
Director: Associate Professor Laurence Harewood
Services
The UroRenal, Vascular Clinical Institute groups together surgical specialties in the areas of endocrinology, nephrology, urology and vascular surgery.
Activity
|
Services |
Admissions |
Bed days |
|
|
Admissions |
Bed days |
|
|
Endocrinology |
261 |
928 |
|
|
254 |
914 |
|
|
Nephrology |
11,168 |
5,130 |
|
|
14,642 |
4,493 |
|
|
Urology |
12,783 |
17,913 |
|
|
12,862 |
16,829 |
|
|
Vascular surgery
|
2,993 |
9,751 |
|
|
2,968 |
10,163 |
|
Conditions treated
|
Endocrinology
- Diabetes
- Growth disorders
- Hormonal conditions
- Pituitary disorders
- Polycystic ovary syndrome
- Reproductive endocrinology
- Thyroid conditions
Nephrology
- Acute renal failure
- Chronic kidney disease
- Electrolyte disturbances
- Hematuria
- Hypertension
- Kidney disease
- Kidney stones
- Proteinuria
|
Vascular
- Abdominal aortic aneurysm
- Acute limb ischaemia
- Aortic dissection
- Carotid stenosis
- Peripheral arterial occlusive disease
- Varicose veins
Urology
- Benign prostate enlargement
- Bladder cancer
- Bladder dysfunction
- Bladder stones
- Erectile dysfunction
- Kidney cancer
- Kidney stone disease
- Prostate cancer
- Testicular cancer
- Urinary incontinence
|
---|
Epworth Healthcare performed the first robotic-assisted procedure in Australia in 2003, and now performs over 1000 robotic procedures/year, with the broadest array of robotic surgical procedures of any Australian centre. This revolutionary technology offers advanced key-hole surgery with 3D, high definition digital vision and wristed instruments, to enable a surgeon to perform complex surgery through only a small number of 5-10mm incisions. Robotic surgery is currently performed at Epworth in the following areas:
- Urology
- Gynaecology
- Cardiac surgery
- Gastric surgery
- Colorectal surgery
- ENT
Our performance
Prostate cancer is the most commonly diagnosed cancer and the second
leading cause of male cancer deaths among Australian males. Men presenting with
localised prostate cancer disease are faced with many treatment options.
Because of the many combinations of management available to men with
prostate cancer, the
Prostate Cancer Registry (PCR) was
established at Monash University. Its role is to monitor and allow benchmarking
of quality of care by institutions and individual surgeons and radiation
oncologists in the care of prostate cancer patients.
Epworth participates in the PCR as a way of monitoring the care we
provide. The PCR monitors 10 indicators of care. Many of these indicators allow
comparison of hospital results with acceptable levels of care. For those
measures that do have a benchmark, Epworth’s hospitals perform well.
Since the inception of the
Prostate Cancer Outcomes Registry (PCOR) the Epworth has contributed a total of
5741 patients making it the largest contributor of cases by any
institution. Epworth Freemasons contributed 2246 patients (second
largest contributor in total of all notifications by all institutions),
Epworth Richmond 1812 patients (4th largest contributor) and Epworth
Eastern 1683 patients (5th largest contributor.)
In the outcomes measured and
reported, the results from Epworth Hospitals was consistently were better or at
the average standard.
- The surgical margin outcomes of Robotic Radical Prostatectomy are a good indicator of the quality of the surgery. A positive margin is when cancer is up the edge of where the prostate has been cut out. A positive surgical margin therefore may indicate that cancer has been left behind. The long term outcome for these patients is not as good as when the surgical margin is negative. Hence the lower the surgical margin the better.
- Epworth Freemasons consistently achieved a very low positive margin rate in all three categories of low, intermediate and high risk cancer.
- Epworth Richmond had excellent low positive margin rates in intermediate and high risk cancer.
- Epworth Eastern also achieved low positive margin rates in all three categories.
- Two of the potential negative outcomes for Robotic Radical Prostatectomy for Cancer of the Prostate are issues with continence and erections post operatively. In all cases the outcomes of the Epworth hospitals are either below or at the average standard.
- Epworth Freemasons achieved a low incidence of both urinary bother and sexual bother post operatively
- Epworth Richmond achieved similarly a low incidence of both urinary and sexual bother.
- Epworth Eastern achieved a low urinary bother rating and a satisfactory sexual bother outcome.
- One of the major concerns after Radiation therapy for Prostate Cancer is and irradiation effect on the bowel (rectum). This can lead to bothersome bowel symptoms. All three Epworth hospitals carrying out radiation therapy achieved a low or satisfactory outcome.
Overall, the Epworth Group of Hospitals achieved a very high standard of outcome, which is an indicator of the quality of care provided.
The chart shows a funnel of expected
performance. Unit results are displayed as dots with the aim being to fall
within the funnel. Further examination is required where a dot falls outside
the funnel.




Queries
If you have any queries regarding the data on this page, please email ClinicalProfile@epworth.org.au
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