1975 CONTEMPORARY TRANSURETHRAL RESECTION OF PROSTATE PRACTICE PATTERNS AMONG UNITED STATES UROLOGISTS

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You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy and New Technology I1 Apr 20121975 CONTEMPORARY TRANSURETHRAL RESECTION OF PROSTATE PRACTICE PATTERNS AMONG UNITED STATES UROLOGISTS William Lowrance, Andrew Southwick, A.C. Maschino, and Jaspreet Sandhu William LowranceWilliam Lowrance Salt Lake City, UT More articles by this author , Andrew SouthwickAndrew Southwick Salt Lake City, UT More articles by this author , A.C. MaschinoA.C. Maschino New York, NY More articles by this author , and Jaspreet SandhuJaspreet Sandhu New York, NY More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2135AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We aimed to describe contemporary trends in transurethral resection of prostate (TURP) by examining case logs submitted for American Board of Urology (ABU) certification. We compared electrosurgical TURP versus laser vaporization TURP and examined the impact of surgeon age on those practice patterns. METHODS US urologists submit case logs for their initial board certification and recertification. We analyzed these logs from 2004-2010 for trends and used logistic regression to assess the impact of age on TURP utilization. RESULTS In total 4,709 urologists submitted case logs for certification between 2004 and 2010. Of these, 3,955 urologists included at least 1 TURP, of which 2,334 (59%) performed exclusively electrosurgical TURP and 309 (8%) performed exclusively laser vaporization TURP. We observed a large increase in the number and proportion of laser vaporization TURP procedures performed and a smaller corresponding decrease in electrosurgical TURPs. In 2004, only 11% of patients received a laser vaporization TURP by certifying urologists; in 2010 44% did (Table). Median age for urologists performing exclusively electrosurgical TURP was the same as those performing laser vaporization TURP (43 years). Those performing any laser vaporization procedures had substantially higher case volumes compared with those performing only electrosurgical procedures (median annual case volume, [IQR]: any laser vaporization: 18 cases [10, 30], electrosurgical only: 10 [4, 18]; Wilcoxon rank-sum test p<0.0005). Compared to their younger colleagues, older urologists were significantly less likely to perform ¡Ý1 laser vaporization TURP when undergoing their second recertification (odds ratio [OR] per year: 0.94; p=0.009), but not their initial certification (OR per year: 0.98; p=0.3) or first recertification (OR per year: 0.97; p=0.13). Table. Number (proportion) of TURP procedures performed by year of urologist (re)-certification. N=67,042 Number of Urologists Electrosurgical TURP (a) Laser Vaporization (b) Total 2004 493 7,116(89%) 906(11%) 8,022 2005 494 6,612(85%) 1,152(15%) 7,764 2006 588 6,816(72%) 2,660(28%) 9,476 2007 574 5,810(60%) 3,836(40%) 9,646 2008 565 5,296(56%) 4,114(44%) 9,410 2009 595 5,716(54%) 4,812(46%) 10,528 2010 646 6,858(56%) 5,338(44%) 12,196 Total 3,955 44,224 22,818 67,042 (a) CPT codes: 52601, 52612, 52614; (b) CPT codes: 52648, 52649 (CPT code 52649 was available for reporting in January 2008). CONCLUSIONS Among urologists undergoing board certification or recertification in 2010, 56% of TURPs were done electrosurgically. We also found that older age was significantly associated with lower likelihood of performing laser vaporization TURP among those undergoing their second recertification. These data provide estimates of current TURP practice patterns and further our understanding of the evolving surgical treatment of benign prostatic hyperplasia. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e797 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information William Lowrance Salt Lake City, UT More articles by this author Andrew Southwick Salt Lake City, UT More articles by this author A.C. Maschino New York, NY More articles by this author Jaspreet Sandhu New York, NY More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...