Endoscopes Gastroenterology devices Malaysian Statistics on Medical Devices 2007

58 Population Andrology Laboratory No in million No pmp Malaysia 26.64 2 100 Sector Public - Private - 2 100 State Johor 3.17 1 50 Kedah Perlis 2.11 Kelantan 1.53 Melaka 0.73 Negeri Sembilan 0.96 Pahang 1.45 Perak 2.28 Terengganu 1.04 Pulau Pinang 1.49 Sabah 3 Sarawak 2.36 Selangor W. P. Kuala Lumpur 6.43 1 50 Some of the facilities listed under urology suffer from a lack of strict deinition and hence the possibility of false reporting. A stone centre is a stand-alone centre with dedicated facilities for the treatment of all types of urinary stones. The centre should have the full range of endoscopic and percutaneous methods of stone clearance; either possesses or has access to an ESWL machine and should have a resident urologist. This deinition may not be applied strictly because some centers have general surgeons who practice urology and some centers have visiting urologists who offer some but not the entire range of urological services. A renal transplant centre is a stand-alone center that provides a continuum of comprehensive care to patients undergoing kidney transplantations both living related and cadaveric. The service may include monitoring of patients awaiting transplantation, medical and surgical therapies, and follow- up care inclusive of management of immunosuppressive therapy. There are 4 public centers, which do the majority of the transplants, and 3 private centers all of which are in the Klang valley. A robotic centre is a stand-alone center equipped with capabilities to perform robotic assisted laparoscopic surgical procedures. Possession of a robotic machine must be a perquisite. There are 2 in the public and 1 in the private. An urodynamic laboratory is a stand-alone center dedicated to performing urodynamic assessments for the diagnosis and management of incontinence, lower urinary tract dysfunctions and prolapses. Possession of a urodynamic machine with or without luoroscopy is a prerequisite. The total of 7 recorded is too small as the public sector alone has 10. Urodynamic machines under the urogynaecologists are not shown here. An andrology laboratory is a stand-alone center that speciically provides male infertility testing services. It may or may not provide cryopreservation or sperm banking services. Although many hospitals offer hormonal assays and semen analysis and have urologists on staff, it is not clear if this constitutes an andrology laboratory.