- Browse by Author
Browsing by Author "Somani, Bhaskar K."
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Item Defining minimal invasive surgical therapy for benign prostatic obstruction surgery: Perspectives from a global knowledge, attitude, and practice survey(Elsevier, 2024) Kwun-Chung Cheng, Bryan; Kar-Kei Yuen, Steffi; Castellani, Daniele; Langer Wroclawski, Marcelo; Zhao, Hongda; Chiruvella, Mallikarjuna; Chua, Wei-Jin; Tiong, Ho-Yee; Tanidir, Yiloren; de la Rosette, Jean; Rijo, Enrique; Misrai, Vincent; Krambeck, Amy; Elterman, Dean S.; Somani, Bhaskar K.; Yuen-Chun Teoh, Jeremy; Gauhar, Vineet; Urology, School of MedicineObjective: To scrutinize the definitions of minimal invasive surgical therapy (MIST) and to investigate urologists' knowledge, attitudes, and practices for benign prostatic obstruction surgeries. Methods: A 36-item survey was developed with a Delphi method. Questions on definitions of MIST and attitudes and practices of benign prostatic obstruction surgeries were included. Urologists were invited globally to complete the online survey. Consensus was achieved when more than or equal to 70% responses were "agree or strongly agree" and less than or equal to 15% responses were "disagree or strongly disagree" (consensus agree), or when more than or equal to 70% responses were "disagree or strongly disagree" and less than or equal to 15% responses were "agree or strongly agree" (consensus disagree). Results: The top three qualities for defining MIST were minimal blood loss (n=466, 80.3%), fast post-operative recovery (n=431, 74.3%), and short hospital stay (n=425, 73.3%). The top three surgeries that were regarded as MIST were Urolift® (n=361, 62.2%), Rezum® (n=351, 60.5%), and endoscopic enucleation of the prostate (EEP) (n=332, 57.2%). Consensus in the knowledge section was achieved for the superiority of Urolift®, Rezum®, and iTIND® over transurethral resection of the prostate with regard to blood loss, recovery, day surgery feasibility, and post-operative continence. Consensus in the attitudes section was achieved for the superiority of Urolift®, Rezum®, and iTIND® over transurethral resection of the prostate with regard to blood loss, recovery, and day surgery feasibility. Consensus on both sections was achieved for EEP as the option with the better symptoms and flow improvement, lower retreatment rate, and better suitable for prostate more than 80 mL. Conclusion: Minimal blood loss, fast post-operative recovery, and short hospital stay were the most important qualities for defining MIST. Urolift®, Rezum®, and EEP were regarded as MIST by most urologists.Item The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP-tool): a Delphi consensus project on standardised evaluation of flexible ureterorenoscopes(Wiley, 2023) Henderickx, Michaël M. E. L.; Hendriks, Nora; Baard, Joyce; Wiseman, Oliver J.; Scotland, Kymora B.; Somani, Bhaskar K.; Şener, Tarik E.; Emiliani, Esteban; Dragos, Laurian B.; Villa, Luca; Talso, Michele; Hamri, Saeed Bin; Proietti, Silvia; Doizi, Steeve; Traxer, Olivier; Chew, Ben H.; Eisner, Brian H.; Monga, Manoj; Hsi, Ryan S.; Stern, Karen L.; Leavitt, David A.; Rivera, Marcelino; Wollin, Daniel A.; Borofsky, Michael; Canvasser, Noah E.; Ingimarsson, Johann P.; El Tayeb, Marawan M.; Bhojani, Naeem; Gadzhiev, Nariman; Tailly, Thomas; Durutovic, Otas; Nagele, Udo; Skolarikos, Andreas; Schout, Barbara M. A.; Beerlage, Harrie P.; Pelger, Rob C. M.; Kamphuis, Guido M.; Urology, School of MedicineObjective: To develop a standardised tool to evaluate flexible ureterorenoscopes (fURS). Materials and methods: A three-stage consensus building approach based on the modified Delphi technique was performed under guidance of a steering group. First, scope- and user-related parameters used to evaluate fURS were identified through a systematic scoping review. Then, the main categories and subcategories were defined, and the expert panel was selected. Finally, a two-step modified Delphi consensus project was conducted to firstly obtain consensus on the relevance and exact definition of each (sub)category necessary to evaluate fURS, and secondly on the evaluation method (setting, used tools and unit of outcome) of those (sub)categories. Consensus was reached at a predefined threshold of 80% high agreement. Results: The panel consisted of 30 experts in the field of endourology. The first step of the modified Delphi consensus project consisted of two questionnaires with a response rate of 97% (n = 29) for both. Consensus was reached for the relevance and definition of six main categories and 12 subcategories. The second step consisted of three questionnaires (response rate of 90%, 97% and 100%, respectively). Consensus was reached on the method of measurement for all (sub)categories. Conclusion: This modified Delphi consensus project reached consensus on a standardised grading tool for the evaluation of fURS - The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP) tool. This is a first step in creating uniformity in this field of research to facilitate future comparison of outcomes of the functionality and handling of fURS.