Mp25-17 a tale of two biopsies: results from an international survey of urology trainee experience with prostate biopsy

You have accessJournal of UrologyCME1 Apr 2023MP25-17 A TALE OF TWO BIOPSIES: RESULTS FROM AN INTERNATIONAL SURVEY OF UROLOGY TRAINEE EXPERIENCE WITH PROSTATE BIOPSY Aaron Brant, Riccardo Campi, Diego Carrion, Francesco Esperto, Christina Sze, Jeffrey Johnson, jim Hu, and Leonardo Borregales Aaron BrantAaron Brant More articles by this author , Riccardo CampiRiccardo Campi More articles by this author , Diego CarrionDiego Carrion More articles by this author , Francesco EspertoFrancesco Esperto More articles by this author , Christina SzeChristina Sze More articles by this author , Jeffrey JohnsonJeffrey Johnson More articles by this author , jim Hujim Hu More articles by this author , and Leonardo BorregalesLeonardo Borregales More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003253.17AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Transperineal prostate biopsy (TP-Bx) is favored due to reduced infection risk, yet the degree to which TP-Bx is taught to urology trainees is unclear. We used distributed a survey in the United States and Europe assess urology trainees’ exposure to TP-Bx and intent to use TP-Bx in practice. METHODS: A 34-question survey about prostate biopsy was distributed to urology trainees in the United States (US) and Europe. Primary outcomes were exposure to TP-Bx in training and intent to use TP-Bx post-training. Exposure to transrectal prostate biopsy (TR-Bx) and magnetic resonance imaging-targeted biopsy (MRI-Bx) was also assessed. Survey answers between groups were compared as categorical variables using Fisher’s exact test. Multivariable logistic regression was used to identify factors associated with intent of performing TP-Bx post-training. RESULTS: Six hundred fifty-eight trainees from 19 countries completed the survey. Three hundred and thirteen (48%) trainees reported exposure to TP-Bx, 370 (56%) reported exposure to MRI-Bx, and 572 (87%) reported exposure to TR-Bx. There was significant heterogeneity in TP-Bx exposure among countries (p<0.001), with highest prevalence in Italy (72%) and lowest prevalence in Greece (4%). Intent to perform TP-Bx post-training was higher in those exposed to TP-Bx during training (89% vs. 58%, p<0.001) and did not differ between trainees in post-graduate year (PGY) 1-3 vs. PGY ≥4 (73% vs 72%, p=0.7). On multivariable regression, exposure to TP-Bx in training was independently associated with increased intent to perform TP-Bx post-training (odds ratio: 5.09, 95% confidence interval: 3.29 – 8.03, p<0.001). CONCLUSIONS: Less than half of 658 surveyed urology trainees reported exposure to TP-Bx, with significant heterogeneity between countries. Greater experience with TP-Bx in training was associated with greater intent to perform TP-Bx post-training. A minimum requirement of TP-Bx cases during urological training may increase resident familiarity and adoption of this guideline-endorsed prostate biopsy approach. Source of Funding: n/a © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e349 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Aaron Brant More articles by this author Riccardo Campi More articles by this author Diego Carrion More articles by this author Francesco Esperto More articles by this author Christina Sze More articles by this author Jeffrey Johnson More articles by this author jim Hu More articles by this author Leonardo Borregales More articles by this author Expand All Advertisement PDF downloadLoading ...