Alexander Beulens

240 Chapter 9 continence between Expert 1 and Expert 2 was slight at .087 Factors predicting continency and potency according to the analysis of two expert surgeons The experts predicted the expected continency in all patients. They were able to identify some factors in patients which they felt had an influence on continence of the patients. In case of continence the length and thickness of the urethral stump (a longer and wider stump predicted better continency according to the experts), level of coagulation during the apical dissection (more coagulation predicted less continency according to the experts), and bladder neck preservation/reconstruction were mentioned as factors influencing the level of postoperative continence in patients (appendix 2). The presence of a short urethral stump was mentioned in most patients in which the experts were undetermined. Surgical skills analysis using different methods of video assessment templates. The GEARS, PACE and PROTEST assessment methods were used to determine whether aspects of task performance as measured by either assessment templates can be related to postoperative outcomes. Using the GEARS Assessment method aspects of depth perception, bi-manual dexterity, efficiency, force sensitivity, autonomy and robotic control were assessed. The results of the comparison between incontinent and continent patients (continency group) can be found in supplementary data 1, no significant differences in the aspects of the GEARS assessment method were found. The results of the PACE assessment are shown in supplementary data 2. No significant differences between groups in PACE scores were found. The results of the general aspects of the PROTEST assessment method showed no significant differences between continency group (supplementary data 3a). The results of the in-depth analysis of different phases of the surgery according to the PROTEST assessment method for continency group can be found in supplementary data 3b, in these results no significant differences were found between incontinent and continent patients.

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