title: Impact of Urodynamic Learning on the Management of Benign Prostatic Hyperplasia Issue on Young and Senior Urologists and Reasons to Attend a Voiding Dysfunction Course.
abstract: OBJECTIVE
  The aims of this study were to compare the impact of urodynamic training on the young urologists after fellowship training as well as on senior urologists who attend regular courses on the management of benign prostatic hyperplasia (BPH) and their capacity to do and interpret urodynamic studies.
  
  
  METHODS
  Sixty-four consecutive young urologists admitted to fellowship program on voiding dysfunctions and 110 senior urologists attending to periodical meetings were interviewed before and after the 3-day-courses regarding their ability to set, interpret and do urodynamic studies. They were also questioned on the reasons that led them to attend the courses and how they use the new concepts to manage BPH. A rank of the used parameters to indicate transurethral resection of the prostate (TURP) in BPH patients were scored before and after the course.
  
  
  RESULTS
  Fellowship and senior urologists mainly attended the course because of lack of confidence and belief that this urological issue is too important to be disregarded. A significant portion of both groups do not trust third-party examiners. More than 90% of the urologists acquired confidence in interpreting, setting and were able to do the exam after the course. The majority of both groups believed urodynamic study was essential to manage BPH, disregarding volume as the main reason to operate on patients. Many outdated parameters became less important on the decision to operate.
  
  
  CONCLUSIONS
  Doctors exposed to intensive or long urodynamic training dramatically changed their perceptions on the utility of this tool and became more attentive it.
authors.affiliation: Division of Neurourology and Voiding Disturbances, Beneficência Portuguesa Hospital of São Paulo and Department of Urology, Hospital Santa Helena of São Paulo, São Paulo, Brazil.
authors.forename: Paulo
authors.initials: P
authors.lastname: Rodrigues
authors.affiliation: Division of Neurourology and Voiding Disturbances, Beneficência Portuguesa Hospital of São Paulo and Department of Urology, Hospital Santa Helena of São Paulo, São Paulo, Brazil.
authors.forename: Flávio
authors.initials: F
authors.lastname: Hering
authors.affiliation: Division of Neurourology and Voiding Disturbances, Beneficência Portuguesa Hospital of São Paulo and Department of Urology, Hospital Santa Helena of São Paulo, São Paulo, Brazil.
authors.forename: João Carlos
authors.initials: JC
authors.lastname: Campagnari
keywords: benign prostatic hyperplasia; bladder; learning; urodynamic; voiding dysfunction