Post-HoLEP RARP is challenging but preliminarily appears safe and feasible when performed by an experienced robotic surgeon. Patients should be counseled regarding expectations of urinary continence and sexual function in this setting.
On unadjusted logistic regression, men were more likely to earn >$350K (OR[2.01, p[0.02). However, on multivariable regression gender was no longer significant (OR[1.59 p[0.11) after adjusting for covariates. Factors associated with higher odds of earning >$350K include: more clinical hours, fewer non-clinical hours, shorter mean office visits, more office visits, more inpatient surgical procedures, private practice setting, subspecialty training, practicing in the Northeast and non-white race (Table 1). Sex, urban practice setting, age, and Hispanic ethnicity were not associated with salary in the adjusted model.CONCLUSIONS: This analysis suggests a gender pay gap in urology which appears to be mediated by a number of factors. While men and women work equal numbers of hours, women urologists are appear to be more likely to work in less profitable settings, performing fewer inpatient procedures and seeing fewer patients. Future research should seek to understand whether women choose these practice characteristics or whether external factors compel them to do so.
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