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  • Title: Current minimally invasive practice patterns among postgraduate urologists.
    Author: Duchene DA, Rosso F, Clayman R, McDougall EM, Winfield HN.
    Journal: J Endourol; 2011 Nov; 25(11):1797-804. PubMed ID: 21877912.
    Abstract:
    PURPOSE: To determine laparoscopic and robotic surgical practice patterns among current postgraduate urologists. MATERIALS AND METHODS: There were 9,095 electronic surveys sent to practicing urologists with e-mail addresses registered with the American Urological Association. RESULTS: Responses were received from 864 (9.5%) urologists; 84% report that laparoscopic or robotic procedures are performed in their practice. The highest training obtained by the primary laparoscopist was fellowship (31%), residency (23%), or 2- to 3-day courses (22%). Eighty-six percent report performance of laparoscopic nephrectomy in their practice, and 71% consider it the standard of care. Sixty-six percent of practices have access to at least one robotic unit, and 9% plan on purchasing one within a year. Attitudes toward robotics are favorable, with 80% indicating that it will increase in volume and potential procedures. Thirty-one percent state that robot-assisted prostatectomy is standard of care, while 50% believe this procedure looks promising. Respondents think that optimal training in minimally invasive techniques is fellowships (23%), minifellowships (23%), or hands-on courses (23%). Twenty-nine percent think that they were trained adequately in laparoscopy and robotics from residency, and 62% believe residents should be able to perform most laparoscopic procedures on completion of residency. CONCLUSIONS: The practice and availability of laparoscopic and robotic procedures have increased since previous evaluations. Opinions regarding these techniques are favorable and optimistic. As the field of urology continues to see a growing demand for minimally invasive procedures, training of postgraduate urologists and residents remains essential.
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