To assess urology trainees' exposure to transperineal prostate biopsy (TP-Bx) and intent to use transperineal prostate biopsy in practice.
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.
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).
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.
BJU international. 2022 Nov 24 [Epub ahead of print]
Aaron Brant, Riccardo Campi, Diego M Carrion, Francesco Esperto, Christina Sze, Jeffrey P Johnson, Jim C Hu, Leonardo D Borregales, ICE-OUT (International Collaboration on Experiences and Opinions of Urology Trainees) Collaborators
Department of Urology, Weill Cornell Medicine, New York-Presbyterian Hospital, New York, NY, USA., Unit of Urological Robotic Surgery and Renal Transplantation, University of Florence, Careggi Hospital, Florence, Italy., Department of Urology, Torrejon University Hospital, Madrid, Spain., Department of Urology, Campus Biomedico, University of Rome, Rome, Italy.