Department of Urology, Mayo Clinic, Rochester, MN 55905, United States.
Urology Clinics of North Texas, Dallas, TX 75010, United States.
J Sex Med. 2024 Sep 28;21(10):961-966. doi: 10.1093/jsxmed/qdae099.
Sexual Medicine Society of North America (SMSNA) fellowships offer variable experience in sexual health domains: erectile dysfunction, Peyronie's disease, male infertility, male hypogonadism (low testosterone), reconstruction (including male incontinence), benign prostatic hyperplasia, gender affirmation surgery, sexual mental health, and female sexual dysfunction.
To evaluate baseline and postbootcamp understanding and trust in these domains.
In 2023, 28 of 31 urologists currently enrolled in SMSNA-endorsed fellowships participated in a 3.5-day training bootcamp in Minneapolis, Minnesota. Participants were asked to complete pre- and postbootcamp surveys. The bootcamp curriculum offered American Urological Association guidelines and case-based lectures, hands-on clinical training with cadavers (penile surgery) and models (collagenase training), and interaction with industry.
Changes in knowledge, independence, and trust in performing the procedures, as well as billing issues and feedback for future bootcamps.
Prebootcamp surveys revealed vastly varied residency experience. Reported time with an expert faculty member was greatest for benign prostatic hyperplasia and least for female sexual dysfunction, gender affirmation surgery, and low testosterone. The lowest prebootcamp confidence in performing surgery independently was for penile grafting procedures and elevating the neurovascular bundle. Postbootcamp results revealed several areas of significant improvement in confidence (P ≤ .03): intralesional injections for Peyronie's disease, manual modeling, penile plication, penile grafting procedures, and elevating the neurovascular bundle. There was a trend for improved confidence with the insertion of inflatable (P = .05) and semirigid (P = .08) penile prostheses. Nonsignificant improvement occurred in artificial urinary sphincter surgery (P = .12). Participants graded the bootcamp very highly and requested that next year's bootcamp have more content on female sexual dysfunction, male incontinence, and low testosterone, as well as more hands-on skills sessions and case-based lecture formats.
Offering a bootcamp with hands-on instruction could significantly improve urologists' knowledge and confidence.
As the main strength, this study was the first specialized bootcamp for urologists in the subject of men's health, taking into account hands-on and cadaver laboratories, as well as highlighting industrial and pharmaceutical products. The small sample size was the major limitation.
Current SMSNA fellows present with varied levels of experience and confidence across sexual health domains. Notable confidence improvements were seen with topics that combined didactic lectures with hands-on trainings.
北美性医学学会（SMSNA）研究员在性健康领域提供不同的经验：勃起功能障碍、佩罗尼氏病、男性不育、男性性腺功能减退症（低睾酮）、重建（包括男性尿失禁）、良性前列腺增生、性别肯定手术、性心理健康和女性性功能障碍。
评估基线和训练营后的这些领域的理解和信任。
2023 年，31 名正在参加 SMSNA 认可的研究员的泌尿科医生中的 28 名参加了在明尼苏达州明尼阿波利斯市为期 3.5 天的培训训练营。参与者被要求完成训练营前后的调查。训练营课程提供了美国泌尿外科学会指南和基于案例的讲座、尸体（阴茎手术）和模型（胶原酶培训）的实践临床培训以及与行业的互动。
知识、独立执行程序的能力和信任的变化，以及计费问题和对未来训练营的反馈。
目前的 SMSNA 研究员在性健康领域的经验和信心水平各不相同。与专家教员在一起的时间报告最多的是良性前列腺增生，而最少的是女性性功能障碍、性别肯定手术和低睾酮。独立进行手术的信心最低的是阴茎移植手术和提升神经血管束。训练营后的结果显示出几个信心显著提高的领域（P≤.03）：阴茎疾病的病灶内注射、手动造型、阴茎折叠术、阴茎移植手术和提升神经血管束。可充气（P=.05）和半刚性（P=.08）阴茎假体的插入术也有改善的趋势。人工尿道括约肌手术无显著改善（P=.12）。参与者对训练营的评价非常高，并要求明年的训练营增加更多关于女性性功能障碍、男性尿失禁和低睾酮的内容，以及更多的实践技能课程和基于案例的讲座形式。
提供实践指导的训练营可以显著提高泌尿科医生的知识和信心。
作为主要优势，这是第一次针对男性健康主题的泌尿科医生专门训练营，考虑到实践和尸体实验室，以及突出工业和制药产品。主要限制因素是样本量小。
目前的 SMSNA 研究员在性健康领域的经验和信心水平各不相同。通过将讲座与实践培训相结合的主题，可以看到明显的信心提高。
