Cytoscopy limited to treatment plan deleted

    

    

Doctors newspaper online, 28.10.2019

    

        
        
        

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cancer screening

Urologists will no longer provide bladder reflexes for patients for a short time: this action is intended to draw attention to excessive hygiene requirements in medical practices.

Stopped: As of mid-November, there may be no more bladder mirroring at resident urologists – at least for some time, except in emergencies.

© Markus Bormann / fotolia.com

BERLIN. Urologists sound the alarm: the requirements for reprocessing the instruments as well as requirements for proving the measures taken would become more and more comprehensive for established colleagues. In some federal states, the measures would also have to be paid for by external examiners, according to a statement by the Professional Association of German Urologists (BvDU).

Last weekend, the Board of Directors adopted a recommendation to its members that the urological examination for the diagnosis of bladder disease and the exclusion of bladder tumors (cytoscopy) and their follow-up should be temporarily suspended from mid-November. Emergencies would be treated further for the time being.

A stumbling block: At the end of last year, the Ludwigshafen health authority had banned the practice of cystoscopy by several urological practices in Rhineland-Palatinate because the treatment measures taken had not been validated by external examiners, writes the BvDU. The underlying legally binding hygiene guidelines, which are developed by the Commission for Hospital Hygiene and Infection Prevention (KRINKO) at the RKI, however, mainly considered the situation in hospitals, the professional association points out. They could not be transferred to outpatient care without considerable logistical and personnel expenditure.

The BvDU had already in the first quarter of 2019 to the Kassenärztlichen associations and health insurance companies turned to address this problem, so that would be created for the outpatient care suitable framework conditions so far unsuccessful, so the criticism. Therefore, the suspension action should increase the pressure on the KVen and the Federal Ministry of Health. (run)

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