Multidisciplinary Management in Modern Surgery: Converging Trends in Urology and General Surgery
DOI:
https://doi.org/10.69980/ajpr.v28i5.380Keywords:
Behavioural health integration; General surgery; Holistic recovery; Interdisciplinary care; Patient-centered care; Psychiatric rehabilitation; Surgical collaboration; UrologyAbstract
The practice of modern surgery continues to develop team-based approaches because of complex procedures that combine urological and general surgery specialties. The growth of technical capabilities has led to wider understanding that recovery needs to encompass psychiatric and psychosocial and emotional wellness beyond physical healing. The research examines how integrated surgical teams affect patient clinical results and psychosocial health through surgeon and behavioural health professional and allied healthcare staff collaboration. A 12-month institutional audit using mixed-methods took place at a tertiary academic hospital. The research gathered data from 102 surgical cases that used multidisciplinary coordination while also including staff and patient interviews and satisfaction survey results. The healthcare delivery methods that incorporated teams as part of patient management yielded better outcomes which included diminished hospitalization time combined with decreased postoperative complications and treatment returns as well as better satisfaction rates for patients. A large number of patients exhibited preoperative anxiety as well as postoperative depression especially when psychosocial support programs were inadequate or non-existent. Patients along with healthcare providers both identified emotional readiness alongside effective communication and role identification as beneficial while the complete implementation remained limited by healthcare service shortages and organizational resistance to change and moral dilemmas. The research confirms that surgical pathways must include psychiatric rehabilitation services to achieve comprehensive patient recovery. The integration of mental health care services within surgical facilities simultaneously boosts medical outcomes and supports entire patient health requirements. System-level reforms together with cultural shifts must become essential for establishing interdisciplinary person-centered surgical care throughout every hospital setting.
References
1. Bardoscia, L., Detti, B., & Sardaro, A. (2025). Multidisciplinary management of urological malignancies in the era of precision medicine: Integration of advances in technology and cancer care. Frontiers in Urology, 4, 1518410.
2. Gil, M., Guerra, J., Andrade, V., Medeiros, M., Guimarães, T., Bernardino, R., ... & Campos Pinheiro, L. (2021). The impact of multidisciplinary team conferences in urologic cancer in a tertiary hospital. International Urology and Nephrology, 53, 41–47.
3. Sanchez-Encinas, M., Rey-Biel, J., Alias, D., Noguero-Meseguer, R., Granell, J., Muguruza, I., ... & Barba, R. (2023). Performance of a multidisciplinary robotic surgery program at a university hospital (2012–2022). Journal of Robotic Surgery, 17(6), 2869–2874.
4. Tzelves, L., Juliebø-Jones, P., & Somani, B. (2024). The evolution of minimally invasive urologic surgery: Innovations, challenges, and opportunities. Frontiers in Surgery, 11, 1525713.
5. Bellos, T., Manolitsis, I., Katsimperis, S., Juliebø-Jones, P., Feretzakis, G., Mitsogiannis, I., ... & Tzelves, L. (2024). Artificial intelligence in urologic robotic oncologic surgery: A narrative review. Cancers, 16(9), 1775.
6. Gundeti, M. S., Eng, M. K., Reynolds, W. S., & Zagaja, G. P. (2008). Pediatric robotic-assisted laparoscopic augmentation ileocystoplasty and Mitrofanoff appendicovesicostomy: Complete intracorporeal—Initial case report. Urology, 72(5), 1144–1147.
7. Sungur, U., Polat, H., Yılmaz, H., & Güner, E. (2022). Multidisciplinary collaborative operations of urology and other surgical specialties: Thirteen years of experience at a single center. Urology Practice, 9(5), 348–354.
8. Mahmud, H., Zameer, S., & Patel, R. (2023). Bridging surgical subspecialties: Lessons from collaborative perioperative management. Surgical Clinics of North America, 103(1), 37–50.
9. Newell, T., & Radecki, L. (2022). Coordinated care in urologic surgery: The role of multidisciplinary tumor boards. Urology Practice, 9(1), 45–50.
10. Xu, R., Hayes, L. C., Cai, P. Y., Meers, A., Tulley, K., Antonelli, R. C., & Estrada, C. R. (2024). Characterizing psychosocial services in a pediatric urology practice. Journal of Pediatric Urology, 20(2), 242.e1.
11. Hayes, L. C., Meers, A., Tulley, K., Sable, P. E., Castagno, S., & Cilento, B. G. (2022). Interdisciplinary collaboration in a pediatric urology outpatient clinic at a tertiary children's hospital: A case series. Urology, 169, 191–195.
12. Kim, I. H., & Lee, H. J. (2021). Perioperative systemic treatment for muscle-invasive bladder cancer: Current evidence and future perspectives. International Journal of Molecular Sciences, 22(13), 7201.
13. Lan, T., Ran, S., Gao, M., Li, W., & He, W. (2024). A narrative review of management of muscle-invasive bladder cancer perioperative period: Will continuous and combined treatment be the new trend? Translational Andrology and Urology, 13(2), 293–301.
14. Kim, K. H., Lee, H. W., Ha, H. K., & Seo, H. K. (2023). Perioperative systemic therapy in muscle invasive bladder cancer: Current standard method, biomarkers and emerging strategies. Investigative and Clinical Urology, 64(3), 202–213.
15. Qian, L., Zhang, Y., Chen, H., Pang, Y., Wang, C., Wang, L., & Zhang, X. (2024). The clinical effect of gratitude extension-construction theory nursing program on bladder cancer patients with fear of cancer recurrence. Frontiers in Oncology, 14, 1364702.
16. Khater, N., Comardelle, N. J., Domingue, N. M., Borroto, W. J., Cornett, E. M., Imani, F., ... & Kaye, A. D. (2022). Current strategies in pain regimens for robotic urologic surgery: A comprehensive review. Anesthesiology and Pain Medicine, 12(3), e127911.
17. Leech, M., Osman, S., Jain, S., & Marignol, L. (2021). Mini review: Personalization of the radiation therapy management of prostate cancer using MRI-based radiomics. Cancer Letters, 498, 210–216.
18. Minoli, M., Cantore, T., Hanhart, D., Kiener, M., Fedrizzi, T., La Manna, F., ... & Kruithof-de Julio, M. (2023). Bladder cancer organoids as a functional system to model different disease stages and therapy response. Nature Communications, 14(1), 2214.
19. Yang, L., Zou, X., Zou, J., & Zhang, G. (2021). A review of recent research on the role of microRNAs in renal cancer. Medical Science Monitor, 27, e930639-1.
20. Tito, C., De Falco, E., Rosa, P., Iaiza, A., Fazi, F., Petrozza, V., & Calogero, A. (2021). Circulating microRNAs from the molecular mechanisms to clinical biomarkers: A focus on the clear cell renal cell carcinoma. Genes, 12(8), 1154.
21. Medle, B., Sjödahl, G., Eriksson, P., Liedberg, F., Höglund, M., & Bernardo, C. (2022). Patient-derived bladder cancer organoid models in tumor biology and drug testing: A systematic review. Cancers, 14(9), 2062.
22. Cockrell, D. C., & Rose, T. L. (2023). Current status of perioperative therapy in muscle-invasive bladder cancer and future directions. Current Oncology Reports, 25(5), 511–520.
23. Addeo, A., & Merlini, E. (2023). Advancements in urologic reconstructive surgery: An interdisciplinary approach. Therapeutic Advances in Urology, 15, 17562872231157182.
24. Chau, A., & Chang, D. (2022). Communication and collaboration across surgical disciplines: A training imperative. American Journal of Surgery, 224(5), 891–897.
25. Bellinger, M. F., Shah, A., Strome, M., & Choudhury, A. (2023). Integrated surgical care pathways: A framework for collaborative urology and general surgery in complex cases. Annals of Surgery Open, 4(2), e246.
26. Piedra, J. A., Marchiñena, P. G., Carminatti, T., Gutierrez, A. C., & Jurado, A. (2024). Reduction in tumor thrombus after systemic treatment for advanced renal cell carcinoma: A report of two cases and literature review. Grand Journal of Urology, 4(3).
Downloads
Published
Issue
Section
License
Copyright (c) 2025 American Journal of Psychiatric Rehabilitation
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License permitting all use, distribution, and reproduction in any medium, provided the work is properly cited.
