Curriculum-based training improves transurethral resection of bladder tumour performance compared to conventional training : the EuropeaN Training in uRologY (ENTRY) project
Diana, Pietro (Fundació Puigvert)
Di Bello, Francesco (Fundació Puigvert)
Mas, Laura (Fundació Puigvert)
Gallioli, Andrea (Universitat Autònoma de Barcelona. Departament de Medicina)
Paciotti, Marco (Humanitas Clinical and Research Institute IRCCS)
Frego, Nicola (Humanitas Mater Domini)
Mottrie, Alex (ORSI Academy)
Palou, Juan (Universitat Autònoma de Barcelona. Departament de Cirurgia)
Buffi, Nicolò (Humanitas Clinical and Research Institute IRCCS)
Breda, Alberto (Universitat Autònoma de Barcelona. Departament de Cirurgia)

Fecha:	2026
Resumen:	Objective: To evaluate the efficacy in residents of the EuropeaN Training in uRologY (ENTRY) training curriculum for transurethral resection of bladder tumour (TURBT) vs conventional methodology, as TURBT is one of the most performed procedures by residents and early-career urologists. Subjects/Patients and Methods: We compared resident performance in TURBT trained through the ENTRY curriculum vs a conventional methodology. All residents underwent a TURBT educational rotation of 4 months supervised by uro-oncology attendings. In the conventional methodology group TURBT training was a standard tutoring in the operating room (OR). The ENTRY curriculum group underwent a pre-clinical: theoretical learning of metrics with a tutor and dry laboratory; and a surgical phase: supervised OR training by trained mentors. Results: We evaluated 162 patients undergoing TURBT. Of these 74 (46%) TURBTs were performed by three conventionally-trained residents and 88 (54%) TURBT by three ENTRY curriculum-trained residents. Despite not being statistically different (P = 0. 07), the reduction in high-grade perforation (DEpth of Endoscopic Perforation [DEEP] scale 2-3) in the ENTRY curriculum-trained group (12% vs 4. 5%) was clinically meaningful. Postoperative complications was significantly lower in the ENTRY curriculum-trained group, for overall (13% vs 30%, P = 0. 007), minor (10% vs 23%, P = 0. 04), and major events (2. 3% vs 6. 8%, P = 0. 1). Detrusor muscle presence was significantly higher in the ENTRY curriculum-trained group (91% vs 80%, P = 0. 04). Conclusions: The ENTRY training curriculum for residents is effective in improving pivotal clinical outcomes in TURBT training vs conventional training. This training is a step towards standardised training and optimal outcomes in urology education.
Derechos:	Aquest material està protegit per drets d'autor i/o drets afins. Podeu utilitzar aquest material en funció del que permet la legislació de drets d'autor i drets afins d'aplicació al vostre cas. Per a d'altres usos heu d'obtenir permís del(s) titular(s) de drets.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió acceptada per publicar
Materia:	Urothelial cancer ; Training ; Endoscopy ; Residents
Publicado en:	BJU International, March 2026, ISSN 1464-410X

DOI: 10.1111/bju.70223

Disponible a partir de: 2027-03-31 Postprint 19 p, 268.3 KB

El registro aparece en las colecciones:
Artículos > Artículos de investigación
Artículos > Artículos publicados