4.1 The company proposed that using the transurethral resection in saline (TURis) system would not result in changes to the current pathway or involve additional system resources. The External Assessment Centre agreed with these assumptions.
4.2 The company and the External Assessment Centre did not identify any special additional training needs for a switch to the TURis system from monopolar transurethral resection of the prostate (TURP). The Committee received expert advice that confirmed that little training is needed for surgeons who are already performing monopolar TURP procedures.
4.3 Based on the evidence from the company and the External Assessment Centre and on expert advice, the Committee was satisfied that using the TURis system could produce benefits for patients and for the NHS and would be relatively easy to introduce, with minimal additional training requirements.
4.4 The Committee noted that the costs of adopting the TURis system were different depending on whether hospitals were already using Olympus systems. The company stated that 40–45% of UK hospitals would already have access to a component of the Olympus systems. The Committee concluded that it was important to consider both scenarios in the cost analysis.
4.5 For hospitals that currently use monopolar equipment for TURP, expert advice to the Committee was that most would wish to change to bipolar systems when their monopolar equipment needs replacing.
4.6 The Committee noted the advice that surgeons who are already skilled at performing TURP with monopolar equipment would need very little training to use the TURis system. It concluded that additional training would not be a significant consideration in the adoption of this technology.