Statement of Need
Welcome to American Urological Association Education and Research, Inc (AUAER)'s online Urologic Robotic Surgery Course, developed by the AUAER Laparoscopic, Robotic Surgery and New Surgical Technology Committee to address the need for a national course/curriculum in urologic robotic surgery. About 80% of all prostatectomies in the USA for the treatment of prostate cancer are being performed with robotic assistance (Su LM. Robot-assisted radical prostatectomy: advances since 2005. Current Opinion in Urology. 20(2):130-5, 2010). There has also been an increased application for pyeloplasty, partial nephrectomy and sacrocolpopexy; and the AUAER core curriculum now includes robotic surgery in one of its sections. However, there is no readily available curriculum for robotic surgery which includes self assessment of knowledge. Residents and urologists need a resource to obtain up-to-date information about robotic surgery of the prostate, kidney, bladder and pelvic floor. They need to learn the surgical techniques for common applications for urologic robotic surgery. The online AUAER Urologic Robotic Surgery Course hopes to meet this educational need that will be of great benefit to trainees and urologists.
The online Urologic Robotic Surgery Course consists of 9 modules covering topics in Urologic Robotic Surgery including Fundamentals, Basic and Advanced Surgical Procedures. The Fundamentals module covers proper utilization of the daVinci robot in urologic surgery. Intuitive Surgical's Online Training System complements the Fundamentals section and is a pre-requisite for the course. The Basic section includes transperitoneal radical prostatectomy, partial nephrectomy, pyeloplasty, and sacrocolpopexy surgical procedures. The Fundamentals and Basic sections are mandatory for CME credit/hours of participation. Advanced procedures are optional and include LESS and microsurgery, retroperitoneal radical prostatectomy, pediatrics, and radical cystectomy surgeries. Each module includes learning objectives, content, video (except the fundamental module), posttest and evaluation.
The desired result from this educational activity is that the learner increases or enhances his knowledge and competence in urologic robotic surgery including discussing the surgical technique for safe and effective robotic surgery, indications and contraindications, and methods to manage complications.
After completing the course, the learner should be able to:
- Describe the surgical steps involved with the safe performance of commonly performed robotic urologic surgery.
- State the indications and contraindications for the robotic approach to urologic surgical procedures.
- Identify errors that can occur with the system during robotic surgery conditions.
- Describe the steps involved with safe operation of the daVinci Surgical System (Intuitive Surgery Inc, Sunnyvale, CA).
- Describe complications that can occur during urologic robotic surgery and describe methods to avoid and manage the complications.
This enduring material is designed for urology residents, fellows and urologic trainees.