{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:24:25Z","timestamp":1786119865086,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Urethral instrumentation (UI) in patients with artificial urinary sphincters (AUS) requires specific technical considerations due to the risk of urethral erosion, which can lead to serious clinical and legal consequences. Many urologists report limited preparedness for performing UI in AUS patients, particularly in emergency scenarios. This study evaluated the impact of a brief training session (TS) on urologists' self\u2010reported confidence in managing UI in this context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Urologists and residents attending a national urology meeting in Brazil (November 2023) were invited to participate in a structured TS. The intervention included a theoretical overview of AUS components and mechanisms, device activation and deactivation, and safe catheterization techniques, followed by supervised hands\u2010on practice using a simplified catheterization model. Confidence levels were assessed via pre\u2010 and post\u2010training questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 135 participants (100 urologists and 35 residents) took part, with a median age of 35.0\u2009\u00b1\u200910.2 years; 76.3% were men. The mean duration of the TS, including evaluations, was 15\u2009min. Before training, only 34.1% felt capable to independently perform UI in AUS patients during emergencies. Post\u2010training, this proportion rose to 88.8% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Significant improvements were observed across all assessed competencies, including AUS deactivation, catheter selection, duration of catheterization, and device reactivation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A brief, focused training session significantly improved participants' confidence in performing UI in patients with AUS. These findings support the integration of targeted educational interventions into urologic training programs. Further studies are warranted to evaluate long\u2010term retention and clinical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70162","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T10:50:46Z","timestamp":1761821446000},"page":"162-168","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preparing Urologists for Urethral Instrumentation in Patients With an Artificial Urinary Sphincter: Results From a Pragmatic, Simulation\u2010Based Intervention"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2525-327X","authenticated-orcid":false,"given":"Cristiane de Barros","family":"Gaspar","sequence":"first","affiliation":[{"name":"Division of Urology University of Sao Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6545-5696","authenticated-orcid":false,"given":"Vicktor Bruno Pereira","family":"Pinto","sequence":"additional","affiliation":[{"name":"Division of Urology University of Sao Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose de Bessa","family":"Junior","sequence":"additional","affiliation":[{"name":"Department of Surgery State University of Feira de Santana Feira de Santana Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Antonio Penedo","family":"Prezotti","sequence":"additional","affiliation":[{"name":"Hospital Santa Rita de C\u00e1ssia Vit\u00f3ria Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Tadeu Carvalho","family":"Martins","sequence":"additional","affiliation":[{"name":"Division of Urology Cassiano Ant\u00f4nio de Moraes University Hospital Vit\u00f3ria Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin Marise Jaeger","family":"Anzolch","sequence":"additional","affiliation":[{"name":"Division of Urology Hospital Moinhos de Vento Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Ailton","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Division of Urology Rio de Janeiro State University Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas Ant\u00f4nio Pereira do","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Division of Urology University of Sao Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8486-4003","authenticated-orcid":false,"given":"Cristiano Mendes","family":"Gomes","sequence":"additional","affiliation":[{"name":"Division of Urology University of Sao Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.07.029"},{"key":"e_1_2_10_3_1","volume-title":"EAU Guidelines on Non\u2010Neurogenic Male Lower Urinary Tract Symptoms (LUTS), incl. 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