Trends in Urogynecologic and Reconstructive Pelvic Surgery Among Early-career Urologists: Analysis of American Board of Urology Case Logs From 2009-2020.

IF 2 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology Pub Date : 2025-09-23 DOI:10.1016/j.urology.2025.09.023

Zhenyue Huang, Tal Cohen, Kelly Ieong, Jason Zhang, Michael Ernst, Steven J Weissbart, Justina Tam, Jason Kim

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引用次数: 0

Abstract

Objective: To evaluate trends in Urogynecologic and Reconstructive Pelvic Surgery (URPS) among early-career urologists, comparing URPS-trained and non-URPS urologists using American Board of Urology case logs from 2009-2020.

Materials and methods: Six-month American Board of Urology case logs from 3113 early-career urologists were analyzed. Procedures included sling placement and urethral bulking for stress urinary incontinence (SUI), transvaginal prolapse repair and sacrocolpopexy for pelvic organ prolapse, and intravesical Botox injection and sacral neuromodulation for overactive bladder (OAB).

Results: URPS urologists performed higher mean case volumes for SUI (sling: 11 vs 5, P <.01; bulking: 8 vs 4, P <.01), prolapse (transvaginal: 8 vs 4, P <.001; sacrocolpopexy: 6 vs 3, P <.001), and OAB procedures (Botox: 10 vs 4.5, P <.001; sacral neuromodulation: 13.2 vs 7.9, P <.001) than non-URPS urologists. URPS training was associated with higher odds of performing these procedures (odds ratios (ORs) 8.3-25.2, 95% confidence interval (CI) [5.97-45.84] P <.01). The proportion of non-URPS urologists performing SUI and prolapse procedures declined over the years (Spearman's ρ = -0.79 to -0.94, P <.01), while the adoption of OAB procedures increased.

Conclusion: Our findings revealed a gradual shift in practice patterns toward increasing subspecialization, particularly for SUI and prolapse surgeries. Interestingly, minimally invasive OAB treatments are increasingly adopted by non-URPS urologists, likely due to improvements in surgical techniques and the development of new technology.

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早期职业泌尿科医师泌尿妇科和骨盆重建手术的趋势：2009年至2020年ABU病例日志分析。

目的：评估泌尿妇科和盆腔重建手术（URPS）在早期职业泌尿科医生中的发展趋势，比较2009年至2020年美国泌尿科委员会（ABU）病例记录中接受过URPS培训的泌尿科医生和未接受URPS培训的泌尿科医生。材料与方法：对3113名早期泌尿科医师6个月的ABU病例日志进行分析。手术包括放置吊带和尿道膨胀治疗压力性尿失禁（SUI），经阴道脱垂修复和骶髋固定术治疗盆腔器官脱垂，膀胱内注射肉毒杆菌和骶神经调节（SNM）治疗膀胱过度活动（OAB）。结果：与非URPS泌尿科医生相比，URPS泌尿科医生对SUI（悬吊：11 vs 5， p < 0.01；膨胀：8 vs 4， p < 0.01）、脱垂（经阴道：8 vs 4， p < 0.001；骶colpopy: 6 vs 3， p < 0.001）和OAB手术（肉毒杆菌注射：10 vs 4.5, p < 0.001; SNM: 13.2 vs 7.9, p < 0.001）的平均病例量更高。URPS训练与实施这些手术的较高几率相关（or 8.3-25.2, 95% CI [5.97-45.84] p < 0.01）。非urps泌尿科医师实施SUI和脱垂手术的比例逐年下降（Spearman's ρ = -0.79至-0.94,p < 0.01），而采用OAB手术的比例有所增加。结论：我们的研究结果揭示了实践模式逐渐转向增加亚专业化，特别是SUI和脱垂手术。有趣的是，微创OAB治疗越来越多地被非urps泌尿科医生采用，可能是由于手术技术的改进和新技术的发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urology 医学-泌尿学与肾脏学

CiteScore

3.30

自引率

9.50%

发文量

716

审稿时长

59 days

期刊介绍： Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.