You have accessJournal of UrologyCME1 Apr 2023MP25-12 OUTCOMES OF SUPERVISED RESIDENT COMPARED TO ATTENDINGS IN TRANSURETHRAL RESECTION OF BLADDER CANCER: THE IMPORTANCE OF MENTORING Pietro Diana, Andrea Gallioli, Angelo Territo, Óscar Rodriguez-Faba, Josep Maria Gaya, Francesco Sanguedolce, Jordi Huguet, Ruben parada, Julia Aumatell, Alejandra Bravo, Ferran Algaba, Joan Palou, and Alberto Breda Pietro DianaPietro Diana More articles by this author , Andrea GallioliAndrea Gallioli More articles by this author , Angelo TerritoAngelo Territo More articles by this author , Óscar Rodriguez-FabaÓscar Rodriguez-Faba More articles by this author , Josep Maria GayaJosep Maria Gaya More articles by this author , Francesco SanguedolceFrancesco Sanguedolce More articles by this author , Jordi HuguetJordi Huguet More articles by this author , Ruben paradaRuben parada More articles by this author , Julia AumatellJulia Aumatell More articles by this author , Alejandra BravoAlejandra Bravo More articles by this author , Ferran AlgabaFerran Algaba More articles by this author , Joan PalouJoan Palou More articles by this author , and Alberto BredaAlberto Breda More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003253.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urology residents training programs are uneven and often unsatisfactory for the residents. Despite, the exposure to surgical procedures is a crucial step in their training, patients’ safety is of central importance. The significance of resident mentoring should not be overstated and trainees should be mentored by training-trained urologist even in case of common procedures such as the conventional or en bloc transurethral resection of bladder tumor (cTURBT/ERBT). The goal of this study is to demonstrate the comparability in performance cTURBT and ERBT between urology residents and attendings. METHODS: This study is a subanalysis of a prospective, randomized trial enrolling patients diagnosed with BC and undergoing endoscopic intervention. Inclusion criteria were: tumor size of ≤3 cm, and ≤3 lesions, and no sign of muscle invasion and/or ureteral involvement. The trial (NCT04712201) was approved by the Institutional Review Board (2017/09c). Surgeons were either urology attendings or supervised residents of the 3rd-5th year. Primary outcome was to compare surgical and post-operative outcomes in both groups. Linear and logistic regression analysis were used to find a correlation between surgical outcomes and surgical experience. RESULTS: From 04/2018 to 06/2021, 300 patients met inclusion criteria and 248 (83%) of these underwent the assigned intervention. 200 (80.6%) patients were males and median (SD) age was 71.2 (11.2). 108 (44%) and 140 (57%) patients were submitted to TURBT and ERBT. 47 (19%) and 85 (34%) patients and 59 (24%) and 57 (23%) patients were treated by cTURBT and ERBT by urology attendings and residents, respectively. No statistical differences were found in terms of intra and post-operative outcomes (all p>0.05). Linear and logistic regression analysis are shown in /Table 1/ and were comparable for all variables (all p>0.05). CONCLUSIONS: Supervised urology residents do not put the patient at an increased risk of complications neither perform a suboptimal procedure. Resident mentoring is fundamental in order to reach comparable results in surgical outcomes and pathological diagnosis. A structured standardized program with trained trainers and proficiency evaluations are warranted to gain and maintain these outcomes across urology residency programs. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e347 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Pietro Diana More articles by this author Andrea Gallioli More articles by this author Angelo Territo More articles by this author Óscar Rodriguez-Faba More articles by this author Josep Maria Gaya More articles by this author Francesco Sanguedolce More articles by this author Jordi Huguet More articles by this author Ruben parada More articles by this author Julia Aumatell More articles by this author Alejandra Bravo More articles by this author Ferran Algaba More articles by this author Joan Palou More articles by this author Alberto Breda More articles by this author Expand All Advertisement PDF downloadLoading ...