Whether you are an administrator, owner, or someone who is involved in some way with the running of a medical practice, you are likely going to already know about both asset-light and asset-heavy medical practice designs.

If you are, however, unfamiliar with these terms, then knowing the difference between them can be extremely helpful in weighing up how to design a medical practice and where capital should be allocated.

An asset-heavy medical practice is one with a large amount of capital invested in equipment, the property and building where the practice is located, employees (with a large number of full-time employees), and essentially owns a wide range of assets that allow it to perform as many functions as possible.

An asset-light medical practice on the other hand is one that owns fewer fixed assets, with a minimized quantity of full-time employees that focuses more on using outsourcing vendors to provide patients with a full range of medical and diagnostic treatments.

2020 and 2021 have shown that urodynamics continues to grow and find unique and novel applications for diagnosing health issues relating to the bladder, urethra, and more. Here we have outlined 4 of the most interesting studies of the past year in the world of urodynamics:

Urodynamics (UDS) testing is usually performed in conjunction with a slew of other urologic tests and functions in concert with other diagnostics. This blog post will explore other common tests used in patients who will be having UDS testing and explains the indications and data that come from those other assessments.

            All patients who have UDS will undergo a comprehensive history, physical and laboratory testing. The history will focus on the specific urologic complaints the patient has, but also bowel issues, neurologic disorders and whatever medications the patient is on as well. Surgical history, especially related to urinary tract and anti-incontinence surgery is critical as is diet information. Lab testing will include a urinalysis to search for blood or infection, urine culture if infection is suspected, and many patients will have serum lab testing to assess kidney function.

          

In any urology practice, critical questions related to what services to offer, who will provide them and where the services will be performed are the foundation of practice management. When establishing or managing a practice, one decision you must make is whether urodynamics (UDS) is a foundational and core offering the practice will offer or an ancillary service. As with many things in urology, the answer is not straightforward and in reality, it is a little bit of both, though I tend to think of UDS as an ancillary service for most practices.

Core services urologists must offer include basic history and examination ability, cystoscopy and access to and interpretation of relevant lab and/or radiologic studies of the urinary tract. A urologist who cannot offer these basic services is really not practicing urology. UDS is an important test that urologists offer; however, a urology practice can exist without offering UDS and still thrive.

 

Prior to performing a TURP, there are several key tests that most urologists employ.

Aside from a history, exam, IPSS score, PSA and urinalysis, most will assess residual urine volume, perform a cystoscopy and measure the prostate – either with a formal TRUS, or based on a CT, MRI or abdominal ultrasound. Urodynamic testing (UDS) is used to varying degrees before a TURP by urologists. On one end of the spectrum there are purists who will only offer a TURP to someone with UDS-proven obstruction;

2018 Urology Practice Trends and Facts Infographic

2018 Urology Infographic -  Current Urology Practice Trends and Facts