{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:20:42Z","timestamp":1787847642082,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      Adoption of the prostatic urethral lift (PUL) as a treatment for benign prostatic hyperplasia highlights the importance of training residents with novel technology without compromising patient care. This study examines the effect of resident involvement during PUL on patient and procedural outcomes. Retrospective chart review was conducted on all consecutive PUL cases performed by a single academic urologist between October 2017 and November 2019. Trainees in post-graduate year (PGY) 1\u20133 are considered junior residents, while those in PGY 4\u20136 are senior residents. The International Prostate Symptom Score (IPSS) and quality of life (QOL) scores were used to measure outcomes. Simple and mixed-effects linear regression models were used to compare differences. There were 110 patients with a median age of 66.4 years. Residents were involved in 73 cases (66.4%), and senior residents were involved in 31 of those cases. Resident involvement was not associated with adverse perioperative outcomes with respect to the number of implants fired, the percentage of implants successfully placed, or the postoperative catheterization rate. After adjustment for confounding factors, junior residents were associated with significantly longer case length compared to the attending alone (+12.6 min,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003) but senior residents were not (+2.4 min,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.59). IPSS and QOL scores were not significantly affected by resident involvement (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.12 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.21, respectively). The presence of surgeons-in-training, particularly those in the early stages, prolongs PUL case length but does not appear to have an adverse impact on patient outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aja.aja_21_21","type":"journal-article","created":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T07:37:56Z","timestamp":1618817876000},"page":"616-620","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Resident involvement in the prostatic urethral lift"],"prefix":"10.4103","volume":"23","author":[{"given":"Ridwan","family":"Alam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J","family":"Rabinowitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor P","family":"Kohn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa N","family":"Pe\u00f1a","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James L","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasin","family":"Bhanji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amin S","family":"Herati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-11-20240829","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.urology.2019.05.040","article-title":"Impact of urology resident involvement on intraoperative, long-term oncologic and functional outcomes of robotic assisted laparoscopic radical prostatectomy","volume":"132","author":"Baber","year":"2019","journal-title":"Urology"},{"key":"R2-11-20240829","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1016\/j.urology.2015.01.010","article-title":"The impact of resident involvement in male one-stage anterior urethroplasties","volume":"85","author":"Meyer","year":"2015","journal-title":"Urology"},{"key":"R3-11-20240829","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1016\/j.juro.2014.03.096","article-title":"Impact of resident involvement on urological surgery outcomes: an analysis of 40,000 patients from the ACS NSQIP database","volume":"192","author":"Matulewicz","year":"2014","journal-title":"J Urol"},{"key":"R4-11-20240829","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1097\/JU.0000000000000689","article-title":"The balance between open and robotic training among graduating urology residents \u2013 does surgical technique need monitoring?","volume":"203","author":"Merrill","year":"2020","journal-title":"J Urol"},{"key":"R5-11-20240829","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1146\/annurev-med-063014-123902","article-title":"Management of benign prostatic hyperplasia","volume":"67","author":"Kim","year":"2016","journal-title":"Annu Rev Med"},{"key":"R6-11-20240829","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1097\/JU.0000000000000319","article-title":"Surgical management of lower urinary tract symptoms attributed to benign prostatic hyperplasia: AUA guideline amendment 2019","volume":"202","author":"Foster","year":"2019","journal-title":"J Urol"},{"key":"R7-11-20240829","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.eururo.2013.03.004","article-title":"EAU guidelines on the treatment and follow-up of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction","volume":"64","author":"Oelke","year":"2013","journal-title":"Eur Urol"},{"key":"R8-11-20240829","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.ucl.2016.04.001","article-title":"The epidemiology of benign prostatic hyperplasia associated with lower urinary tract symptoms: prevalence and incident rates","volume":"43","author":"Egan","year":"2016","journal-title":"Urol Clin North Am"},{"key":"R9-11-20240829","first-page":"7772","article-title":"Three year results of the prostatic urethral L.I.F.T. study","volume":"22","author":"Roehrborn","year":"2015","journal-title":"Can J Urol"},{"key":"R10-11-20240829","first-page":"8802","article-title":"Five year results of the prospective randomized controlled prostatic urethral L.I.F.T. study","volume":"24","author":"Roehrborn","year":"2017","journal-title":"Can J Urol"},{"key":"R11-11-20240829","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1038\/s41391-018-0118-x","article-title":"Prostatic urethral lift (PUL) for obstructive median lobes: 12 month results of the MedLift study","volume":"22","author":"Rukstalis","year":"2019","journal-title":"Prostate Cancer Prostatic Dis"},{"key":"R12-11-20240829","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann Surg"},{"key":"R13-11-20240829","doi-asserted-by":"crossref","first-page":"955","DOI":"10.3171\/2014.11.JNS14890","article-title":"Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients","volume":"122","author":"Bydon","year":"2015","journal-title":"J Neurosurg"},{"key":"R14-11-20240829","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.amjsurg.2016.11.016","article-title":"Does implementing a general surgery residency program and resident involvement affect patient outcomes and increase care-associated charges?","volume":"214","author":"Wexner","year":"2017","journal-title":"Am J Surg"},{"key":"R15-11-20240829","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1001\/jamasurg.2017.0578","article-title":"Comparison of appendectomy outcomes between senior general surgeons and general surgery residents","volume":"152","author":"Siam","year":"2017","journal-title":"JAMA Surg"},{"key":"R16-11-20240829","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1016\/j.athoracsur.2019.06.015","article-title":"Debunking the July effect in cardiac surgery: a national analysis of more than 470,000 procedures","volume":"108","author":"Shah","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"R17-11-20240829","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1016\/j.jsurg.2019.02.002","article-title":"Evaluation of urology residency training and perceived resident abilities in the United States","volume":"76","author":"Okhunov","year":"2019","journal-title":"J Surg Educ"},{"key":"R18-11-20240829","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1016\/j.eururo.2014.06.017","article-title":"A systematic review and meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic obstruction: an update","volume":"67","author":"Cornu","year":"2015","journal-title":"Eur Urol"},{"key":"R19-11-20240829","first-page":"13","article-title":"Holmium laser enucleation of the prostate (HoLEP): a review and update","volume":"26","author":"Das","year":"2019","journal-title":"Can J Urol"}],"container-title":["Asian Journal of Andrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aja.aja_21_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:25:58Z","timestamp":1787844358000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aja.aja_21_21"}},"subtitle":["implementing innovative technology in an academic setting"],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":19,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/aja.aja_21_21","relation":{},"ISSN":["1008-682X"],"issn-type":[{"value":"1008-682X","type":"print"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}