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Resumen Contexto y objetivos Esta es la primera encuesta nacional que evalua los programas de la residencia de Urologia en Grecia. El objetivo principal de este estudio es evaluar el nivel de confianza y la percepcion de los residentes griegos de Urologia respecto a su programa educativo y detectar las areas susceptibles a ser mejoradas. Material y metodos Se elaboro una encuesta de 51 preguntas a traves de una plataforma electronica y fue respondida por 91 de 104 residentes griegos desde marzo de 2019 hasta mayo de 2019. Se utilizo el test exacto de Fisher, el test de chi-cuadrado y el test de Kruskal-Wallis, con una significacion estadistica establecida en p = 0,05. Resultados La satisfaccion global de la formacion quirurgica obtuvo una media de 6/10, independientemente de la jornada laboral, de trabajar en un departamento universitario, el ano de posgrado (postgraduate year) o el numero de residentes en el centro. La mayoria de los residentes no habia realizado ninguna ecografia escrotal ni estudios de flujo-presion, pero estaba familiarizado con la ecografia de vias urinarias (KUB). La insercion del cateter doble J y la cistoscopia eran procedimientos conocidos para los residentes. El 70,4% de los residentes senalaron la burocracia como un problema importante. El 80,2% no habia realizado ninguna litotricia extracorporea por ondas de choque, y el 58,2% de los residentes habia realizado menos de 10 ureteroscopias. Solo en el ultimo ano, los residentes realizaron mas de 10 procedimientos de reseccion transuretral de tumor vesical y de reseccion transuretral de la prostata. La mayoria de los residentes mencionaron que rara vez realizaban los pasos basicos de muchos procedimientos urologicos por via abierta o laparoscopica. Sorprendentemente, el 59,3% de los residentes no habia publicado ningun estudio sometido a revision por pares en revistas cientificas. El 44% afirmo rara vez sentirse satisfecho con su trabajo y el 59,3% reporto la sensacion de agotamiento (burnout) ocasional. La tasa de respuesta alcanzo el 87,5%. Conclusiones Teniendo en cuenta los resultados de esta encuesta, las autoridades reguladoras deberian aunar esfuerzos para establecer un plan de estudios estructurado de formacion clinica, quirurgica y de investigacion en Urologia en toda Europa.

Background and objectives This is the first national survey assessing Greek Urology residency programs. The main objective of this study is to assess the level of confidence and perception of Greek Urology residents regarding their educational program and detect areas of improvement. Material and methods A 51-question survey was developed via an electronic platform and answered by 91 out of 104 Greek residents from March 2019 until May 2019. Fisher's exact test, chi-squared test and Kruskal–Wallis test were used with statistical significance set at p = .05. Results The median overall satisfaction regarding surgical training was 6/10 regardless of working schedule, working in a University Department, PGY or number of residents in clinic. Most residents have not performed any scrotal ultrasound or pressure-flow-studies; however, they are more familiar with KUB ultrasound. Double-J stent insertion and cystoscopy were common procedures for residents. Bureaucracy was reported as a major issue by 70.4% of residents. ESWL has not been performed by 80.2% of residents, 58.2% residents performed less than 10 ureteroscopies, and only the last year trainees performed more than 10 TURBT and TURP. Most residents mentioned to rarely perform basic steps in many open or laparoscopic urological procedures. Surprisingly, 59.3% of residents have not published any study in peer-reviewed journals. Regarding satisfaction, 44% rarely feel satisfied at work and 59.3% sometimes suffer from burnout. Response rate reached 87.5%. Conclusions Considering the results from this survey, regulatory authorities should join forces to establish a structured curriculum of clinical, surgical and research training in Urology across Europe.

Testicular plasmacytoma is a rare extramedullary manifestation of plasma cell dyscrasia. We report a case of a 53-year-old man who presented with a metachronous testicular lesion originating from a soft tissue plasmacytoma of the oral cavity. He underwent radical orchiectomy and a year later, presented with testicular plasmacytoma in the contralateral testis. He received induction chemotherapy, autologous stem cell transplantation with high dose melphalan and maintenance with lenalidomide, as he refused orchiectomy and achieved complete remission. However, six months post-transplant, he relapsed with localized disease in his testis, received second-line chemotherapy, after refusing orchiectomy and still remains in partial remission and alive.