Abstract
The authors are grateful to Dr. Nieder for his Editorial Comment 1 Nieder A.M. Omissions in urology residency training regarding sexual dysfunction subsequent to prostate cancer treatment: identifying a need [Editorial Comment]. Urology. 2016; Google Scholar on our recent survey of Dutch urology residents, in which he places the results in a wider context and consider them from an international perspective. The likelihood that urology residents from other countries also experience a lack of training in how to deal with sexual dysfunction in their patients is reinforced by the argument that they have multiple, competing interests. One of the most important competences to which urology residents aspire is probably to achieve experience in the operating theater to be able to operate independently postresidency. In addition to the shortfall in education regarding sexual dysfunction, Dr. Nieder highlighted the fact that other key areas of urology residency education have also been shown to be inadequate. Hence, it is quite legitimate to recommend that program directors and faculties watch out for lacunas in either skills or knowledge among their urology residents.
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