incidentalomas were identified in the pre-intervention group (2019). Of the 19 adrenal incidentalomas in the pre-intervention group, only 5 (26%) underwent a complete biochemical workup. In 2022, a total of 19 adrenal incidentalomas were identified. 11 of the 19 reports had recommendation for referral to Urology/Endocrinology or recommendation for further biochemical assessment. 8/11 (73%) of these patients underwent a full biochemical evaluation. Only 1 of 8 patients with adrenal incidentaloma that did not have the intervention included within the radiology report had a biochemical workup performed at follow up. We found that there were more patients that underwent a complete biochemical evaluation in the post-intervention group (p<0.001).CONCLUSIONS: More patients had the appropriate biochemical evaluation performed for an adrenal incidentaloma when the radiology report included "Urology or endocrinology consultation recommended". This is a simple intervention that should be implemented at other treatment facilities to improve the quality of care for patients.
For treatment of mesh erosion into the bladder, a robotic approach offers excellent visualization, is feasible, and well-tolerated. Compared to fragmenting the mesh using an endoscopic approach, the robotic approach has the advantage of excising the mesh definitively, eliminating the foreign body in the bladder and preventing future recurrences of mesh erosion. Properly selected patients should be offered the robotic approach to mesh excision.
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