2). The scenario worsened for the meeting urologists group as well and they also stated they had inappropriate training in the “only one response” scenario (28.2%) jumping to 71% if more than one answer was buy RG7422 allowed. Similarly, the rates for lack of confidence and interpreting the exam also rise up to worsen the “more-than-one response” scenario (Fig. 2). At the same time, specialization on voiding dysfunctions was also perceived as an opportunity to join a urological team. 10.9% of the young urologists declared that mastering urodynamics would be the opportunity enter an established urological team, while 15.4% of the meeting urologists groups stated the same. Likewise, when

more-than-one response was allowed, a higher perception of job opportunity unfolded (young-urologist – 42.1%; meeting-urologist – 26.4%). Regarding the accessibility

of urodynamic evaluation young urologists perceived it as more readiness Small molecule library manufacturer than the meeting-partners (Fig. 3) possibly reflecting the proximity of the younger urologists to metropolitan centers. However, when the quality of the exam was confronted, it was clear that meeting urologists representing the more experienced group (9.7 ± 4.7 years of practice) did not follow the recommendations from their urodynamicist as frequently as the young urologists. As these urologists were already working they were asked if they relied on the urodynamic studies ordered for their patients to third parties. 43.7% of the meeting urologists stated they had some grade of defense in relation to the result of the exam, revealing inconsistency between the result/report and the information driven by the examiner, possibly showing the lack of trust or independency of clinical opinion despite the urodynamic findings and recommendations driven by a third-part examiner (Fig. 4). The impact of the fellowship or the course was striking Arachidonate 15-lipoxygenase on the attitude regarding the management of BPH. Prior to fellowship, young urologists estimated a median experience of 138 ± 47 exams during their urological training but after the fellowship they experienced a median of 438 ± 15 exams in the 4-month

training period. This translated to an impressive enhancement in confidence in doing the exam from 46.8% to 96.8% of the young urologists who completed the fellowship. Likewise, after fellowship, the confidence in interpreting the results also improved markedly from 64 to 93.7%. At the same time, 89% of the responders assumed they would do urodynamic evaluation in all cases to manage HBP appropriately, bringing out the significant experience acquired during the training and the opportunity to experience the wide range of BPH presentations. The same results were gathered for the meeting urologists with striking results on confidence in interpreting urodynamic results (before – 48.1% ; after – 87.2%) and the necessity of “having urodynamic evaluation to any BPH before TURP” (before – 55.4%; after – 93.6%) (Fig. 5).