Advancing Sustainable Urological Care: The Rise of Office-Based Procedures

Acknowledging Earth Day and Its Importance in Urological Care

As we celebrate Earth Day and reflect on our collective responsibility to care for our planet, it's essential to recognize the vital role sustainability plays in every aspect of our lives, including healthcare. At Western Urology, we embrace the principles of sustainability not only to safeguard the environment but also to enhance patient care and promote efficiency in our practices. Today, we commemorate Earth Day by highlighting the strides we've made in integrating sustainable practices into our urological care, particularly through the adoption of office-based procedures.

The landscape of surgical care is continually evolving, driven by a commitment to better serve patients while promoting sustainability. Western Urology stands at the forefront of this evolution, with a rich legacy of expertise and innovation. A prime example of this evolution lies with our office-based procedure centre, which focuses on delivering top-tier care for men grappling with sexual dysfunction, urinary issues, and overall men's health. A/Prof Homi Zargar, a distinguished urologist in Melbourne, Victoria, brings vast expertise in urological procedures and a profound interest in sustainability and care for our Earth. Since 2015, A/prof Zargar and his team have spearheaded a transformative shift, moving many operative procedures out of the traditional operating room and into the clinic setting.

"We aim to broaden the scope of surgeries performed in our office," explains A/Prof Zargar. Among the procedures routinely conducted, in-office by our surgeons are transperineal prostate biopsy, circumcision, scrotoplasty, frenuloplasty, hydrocelectomy, and vasectomy.

Central to this paradigm shift is the integration of advanced practices in the use of local anaesthesia, state-of-the-art facilities, dedicated urological nursing care, and Methoxyflurane (Penthrox). Methoxyflurane offers a brief, inhaled anaesthetic experience proven to reduce anxiety and pain levels during invasive procedures. Its safety profile and minimal monitoring requirements make it an attractive option for patients, enabling swift recovery without the typical post-anaesthesia haze associated with moderate sedation or general anaesthesia.

A/Prof Homi Zargar, underscores the importance of rigorous assessment, noting that patients undergoing in-office procedures with Methoxyflurane (Penthrox) report lower pain scores, translating to heightened satisfaction overall. Moreover, this shift to office-based procedures brings a myriad of sustainable benefits:

  1. Cost-effectiveness: Office-based procedures mitigate facility and anaesthesia-related expenses, particularly relevant for interventions not covered by insurance plans.

  2. Resource Optimization: By relocating procedures to the office setting, strain on operating room resources is reduced, optimizing availability for surgeries necessitating monitored or general anaesthesia.

  3. Time Savings: Office-based procedures offer streamlined processes, saving patients valuable time by eliminating the need for hospital admission and lengthy pre-operative preparations.

  4. Environmental Impact: By minimizing disposable use and reducing the need for hospital-based resources, office-based procedures contribute to a lower carbon footprint, aligning with Western Urology’s passion for sustainability and care for our Earth.

Furthermore, the Western Urology team is pioneering various minimally invasive procedures for the treatment of benign prostatic hyperplasia as part of our ongoing clinical trials, offering patients effective relief with reduced recovery times and fewer complications.

Despite its clear advantages, the commitment to providing office-based urological procedures isn't universally applicable and requires careful patient selection and screening. Nonetheless, the Western Urology team remains enthusiastic about the possibilities it presents, driven by a commitment to providing patients with choices and delivering the highest standard of urological care. As A/Prof Zargar emphasizes, "The key lies in patient counseling and selection, ensuring that each individual receives tailored, exceptional care."

homi zargar