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Resident involvement in the prostatic urethral lift: implementing innovative technology in an academic setting
Adoption of the prostatic urethral lift (PUL) as a treatment for benign prostatic hyperplasia highlights the importance of training residents with novel technology without compromising patient care. This study examines the effect of resident involvement during PUL on patient and procedural outcomes....
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8577266/ https://www.ncbi.nlm.nih.gov/pubmed/33885003 http://dx.doi.org/10.4103/aja.aja_21_21 |
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author | Alam, Ridwan Rabinowitz, Matthew J Kohn, Taylor P Peña, Vanessa N Liu, James L Bhanji, Yasin Herati, Amin S |
author_facet | Alam, Ridwan Rabinowitz, Matthew J Kohn, Taylor P Peña, Vanessa N Liu, James L Bhanji, Yasin Herati, Amin S |
author_sort | Alam, Ridwan |
collection | PubMed |
description | Adoption of the prostatic urethral lift (PUL) as a treatment for benign prostatic hyperplasia highlights the importance of training residents with novel technology without compromising patient care. This study examines the effect of resident involvement during PUL on patient and procedural outcomes. Retrospective chart review was conducted on all consecutive PUL cases performed by a single academic urologist between October 2017 and November 2019. Trainees in post-graduate year (PGY) 1–3 are considered junior residents, while those in PGY 4–6 are senior residents. The International Prostate Symptom Score (IPSS) and quality of life (QOL) scores were used to measure outcomes. Simple and mixed-effects linear regression models were used to compare differences. There were 110 patients with a median age of 66.4 years. Residents were involved in 73 cases (66.4%), and senior residents were involved in 31 of those cases. Resident involvement was not associated with adverse perioperative outcomes with respect to the number of implants fired, the percentage of implants successfully placed, or the postoperative catheterization rate. After adjustment for confounding factors, junior residents were associated with significantly longer case length compared to the attending alone (+12.6 min, P = 0.003) but senior residents were not (+2.4 min, P = 0.59). IPSS and QOL scores were not significantly affected by resident involvement (P = 0.12 and P = 0.21, respectively). The presence of surgeons-in-training, particularly those in the early stages, prolongs PUL case length but does not appear to have an adverse impact on patient outcomes. |
format | Online Article Text |
id | pubmed-8577266 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-85772662021-11-10 Resident involvement in the prostatic urethral lift: implementing innovative technology in an academic setting Alam, Ridwan Rabinowitz, Matthew J Kohn, Taylor P Peña, Vanessa N Liu, James L Bhanji, Yasin Herati, Amin S Asian J Androl Original Article Adoption of the prostatic urethral lift (PUL) as a treatment for benign prostatic hyperplasia highlights the importance of training residents with novel technology without compromising patient care. This study examines the effect of resident involvement during PUL on patient and procedural outcomes. Retrospective chart review was conducted on all consecutive PUL cases performed by a single academic urologist between October 2017 and November 2019. Trainees in post-graduate year (PGY) 1–3 are considered junior residents, while those in PGY 4–6 are senior residents. The International Prostate Symptom Score (IPSS) and quality of life (QOL) scores were used to measure outcomes. Simple and mixed-effects linear regression models were used to compare differences. There were 110 patients with a median age of 66.4 years. Residents were involved in 73 cases (66.4%), and senior residents were involved in 31 of those cases. Resident involvement was not associated with adverse perioperative outcomes with respect to the number of implants fired, the percentage of implants successfully placed, or the postoperative catheterization rate. After adjustment for confounding factors, junior residents were associated with significantly longer case length compared to the attending alone (+12.6 min, P = 0.003) but senior residents were not (+2.4 min, P = 0.59). IPSS and QOL scores were not significantly affected by resident involvement (P = 0.12 and P = 0.21, respectively). The presence of surgeons-in-training, particularly those in the early stages, prolongs PUL case length but does not appear to have an adverse impact on patient outcomes. Wolters Kluwer - Medknow 2021-04-20 /pmc/articles/PMC8577266/ /pubmed/33885003 http://dx.doi.org/10.4103/aja.aja_21_21 Text en Copyright: © The Author(s)(2021) https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Alam, Ridwan Rabinowitz, Matthew J Kohn, Taylor P Peña, Vanessa N Liu, James L Bhanji, Yasin Herati, Amin S Resident involvement in the prostatic urethral lift: implementing innovative technology in an academic setting |
title | Resident involvement in the prostatic urethral lift: implementing innovative technology in an academic setting |
title_full | Resident involvement in the prostatic urethral lift: implementing innovative technology in an academic setting |
title_fullStr | Resident involvement in the prostatic urethral lift: implementing innovative technology in an academic setting |
title_full_unstemmed | Resident involvement in the prostatic urethral lift: implementing innovative technology in an academic setting |
title_short | Resident involvement in the prostatic urethral lift: implementing innovative technology in an academic setting |
title_sort | resident involvement in the prostatic urethral lift: implementing innovative technology in an academic setting |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8577266/ https://www.ncbi.nlm.nih.gov/pubmed/33885003 http://dx.doi.org/10.4103/aja.aja_21_21 |
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