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Introduction <p>Surgery for benign prostatic hyperplasia (BPH) accounts for more than 67,000 procedures annually in France, of whom 70% are transurethral resection of prostate (TURP). Although the recent expansion of endoscopic enucleation (EEP) was concomitant to a decrease in simple prostatectomy (OSP) procedures, the three techniques continue to coexist. The primary objective of this work was to compare the training status of young French urologists in the three major techniques (OSP, EEP and TURP).</p> Materials and methods <p>The training status was assessed using a composite score, which combined the number of procedures performed, confidence index, and estimated quality of training received. Data were collected via an online self-questionnaire, distributed to young French urologists, through the network of the French Association of Urologists in Training (AFUF). Multivariate linear regression model was used to analyze factors associated with a high composite score for each technique.</p> Results <p>Survey was completed by 114 participants. The median age was 30 [28–32] years. The mean numbers of OSP, EEP, and TURP performed per trainee were 2.5 [0.0–10.0], 10.0 [2.5–22.5], and 22.5 [10.0–35.0], respectively (<i>p</i> &lt; 0.0001). The composite training evaluation scores for OSP, EEP, and TURP were 6 [4–9], 10 [6–12], and 13 [10–14], respectively (<i>p</i> &lt; 0.0001). Interest in BPH was associated with a higher score in EEP (<i>p</i> &lt; 0.01).</p> Conclusion <p>Our study suggests that young French urologists are better trained in EEP than in OSP. These data support the hypothesis that EEP is tending to replace OSP among the younger generation.</p>

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Endoscopic enucleation vs. simple prostatectomy: evidence of a generational shift from a nationwide survey

  • 期刊论文

  • 发表日期：

    2026年2月12日

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  • Julien Anract,
  • Ugo Pinar,
  • Clément Klein,
  • Clément Sarrazin,
  • Armand Chevrot,
  • Hakim Fassi-Fehri,
  • Jonas Wilisch,
  • Jérôme Gas,
  • Yohann Rouscoff,
  • Emmanuel Della Negra,
  • Steeve Doizi,
  • Souhil Lebdai

摘要

Introduction

Surgery for benign prostatic hyperplasia (BPH) accounts for more than 67,000 procedures annually in France, of whom 70% are transurethral resection of prostate (TURP). Although the recent expansion of endoscopic enucleation (EEP) was concomitant to a decrease in simple prostatectomy (OSP) procedures, the three techniques continue to coexist. The primary objective of this work was to compare the training status of young French urologists in the three major techniques (OSP, EEP and TURP).

Materials and methods

The training status was assessed using a composite score, which combined the number of procedures performed, confidence index, and estimated quality of training received. Data were collected via an online self-questionnaire, distributed to young French urologists, through the network of the French Association of Urologists in Training (AFUF). Multivariate linear regression model was used to analyze factors associated with a high composite score for each technique.

Results

Survey was completed by 114 participants. The median age was 30 [28–32] years. The mean numbers of OSP, EEP, and TURP performed per trainee were 2.5 [0.0–10.0], 10.0 [2.5–22.5], and 22.5 [10.0–35.0], respectively (p < 0.0001). The composite training evaluation scores for OSP, EEP, and TURP were 6 [4–9], 10 [6–12], and 13 [10–14], respectively (p < 0.0001). Interest in BPH was associated with a higher score in EEP (p < 0.01).

Conclusion

Our study suggests that young French urologists are better trained in EEP than in OSP. These data support the hypothesis that EEP is tending to replace OSP among the younger generation.