BAUS Section of Female, Neurological & Urodynamic Urology

Important Notice - 17th February 2010

 The National Suprapubic Catheter Insertion audit has now been updated to include unplanned / acute procedures and all existing data transferred to the web-based database. No paper returns can now be accepted. Login to the new system here : https://audits.baus.org.uk

The Botulinum Toxin audit will be transferred to the web-based database as from 1st APRIL 2010. Paper proformas will be accepted up to this date only after which data entry will only be possible via the web-portal. The committee believe that this will improve the returns particularly as reminders will be automatically generated for the post- treatment information.

The surgical procedures dataset is to be discontinued with immediate effect. Returns have failed to increase since the re-launch and it is anticipated that it would be replaced by the proposed e-logbook about which the committee is currently seeking clarification.

 1.         National Suprapubic Catheter Insertion Audit (from 1.1.2010)

            Number of proformas returned as of 12th January 2010: 238 (all transferred to web based database)

    The aim of this audit is to produce definitive data on the safety/risks of both elective and emergency suprapubic catheter insertion.  We know that this “  simple” intervention can be associated with significant complications but do not have reliable data which can be used to counsel  patients.  Data on a large number of procedures (500 is a realistic aspiration) would provide the necessary information.   Furthermore, the data will be helpful in informing guidelines regarding catheter insertion techniques in particular clinical situations  (such as the patient who has had previous lower abdominal surgery).

 2.        National Botulinum Toxin Therapy Audit  -

           Number of proformas returned as of 8th February 2010: 71

   Botulinum toxin injection therapy for detrusor overactivity (and other indications) has entered urological practice in a widespread but unstructured manner.  Limited numbers of high-quality controlled trials are available to complement published case series.  Now botulinum toxin is “out there”, there is a need to gain a clear picture as to its use, effectiveness and complications.  This audit is designed to collect data on a very large number of treatments (perhaps as many as 1,000) and thereby generate information that is of international importance.  Simple outcome measures are included which will provide data on the proportion of “real world” patients who respond to treatment and, importantly, the duration of responses.

       If you can not read the proformas you need to install the freely available Adobe Acrobat Reader.

3.         Surgical Procedures Data-Set - in abeyance 17.2.2010

           The original database from 2004 has been greatly simplified and is now re-launched so that data entry will be very straightforward.  Once the Section membership is engaged in routinely submitting their data, this will be a valuable resource that can be easily built on to     include outcomes data or additional detail.  This should become the tool through which future audits (such as the two described above) are carried out – thereby moving the process of audit to an electronic rather than paper-based system.  Furthermore, anyone  with an interest in auditing a particular procedure will be able to access information on the departments that are undertaking that operation and set up collaborative prospective or retrospective audits.