[Educating transurethral electroresection of the prostate is safe and efficient: is training a risk factor for patients and hospitals?].
BACKGROUND
German residents are becoming increasingly more discontent with their situation. Besides unfriendly working hours and growing bureaucracy the lack of surgical education is considered as causative. Surgical education is assumed to be time-consuming and might impair operative results. Moreover, a number of patients refuse to be misused as a teaching tool.


OBJECTIVE
The aim of this study was to compare operative procedures (transurethral resection of the prostate) performed by residents and consultants.


METHODS
All patients underwent monopolar transurethral electroresection of the prostate for symptomatic benign enlargement. All data were collected retrospectively. Mean follow-up to collect functional results and late complications was 70 months.


RESULTS
Both groups did not differ significantly in perioperative and postoperative results except for the weight of resected tissue in favor of the consultants group. Functional results and late complications were comparable in both groups.


CONCLUSIONS
Transurethral resection of the prostate performed by residents is a safe and effective procedure.
Klinik und Poliklinik für Urologie und Kinderurologie, Universitätsklinikum Bonn, Sigmund-Freud-Straße 25, 53105 Bonn, Deutschland. Guido.Fechner@ukb.uni-bonn.de
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Schaupp
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Hauser
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Müller
D000368:Aged; D004522:Educational Status; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007396:Internship and Residency / Q000706:statistics & numerical data*; D008297:Male; D061214:Patient Safety / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology*; D011361:Professional Competence / Q000706:statistics & numerical data*; D011467:Prostate; D012307:Risk Factors; D020728:Transurethral Resection of Prostate / Q000193:education* / Q000706:statistics & numerical data*; D016896:Treatment Outcome