MP59-20 ARE ALL FELLOWSHIPS CREATED EQUAL? VARIATION IN PROSTATE ENUCLEATION CASE VOLUMES DURING ENDOUROLOGY FELLOWSHIPS

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP59-20 ARE ALL FELLOWSHIPS CREATED EQUAL? VARIATION IN PROSTATE ENUCLEATION CASE VOLUMES DURING ENDOUROLOGY FELLOWSHIPS Garrett Ungerer, Reza Roshandel, Aaron Potretzke, MN Rochester, Li-Ming Su, and Kevin Koo Garrett UngererGarrett Ungerer More articles by this author , Reza RoshandelReza Roshandel More articles by this author , Aaron PotretzkeAaron Potretzke More articles by this author , MN RochesterMN Rochester More articles by this author , Li-Ming SuLi-Ming Su More articles by this author , and Kevin KooKevin Koo More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003312.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: There is growing interest in training opportunities that offer proficiency in enucleation procedures for BPH, which offers considerable advantages when treating large volume prostate glands. With an estimated learning curve of 25 cases, many trainees seek out fellowships to become proficient. We aimed to characterize variation in surgical training experience in prostate enucleation during endourology fellowships. METHODS: We analyzed surgical case logs submitted to the Endourological Society for all graduating fellows in 2020-2022. Case logs were cross-referenced with a list of verified fellowship graduates to ensure accuracy. Based on contemporary training literature, we defined the threshold for technical proficiency as 25 enucleation procedures. RESULTS: Case logs for 131 certified endourology fellows were analyzed. 48 (37%) fellows in 29 fellowship programs reported performing at least 1 prostate enucleation case during fellowship (Figure 1). The average number of cases performed was 52 (range 1-334). 8 (17%) of fellows were women, corresponding to 112 of 2503 (4%) enucleation cases. 26 of the 29 (90%) programs offering enucleation training were based in the United States. The average number of cases performed in a 2-year fellowship was 98 cases, compared to 27 cases in 1-year programs. 23 (48%) of fellows met the minimum threshold of 25 cases during fellowship to reach proficiency (dotted line in Figure 1). Among different fellowship tracks, 2-year stone track fellowships offered the largest volume of enucleations, averaging 145 cases per fellow, compared to 38 cases for 1-year stone track programs, 30 cases for 2-year combined stone/robotics track programs, and 7 cases for 1 year robotics track programs. No enucleations were reported at 2-year robotics track programs. CONCLUSIONS: There is substantial variation in enucleation case volumes between fellows and institutions. Roughly half of fellows who performed enucleation cases surpassed the proficiency threshold of 25 cases. Expanding advanced training for BPH including enucleation may help improve access to care for this disease. Source of Funding: None to report © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e816 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Garrett Ungerer More articles by this author Reza Roshandel More articles by this author Aaron Potretzke More articles by this author MN Rochester More articles by this author Li-Ming Su More articles by this author Kevin Koo More articles by this author Expand All Advertisement PDF downloadLoading ...