Since their introduction during the first half of the 20th century, transurethral resection (TUR) techniques have been among the most commonly performed urologic procedures.
Historically, TUR procedures at academic institutions have been considered “resident-level cases” and may be among the earliest procedures in which residents perform a substantial portion of cases with attending guidance.
Thus, we examined the effect of resident involvement in TUR on clinically relevant
intra- and perioperative outcomes as well as pahtological data.
Materials and methods
All TURBTs performed at our centre from January 2016 to January 2018 were reviewed.We analyzed the intraoperative, postoperative and pathological outcomes of all TURBTs during these years and compared physicians` data with residents` data.
In total, 59 TURBTs were preformed by residents were identified (12.5% of the total in our department), all of them were monopolar resections. The average age of our patients was 75.1. No significative differences were observed in tumor sizes, in contrast to the localitation (more frecuency in left side tumors in residents cases).
No differences between residents and physicians in intra and postoperative (2.53% vs 2.45%) complications were observed, blodd transfusions (3.1% vs 2.8%). The most frequent pathological state was in both cases TaG1. In relation to the obtainment muscle in specimens no significative differences were observed too.
In this single academic center study, intraoperative resident involvement was associated with a same rate of muscle presence in TURBT specimens as well as no clinical significative differences were observed between urology residents and urologists with the exception for intraoperatory time.