Authors: (including presenting author): :
Mak WHC (1), Yeung NS (1), Tam CH (1), Pun CT (1), Chok KM (2), Chan HYZ (2), Si CF (2), Kwan TH (2), Cheung WL (2), Chan WY(2), Cheung CN (2), Chan KWW(1), Kan MYD (2)
Affiliation: :
(1): Division of Urology, Department of Surgery, Our Lady of Maryknoll Hospital (2): Department of Surgery, Our Lady of Maryknoll Hospital
Keyword 3: :
Our lady of maryknoll
Introduction: :
Hematuria is a common indication for urological referral and may signify underlying urological malignancy. Conventionally, patients are managed through standard outpatient consultation followed by investigations and subsequent cystoscopy if indicated. To further enhance diagnostic timeliness and service efficiency in alignment with Hospital Authority service modernisation and patient‑centred care initiatives, a one‑stop hematuria clinic was introduced.
Objectives: :
To assess the impact of a one‑stop hematuria clinic on diagnostic timeliness, service efficiency, and patient experience when compared with the conventional care pathway.
Methodology: :
Since November 2022, all suitable hematuria referrals have been triaged to a dedicated one‑stop hematuria clinic. A nurse‑led telephone contact was conducted prior to clinic attendance, during which blood tests and urine investigations were arranged in advance as per urologist’s order. On the clinic day, the attending urologist reviewed investigation results and performed same‑day flexible cystoscopy when indicated. Service outcomes were compared descriptively with baseline audit data from 2019 to 2021, during which patients were managed under the conventional care pathway. Patient satisfaction was assessed using a post‑visit questionnaire.
Result & Outcome: :
Under the one‑stop hematuria clinic model, 283 flexible cystoscopies were performed up to December 2025. The mean waiting time for patients attending hematuria clinic was 56 days from referral. Baseline audit data from 2019 to 2021 demonstrated that patients subsequently diagnosed with bladder cancer required a median of 76 days from referral to first outpatient consultation, followed by an additional 23 days before cystoscopy under the conventional pathway. Compared with this baseline, the one‑stop hematuria clinic shortened the overall pre‑diagnostic interval and reduced the number of outpatient attendances by avoiding unnecessary interim follow‑up consultations. Urological malignancy were found in 10% of the patient underwent hematuria clinic. Other diagnoses included bladder stones (4%), benign prostatic enlargement (20%), cystitis (3.5%). A patient satisfaction survey was conducted using a structured questionnaire with seven items rated on a 5‑point Likert scale (1 = strongly disagree, 5 = strongly agree), assessing clinic arrangement, clarity of information, workflow efficiency, and overall satisfaction. A total of 65 patient responses were analyzed. Across all survey items, 92% selected ratings of 4 or 5, indicating a high level of satisfaction. Overall, approximately 98% of patients expressed 5/5 satisfaction with the one‑stop hematuria clinic arrangement and perceived the service as more convenient compared with conventional clinic visits.
