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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
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Functional urology: Practice patterns and training aspirations among urologists in Brazil.
André Costa-Matos1, Luis Gustavo Morato Toledo2, Alexandre Fornari3
1Division of Urology, Federal University of Bahia State, Salvador, Brazil.
Neurourology and Urodynamics
|September 6, 2022
Summary
Brazilian urologists are involved in functional urology (FU) but often lack high surgical volumes. Fellowship training and academic practice correlate with higher FU engagement, with strong interest in further education for postprostatectomy incontinence and female stress urinary incontinence.
Area of Science:
- Urology
- Functional Urology
- Medical Education
Background:
- Urology is rapidly advancing, presenting challenges in maintaining a skilled workforce.
- Newly graduated urologists often lack subspecialty skills.
- Functional urology (FU) encompasses female urology, urodynamics, postprostatectomy incontinence (PPI), and neurourology.
Purpose of the Study:
- To assess practice patterns and educational needs in FU among Brazilian urologists.
- To identify specific subareas and training formats of interest for FU education.
Main Methods:
- A web-based survey was distributed to board-certified Brazilian urologists.
- Data collected included clinical practice, surgical workload, and training aspirations in FU subareas.
- Statistical analysis evaluated factors associated with FU practice.
Main Results:
- 366 urologists responded, with most involved in female stress urinary incontinence (SUI) surgery and pelvic organ prolapse (POP) procedures.
- Urodynamics and postprostatectomy incontinence (PPI) procedures were performed by a smaller percentage.
- Fellowship training and academic hospital affiliation were linked to higher FU practice.
- High interest was expressed for training in PPI, female SUI, and POP, with a preference for hands-on courses.
Conclusions:
- Most Brazilian urologists engage with functional urology patients but have limited procedural volumes.
- Formal fellowship training and academic settings enhance functional urology practice.
- There is a significant demand for enhanced training in postprostatectomy incontinence, female stress urinary incontinence, and pelvic organ prolapse.
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