study, the samples of sterile water from the outside environment of the submerged catheter yielded progressively increasing peak absorbance values on the succeeding days of submersion. Thereby, In lieu of this principle, one can infr the diffusion of the analyte throgh the catheter membrane, as reflected by the summary of peak absorbance value.

Ciprofloxacin ; Water ; Immersion ; Anti-infective Agents ; Diffusion ; Membranes ; Urinary Catheters

Treatment of urinary stone diseases requires radiographic imaging to optimize treatment selection. Non contrast helical computerized tomography (CT) has become the radiographic modality of choice in acute flank pains due to rapid and accurate determination of stone parameters. It was used by some groups to correlate treatment success, however, no specific recommendations have yet resulted from this series. Objective: To determine how non-contrast helical computerized tomography hounsfield unit (HU) measurement of surgically collected calculi correlates with in vitro stone breaking strength. Methodology: The specimens were obtained from patients who underwent open stone surgery at our institution from January 1, 2006 to September 30, 2006. Stones with sizes between 1-2 cm in their greatest dimension wer^ included in the study. In vitro measurement of the individual stone hounsfield unit values was done using the center's Neusoft CT C 3000 Spiral CT Scanner. Breaking strength of each stone was determined using Tinius Olsen low capacity Universal Testing Machine (UTM). Results were recorded and statistical analysis was performed using the Pearson correlation coefficient and linear regression from the commercially available SPSS statistical software. Results: A total of 38 stones were obtained from open stone surgery during the period covered in the study were included. Specimen sizes ranged between 1 to 2 centimers (cm) with an average size of 1.37 cm. The mean hounsfield unit of the stone specimen was at 588.34 HU and an average breaking strength of 57.54 Ib load. The Pearson correlation coefficient between the Hounsfield reading and that of breaking load is r = 0.406. This is indicative of a moderate yet significant (p-0.008) association between the two scores. A linear regression model may be fitted for these two scores with breaking load as dependent variable and hounsfield unit as predictor. A caveat on the model is its low adjusted R-square (16%). The resulting equation was: Estimated Breaking Load = 30.422 + 0.0461 (Hounsfield Unit). Conclusion: The breaking load of a urinary stone has a tendency to have a higher value as the Hounsfield score increases. Hounsfield unit is a predictor for stone's breaking strength but not a sufficient one.

Urinary Calculi ; Urolithiasis

Objectives: This study aimed to determine the effectiveness of sildenafil citrate on the erectile dysfunction of and satisfaction on sexual performance of married male Filipinos 30-50 years old. It likewise aimed to determine the effect of sildenafil citrate on the onset of erection, ejaculation latency period, detumescence time, refractory period, grade on penile erection and finally on the patient and wife's overall treatment satisfaction. Methods: The study is a placebo, double-blind, crossover clinical study to determine the effectiveness of sildenafil citrate on erectile dysfunction and satisfaction on sex\jal performance among mid-adult married, male, Filipinos conducted in July to October 2006 and included healthy, married, male Filipinos working in or near a tertiary hospital and those seen at OPD Urology Clinic who fall under the age of 30 to 50 years. A sildenafil citrate or matching placebo dose was 50 mg. Effectiveness was assessed by the scores of IIEF-5, mean scores of minutes of onset of erection, ejaculation latency period, detumescence time and penile hardness. Results: Patients upon taking sildenafil, had shorter latency period, duration of erection and detumescence in both first and second occurrences than when they took the placebo. The mean grade of penile hardness is significantly higher when taken the sildenafil (3.5) compared to when they took the placebo (2.9) (p
Erectile Dysfunction

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