Live surgery in reconstructive urology: evaluation of the surgical outcome and educational benefit of the international meeting on reconstructive urology (IMORU)



The international meeting on reconstructive Urology (IMORU) is a live surgery event (LSE) where expert surgeons perform various reconstructive surgeries. To evaluate patient safety, an extended follow-up of the complications of two subsequent IMORU meetings were gathered. Also, a detailed survey concerning the participant’s assessment of the educational benefit was performed.


All patients that were operated during the IMORU V and VI were included. Primary endpoint was the analysis of complications. Outcome was reviewed 36 months postoperatively via telephone survey and clinical database assessment, registrating any complications. At IMORU VII all participants were able to participate in a survey using a standardized, not-validated questionnaire concerning the learning effect and the quality of the surgeries.


57 operations by 32 different surgeons were reviewed. The total number of any complications (peri- or postoperative) was n = 9 (15.8%) with three major complications. Four (7%) perioperative complications and five (8.8%) postoperative complications were noted. The Charlson score proved to be the only significant recorded predictor of the incidence of any complication (p = 0.019; univariate logistic regression analysis). Participant survey showed that the surgeons, surgical technique, and surgical presentation were perceived as excellent. Improvement of knowledge and of the surgical armamentarium both received positive ratings.


This is to our knowledge the first follow-up of LSE in the field of reconstructive urology. Rate of complications in general was acceptable. The performed survey showed participants value the quality and the educational benefit. Further studies are needed to improve learning possibilities.

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Live surgery event


Live broadcasted surgeries


International meeting on reconstructive urology


European Association of Urology


American Association of Genitourinary Surgeons


University Medical Center Hamburg-Eppendorf


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Parts of this study were presented at AUA 2016.


This study was not funded in any way.

Author information




VMS: data collection and management, data analysis, and manuscript writing/editing. JS: data collection and manuscript writing/editing. CMR: manuscript writing/editing. TAL: manuscript writing/editing. MWV: manuscript writing/editing. S-RL-B: manuscript writing/editing. VM: manuscript writing/editing. CPM: manuscript writing/editing. RD: manuscript writing/editing. MF: manuscript writing/editing. C-PR: data analysis and manuscript writing/editing

Corresponding author

Correspondence to Victor M. Schuettfort.

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All authors have nothing to disclose. The authors declare that they have no conflict of interest. While the IMORU meeting itself was sponsored by different companies, none of the authors received any kind of compensation.

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Informed consent was obtained from all individual participants included in the study.

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This article does not contain any studies with animals performed by any of the authors.

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Schuettfort, V.M., Schoof, J., Rosenbaum, C.M. et al. Live surgery in reconstructive urology: evaluation of the surgical outcome and educational benefit of the international meeting on reconstructive urology (IMORU). World J Urol 37, 2533–2539 (2019).

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  • Live surgery events
  • Surgical education
  • Reconstructive urology