MP49-09 EXPANDING SURGICAL GLOBAL OUTREACH: THE NEED FOR PEDIATRIC UROLOGIC CARE IN ECUADOR

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP49-09 EXPANDING SURGICAL GLOBAL OUTREACH: THE NEED FOR PEDIATRIC UROLOGIC CARE IN ECUADOR Luke Griffiths, Danielle I. Aronowitz, Jacob Smith, Leah Beland, Matthew D. Mikula, Charles Choy, Gainosuke Sugiyama, Heather McMullen, Joseph Marino, Victor Moon, Gene F. Coppa, Wayland Wu, Lane S. Palmer, and Rafael Barerra Luke GriffithsLuke Griffiths More articles by this author , Danielle I. AronowitzDanielle I. Aronowitz More articles by this author , Jacob SmithJacob Smith More articles by this author , Leah BelandLeah Beland More articles by this author , Matthew D. MikulaMatthew D. Mikula More articles by this author , Charles ChoyCharles Choy More articles by this author , Gainosuke SugiyamaGainosuke Sugiyama More articles by this author , Heather McMullenHeather McMullen More articles by this author , Joseph MarinoJoseph Marino More articles by this author , Victor MoonVictor Moon More articles by this author , Gene F. CoppaGene F. Coppa More articles by this author , Wayland WuWayland Wu More articles by this author , Lane S. PalmerLane S. Palmer More articles by this author , and Rafael BarerraRafael Barerra More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003297.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Access to safe surgical care is a continued public health concern in underdeveloped populations. Since January 2014, the Northwell Health Surgical Service Line Global Health Initiative has executed annual mission trips to Quito, Ecuador in partnership with Medical Missions for Children and local Ecuadorian foundations and hospitals. These trips have expanded to include general surgery, plastic surgery, critical care, as well as oral and maxillofacial surgery. Pediatric urologic services were identified as a potential area for further development. METHODS: Patients were prescreened and medically optimized by providers from the Padre Carollo Hospital Surgery Department. Patients were further evaluated onsite by Northwell surgeons and anesthesiologists. Most medical supplies were donated by Northwell Health and brought to the mission site by mission volunteers. All postoperative patients are evaluated and then follow with local surgical teams for any continued care. A needs assessment was performed to evaluate the urologic needs of this underserved population and identify low-risk urologic procedures that would best serve the community by improving quality of life with limited perioperative morbidity. RESULTS: Twenty-nine Northwell personnel volunteered, including 10 attending physicians/surgeons, 3 residents, and 16 additional support staff (Table 1). In total, 100 patients were screened with 71 procedures performed over 4.5 days. These procedures included 53 adult and 21 pediatric cases, representing a 25% increase from the 2020 mission (Table 2). Assessment survey identified a need for pediatric urology procedures, which included circumcision, orchiopexy, hydrocelectomy, and inguinal hernia repair. CONCLUSIONS: Northwell surgical missions continue to have an increasing impact in Quito, Ecuador. A needs assessment during the most recent mission trip suggested that the addition of a pediatric urology team would provide high-impact, low risk services to the underserved community. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e681 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Luke Griffiths More articles by this author Danielle I. Aronowitz More articles by this author Jacob Smith More articles by this author Leah Beland More articles by this author Matthew D. Mikula More articles by this author Charles Choy More articles by this author Gainosuke Sugiyama More articles by this author Heather McMullen More articles by this author Joseph Marino More articles by this author Victor Moon More articles by this author Gene F. Coppa More articles by this author Wayland Wu More articles by this author Lane S. Palmer More articles by this author Rafael Barerra More articles by this author Expand All Advertisement PDF downloadLoading ...