{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T02:05:20Z","timestamp":1790129120768,"version":"4.0.1"},"reference-count":0,"publisher":"Canadian Urological Association Journal","issue":"3-4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CUAJ"],"abstract":"<jats:p>Introduction: Advances in communication technology are shaping\u00a0our medical practice. To date, there is no clear evidence that this\u00a0mode of communication will have any effect on unnecessary postoperativeemergency room (ER) visits. We aim to evaluate the effect\u00a0of email and media communication with application of smartphone\u00a0digital photography on post-hypospadias repair ER visit rates.Methods: This prospective cohort study included all patients who\u00a0underwent hypospadias repair performed by a single surgeon from\u00a0October 2014 to November 2015. Patients were categorized intotwo groups: Group A consented for smartphone photography and\u00a0email communication and Group B declined. Reason for ER visits\u00a0within 30 days postoperatively was assessed by another physician,\u00a0who was blinded of patient group assignment. The reasons were\u00a0categorized as: unnecessary ER visit, indicated ER visit, or visit\u00a0unrelated to hypospadias surgery. Chi-square test and T-test were\u00a0used for statistical analysis. Relative risk (RR) and corresponding\u00a095% confidence interval (CI) were also calculated. Statistical significance\u00a0was set at p&lt;0.05.Results: Over a 14-month period, 96 patients underwent hypospadias\u00a0repair (81 in Group A, 15 in Group B 5). No significant\u00a0difference was noted between groups for overall ER return rate\u00a0(RR 0.46, 95% CI 0.21, 1.0). However, the number of ER visits for\u00a0wound check not requiring intervention was significantly lower in\u00a0Group A than in Group B (RR 0.14, 95% CI 0.035, 0.56); likewise,\u00a0a higher number of ER visits requiring intervention was noted in\u00a0Group A compared with Group B, although statistically this was\u00a0not significant (RR 1.67, 95% CI 0.23, 12.21).Conclusions: Email communication with the use of smartphone\u00a0digital photography significantly reduced the number of unnecessary\u00a0ER visits for post-hypospadias wound checks.<\/jats:p>","DOI":"10.5489\/cuaj.4170","type":"journal-article","created":{"date-parts":[[2017,4,11]],"date-time":"2017-04-11T14:44:00Z","timestamp":1491921840000},"page":"134","source":"Crossref","is-referenced-by-count":16,"title":["Impact of smartphone digital photography, email, and media communication on emergency room visits post-hypospadias repair"],"prefix":"10.5489","volume":"11","author":[{"given":"Michael E.","family":"Chua","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan A.","family":"Saunders","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul R.","family":"Bowlin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica M.","family":"Ming","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Iglesias Lopes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walid A.","family":"Farhat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joana","family":"Dos Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3456","published-online":{"date-parts":[[2017,4,11]]},"container-title":["Canadian Urological Association Journal"],"original-title":[],"link":[{"URL":"http:\/\/www.cuaj.ca\/index.php\/journal\/article\/viewFile\/4170\/3094","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.cuaj.ca\/index.php\/journal\/article\/viewFile\/4170\/3094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,9,11]],"date-time":"2017-09-11T15:40:16Z","timestamp":1505144416000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.cuaj.ca\/index.php\/journal\/article\/view\/4170"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,11]]},"references-count":0,"journal-issue":{"issue":"3-4","published-online":{"date-parts":[[2017,4,11]]}},"URL":"https:\/\/doi.org\/10.5489\/cuaj.4170","relation":{},"ISSN":["1920-1214","1911-6470"],"issn-type":[{"value":"1920-1214","type":"electronic"},{"value":"1911-6470","type":"print"}],"subject":[],"published":{"date-parts":[[2017,4,11]]}}}