Introduction Patients with andrological problems especially in developing countries do not readily seek treatment with health care professionals. Various barriers to treatment exist including cultural taboos associated with these problems. This has been an unexplored area among Indian patients especially in the public healthcare domain. Public health care set ups in India deal with a huge volume of patients and many set ups do not have dedicated andrology services to handle such patients. Objective To evaluate utility and satisfaction with Andrology services among patients at a public tertiary care hospital in a developing country among the out-patient population, an observational questionnaire survey was administered. Methods A cross sectional questionnaire survey was conducted on 350 andrology OPD patients over one year. They were given a questionaire that asked basic questions about demographics, sexual habits, education and income level at their initial visit. On follow up, questionnaire recorded the same details along with satisfaction and utility of the andology services to the public at large. Results The mean age of the 350 men was 43.4 years; 78% were <50-years-old and 70% had a low income, 60% had low education. 75% patients confessed they were reluctant to seek treatment when they had first symptoms. More than 95% of the respondents were satisfied with the andrology services and hospital environment. All patients felt a confidential environment in a dedicated OPD helped them. The fact that such services were provided at no cost was the most common reason attributed to the high satisfaction rates Conclusions Patients frequently consult their peer groups and the internet for information about andrology issues. We believe there should be more awareness about men’s health issues and the options available for treatment. Dedicated andrology services among others, go a long way in bridging the gap. Our study proves that when properly implemented, even in tertiary public hospitals in urban areas, utilization of the service and satisfaction rates remain high. Disclosure No
Introduction Patients with andrological problems especially in developing countries do not readily seek treatment with health care professionals. Various barriers to treatment exist including cultural taboos associated with these problems. This has been an unexplored area among Indian patients especially in the public healthcare domain. Public health care set ups in India deal with a huge volume of patients and many set ups do not have dedicated andrology services to handle such patients. Objectives To evaluate the knowledge, attitudes and practices related to andrological problems among the out-patient population, an observational questionnaire survey was administered. Methods A cross sectional questionnaire survey was conducted on 400 andrology OPD patients over one year. They were given a questionaire that asked basic questions about demographics, sexual habits, education and income level. Subsequent questions assessed the knowledge, attitudes, practices and help seeking behaviour about andrological problems. On follow up, questionnaire recorded the same details along with satisfaction with the andology services. Results The mean age of the 400 men was 46.4 years; 73% were <50-years-old and 74% had a low income, 60% had low education. The mean time between noticing a symptom and first hospital visit was 5.3 months. Of the 400 respondents, peer groups (30%) and internet (26%) were most frequently consulted sources for information about ED initially. Older patients preferred consulting with physicians. Side effects of treatment were the greatest concern, especially for older patients. More than 95% of the respondents were satisfied with the andrology services and hospital environment. All patients felt a confidential environment in a dedicated OPD helped them. Conclusion Patients frequently consult their peer groups and the internet for information about andrology issues. We believe there should be more awareness about men's health issues and the options available for treatment. Dedicated andrology services among others, go a long way in bridging the gap. Disclosure Work supported by industry: no.
A 64 year old diabetic, hypertensive male with claudication and rest pain in his left leg was found to have diffuse narrowing below the politeal artery in the left lower limb with good collaterals. There was bifurcation of the right popliteal artery above the knee joint and an anomalous origin of the right posterior tibial artery from the anterior tibial artery. Awareness of anotomical variations is important for evaluation of the lower extremity arteriograms, for vascular surgeons during reconstructions such as femorodistal bypass graft procedures and embolectomy, during surgical techniques such as arthroscopy, tibial osteotomy, vascular reconstruction grafts, plastic surgical flaps and catheterization procedures.
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