Current Practice in Robotic Surgery Among Pediatric Urologists: A Survey Study

Area of Science:

• Urology
• Minimally Invasive Surgery
• Surgical Technology

Background:

• Robotic surgery adoption is increasing among urologists.
• Pediatric urologists have been slower to adopt robotic surgery compared to adult specialists.
• Understanding current practices and barriers is crucial for wider implementation.

Purpose of the Study:

• To assess current practice patterns of robotic surgery among pediatric urologists.
• To identify perceived barriers hindering robotic surgery adoption in pediatric urology.
• To determine factors associated with the utilization of robotic surgery in this population.

Main Methods:

• An anonymous online survey was distributed to members of the Societies for Pediatric Urology (SPU).
• The survey collected data on provider demographics, training, and practice patterns regarding robotic surgery.
• Pearson's chi-squared analysis was used for statistical comparisons.

Main Results:

• Out of 351 surveyed, 95 (27%) responded, with 55 (58%) performing robotic surgery.
• Lack of training, reliance on practice partners, and perceived lack of benefit were primary reasons for non-adoption.
• Factors associated with robotic surgery use included surgeon age, years in practice, practice setting, and peer adoption.

Conclusions:

• Significant practice variation exists in pediatric urology regarding robotic surgery use and application.
• Key barriers to adoption are insufficient training, referral practices, and uncertain benefits.
• Surgeon demographics and practice environment are linked to robotic surgery utilization.