Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

Tytuł pozycji:

Functional urology: Practice patterns and training aspirations among urologists in Brazil.

Tytuł:
Functional urology: Practice patterns and training aspirations among urologists in Brazil.
Autorzy:
Costa-Matos A; Division of Urology, Federal University of Bahia State, Salvador, Brazil.
Toledo LGM; Division of Urology, Santa Casa de São Paulo School of Medical Science, São Paulo, Brazil.
Fornari A; Division of Urology, Santa Casa de Porto Alegre Hospital, Porto Alegre, Brazil.
Fernandes Silva JA; Division of Urology, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Gomes CM; Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
Źródło:
Neurourology and urodynamics [Neurourol Urodyn] 2022 Nov; Vol. 41 (8), pp. 1890-1897. Date of Electronic Publication: 2022 Sep 06.
Typ publikacji:
Journal Article; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Original Publication: New York : Alan R. Liss, c1982-
MeSH Terms:
Urology*
Suburethral Slings*
Pelvic Organ Prolapse*/surgery
Urinary Incontinence*/surgery
Humans ; Female ; Adult ; Middle Aged ; Urologists ; Brazil ; Practice Patterns, Physicians'
References:
Eswara JR, Ko DS. Minimally invasive techniques in urology. Surg Oncol Clin N Am. 2019;28(2):327-332. doi:10.1016/j.soc.2018.11.012.
Veneziano D, Ploumidis A, Proietti S, et al. Evolution and uptake of the endoscopic stone treatment step 1 (EST-s1) protocol: establishment, validation, and assessment in a collaboration by the european school of urology and the uro-technology and urolithiasis sections. Eur Urol. 2018;74(3):401-402. doi:10.1016/j.eururo.2018.05.012.
Rocha MFH, Coelho RF, Branco AW, Filgueira PHO, Guida R Jr. A census of laparoscopic and robotic urological practice: a survey of minimally invasive surgery department of the Brazilian Society of Urology. Int Braz J Urol. 2019;45(4):732-738. doi:10.1590/S1677-5538.IBJU.2018.0724.
Sokhal A, Gupta P, Goel A, Goel S, Singh K. Identification of essential surgical competencies to be imparted in urological residency: a survey-based study. Indian J Urol. 2018;34(3):196-201. doi:10.4103/iju.IJU_267_17.
Carrion DM, Rodriguez-Socarrás ME, Mantica G, et al. Current status of urology surgical training in Europe: an ESRU-ESU-ESUT collaborative study. World J Urol. 2020;38(1):239-246. doi:10.1007/s00345-019-02763-1.
Heesakkers J, Chapple C, De Ridder D, Farag F. Practical Functional Urology, 2016. doi:10.1007/978-3-319-25430-2.
Rijo E, Hindley R, Tabatabaei S, Bach T. Minimally invasive surgery for benign prostatic obstruction: new insights and future technical standards. Curr Opin Urol. 2021;31(5):461-467. doi:10.1097/MOU.0000000000000918.
Mironska E, Chapple C, MacNeil S. Recent advances in pelvic floor repair. F1000Research. 2019;8:F1000 Faculty Rev-778. doi:10.12688/f1000research.15046.1.
Cruz AP, Skolarus TA, Ambani SN, Hafez K, Kraft KH. Aligning urology residency training with real-world workforce needs. J Surg Educ. 2021;78(3):820-827. doi:10.1016/j.jsurg.2020.09.018.
Ghayda RA, Carrion DM, Gomez Rivas J, et al. Knowledge gap across continents: the andrology and male infertility exposure among urology residents in the United States and Europe. Int J Impot Res. 2021;33(6):603-610. doi:10.1038/s41443-020-00342-2.
Prezotti JA, Henriques JVT, Favorito LA, et al. Impact of COVID-19 on education, health and lifestyle behaviour of Brazilian urology residents. Int Braz J Urol. 2021;47(4):753-776. doi:10.1590/s1677-5538.ibju.2021.99.09.
Gomes CM, Favorito LA, Henriques J, et al. Impact of COVID-19 on clinical practice, income, health and lifestyle behavior of Brazilian urologists. Int Braz J Urol. 2020;46(6):1042-1071. doi:10.1590/S1677-5538.IBJU.2020.99.15.
Plata M, Bravo-Balado A, Robledo D, et al. Trends in pelvic organ prolapse management in Latin America. Neurourol Urodyn. 2018;37(3):1039-1045. doi:10.1002/nau.23392.
Gomes CM, Bessa J, Nunes RV, Prezotti J, Bruschini H, Gomes MM. Impact of a 1-day urodynamic course on knowledge, perceptions, and attitudes of urology residents. Neurourol Urodyn. 2021;40(1):443-450. doi:10.1002/nau.24581.
Peschers UM, Tunn R, Dejewski C, Koelbl H. Urogynecological training, testing and treatment among gynecologists in Germany. Eur J Obs Gynecol Reprod Biol. 2008;140(1):118-123. doi:10.1016/S0090-4295(00)00885-2.
Sudol NT, Dutta FLS. An Internet-based survey to evaluate the comfort and need for further pubovaginal sling training. Int Urogynecol J. 2019;30(7):1173-1178. doi:10.1007/s00192-018-3695-2.
Kim HL, Gerber GS, Patel RV, Hollowell CM, Bales GT. Practice patterns in the treatment of female urinary incontinence: a postal and internet survey. Urology. 2001;57(1):45-48.
Richard Lee 1, Alexis ETe, Steven A, Kaplan JSS. Temporal trends in adoption of and indications for the artificial urinary sphincter. J Urol. 2009;181(6):2622-2627.
Oliphant S, Littleton EB, Gosman G, Sutkin G. Teaching the retropubic midurethral sling using a novel cadaver and Model-Based approach. Cureus. 2017;9(5):e1214. doi:10.7759/cureus.1214.
Contributed Indexing:
Keywords: education; female urology; functional urology; medical; neuro-urology; urinary incontinence; urodynamics; urology training
Entry Date(s):
Date Created: 20220906 Date Completed: 20221101 Latest Revision: 20221114
Update Code:
20240105
DOI:
10.1002/nau.25041
PMID:
36066091
Czasopismo naukowe
Purpose: Urology has rapidly evolved during the last decades, incorporating new technologies faster than most specialties. The challenge to maintain a competent workforce that is prepared to deliver proper contemporary treatment has become increasingly difficult and newly graduated urologists throughout the world typically lack the skills to practice many urological subspecialties. We performed a survey to evaluate the practice patterns and educational aspirations in functional urology (FU) among Brazilian urologists.
Methods: A web-based survey was sent to board-certified Brazilian urologists to collect data on clinical practice and training aspirations in four subareas of FU: female urology, urodynamics, postprostatectomy incontinence (PPI), and neurourology. We evaluated urologists' clinical and surgical workload in each subarea and investigated educational training aspirations to identify areas and training formats of interest.
Results: A total of 366 urologists (mean age 47.7 + 10.7 years) completed the survey. Mean time since completion of residency was 17.9 + 11.9 years. Of the respondents, 176 (53%) perform urodynamics, 285 (83.1%) SUI surgeries, 159 (47.6%) PPI surgeries, 194 (58.1%) third line OAB procedures, 168 (48.9%) pelvic organ prolapse (POP), and 88 (26.3%) bladder augmentation. Mid-urethral sling is the most performed SUI surgery and transobturator is the preferred route (64.0%). For those performing POP surgery, 40.5% use mesh in at least 50% of their cases, and the vaginal route is used in most cases (75.4%) for apical prolapse. For PPI, 64.6% use artificial sphincter in most surgeries and only 8.1% perform at least 5 surgeries/year. Being fellowship-trained and working in an academic hospital are associated with a higher chance of being active in FU. Most urologists are interested in receiving training in PPI, female SUI, and POP and a hands-on course is the preferred educational method (81%).
Conclusions: Most urologists in Brazil are involved in the evaluation and treatment of FU patients, but few have a large volume of patient visits and surgical procedures. Completing a fellowship program and working in an academic practice are associated with a higher chance of being a FU practitioner. There is a high interest in training for PPI, female SUI, and POP.
(© 2022 Wiley Periodicals LLC.)

Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies