{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T09:01:30Z","timestamp":1785315690475,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this paper is to evaluate fellowship outcomes 10\u2009years after implementation of the European Association of Urology Robotic Section (ERUS) structured curriculum for robot\u2010assisted radical prostatectomy (RARP), with a focus on completion rates and reasons for non\u2010completion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and methods<\/jats:title>\n                    <jats:p>Data were obtained from institutional records and a trainee survey. The primary outcome was fellowship completion (i.e., Certificate of Excellence achievement). Secondary outcomes included reasons for non\u2010completion and satisfaction. Completion rates were analysed annually, with trends assessed using the Cochran\u2013Armitage test and log\u2010linear regression for the Estimated Annual Percentage Change (EAPC). Comparisons before and after introduction of a procedural diary (2023) and between pandemic and non\u2010pandemic years used Fisher's Exact Test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 126 fellows, a total of 42 (33%) completed the fellowship by achieving the Certificate of Excellence. The trainee survey achieved a response rate of 77%, supporting the representativeness of the collected data. The main barriers to fellowship completion included limited console access (49%), insufficient programme duration (20%), logistical difficulties (20%) and COVID\u201019\u2010related disruptions (11%). Despite these limitations, overall satisfaction with the fellowship was high (83%), with particularly strong approval of the ORSI hands\u2010on training week (100%). Completion rates demonstrated a progressive increase over time, rising from 20% in 2018 to 52% in 2023. The Cochran\u2013Armitage test confirmed a statistically significant upward trend in completion rates over the study period (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), while log\u2010linear regression analysis showed a numerical but non\u2010significant EAPC of 13% (95% CI \u20130.6 to 28.6). Although 2023 represented the highest observed completion rate, this peak was not significantly different from previous years (OR 2.63, 95% CI 0.91\u20137.63).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The RARP ERUS Fellowship remains a benchmark in robotic training, but unsatisfactory completion rates highlight the need for improvement. Recent reforms, including the procedural diary, show promise and warrant expansion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bco2.70227","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T03:18:47Z","timestamp":1783567127000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ten\u2010year update on the European Association of Urology Robotic Section (ERUS) fellowship training for robot\u2010assisted radical prostatectomy"],"prefix":"10.1002","volume":"7","author":[{"given":"Marco","family":"Paciotti","sequence":"first","affiliation":[{"name":"Department of Biochemical Science Humanitas University  Milan Italy"},{"name":"Department of Urology Humanitas Clinical and Research Institute IRCCS  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9639-0415","authenticated-orcid":false,"given":"Christian","family":"Wagner","sequence":"additional","affiliation":[{"name":"Department of Urology Urologic Oncology and Robotic Surgery, St. Antonius\u2010Hospital  Gronau Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Frego","sequence":"additional","affiliation":[{"name":"Department of Urology Humanitas Mater Domini  Varese Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo","family":"Beatrici","sequence":"additional","affiliation":[{"name":"Department of Biochemical Science Humanitas University  Milan Italy"},{"name":"Department of Urology Humanitas Clinical and Research Institute IRCCS  Milan Italy"},{"name":"ORSI Academy  Melle Belgium"},{"name":"Department of Urology Onze\u2010Lieve\u2010Vrouwziekenhuis Hospital  Aalst Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Mottaran","sequence":"additional","affiliation":[{"name":"Division of Urology IRCCS University Hospital of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6412-9546","authenticated-orcid":false,"given":"Carlo Andrea","family":"Bravi","sequence":"additional","affiliation":[{"name":"Department of Urology Northampton General Hospital  Northampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Piramide","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Oncology San Luigi Gonzaga Hospital, University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Peraire","family":"Lores","sequence":"additional","affiliation":[{"name":"Servicio de Urologia del Hospital Universitario Joan XXIII de Tarragona  Tarragona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5008-4247","authenticated-orcid":false,"given":"Luca","family":"Sarchi","sequence":"additional","affiliation":[{"name":"Department of Urology IEO European Institute of Oncology, IRCCS  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1457-8115","authenticated-orcid":false,"given":"Adele","family":"Piro","sequence":"additional","affiliation":[{"name":"Department of Urology Dolo Hospital  Dolo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1286-1399","authenticated-orcid":false,"given":"Rui","family":"Farinha","sequence":"additional","affiliation":[{"name":"ORSI Academy  Melle Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Sorce","sequence":"additional","affiliation":[{"name":"Servicio de Urologia del Hospital Universitario Joan XXIII de Tarragona  Tarragona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Balestrazzi","sequence":"additional","affiliation":[{"name":"Division of Urology IRCCS University Hospital of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Nocera","sequence":"additional","affiliation":[{"name":"Department of Urology, Division of Oncology Urological Research Institute, IRCCS Ospedale San Raffaele  Milan Italy"},{"name":"Vita\u2010Salute San Raffaele University  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8110-7341","authenticated-orcid":false,"given":"Claudia Coll\u00e0","family":"Ruvolo","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Science of Reproduction and Odontostomatology University of Naples Federico II  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Rebuffo","sequence":"additional","affiliation":[{"name":"IRCCS Ospedale Policlinico S. 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