Building A Laparoscopic Practice

TABLE 7 ■ Pyeloplasty Success Rate

Normal

Function

function

<30%

Primary 98 %

89%

Secondary 92 %

71%

TABLE8 ■ Postprostatectomy Continence

at One Year

Percentage

Dry

88

0 ppd

7

1-2 ppd

4

>2 ppd

1

Abbreviation: ppd, pads per day. -

Videotaping procedures for future self-review or review by an experienced laparoscopist can be helpful, particularly when matched with patient outcome. In laparoscopy, past performance often predicts future returns.

The average graduating urology resident is adept at performing most urologic procedures. Laparoscopy is the exception. Even a fellowship-trained laparoscopist should expect several years for their skills to mature. Fortunately, there are many ways to hasten the learning curve. The essential elements in achieving success are depicted in Figure 3.

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