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https://doi.org/10.1111/and.13708
Title: | Surgical training for anatomical endoscopic enucleation of the prostate | Authors: | Teoh, Jeremy Yuen-Chun Cho, Chak-Lam Wei, Yong Isotani, Shuji Tiong, Ho-Yee Ong, Teng-Aik Kijvikai, Kittinut Chu, Peggy Sau-Kwan Chan, Eddie Shu-Yin Ng, Chi-Fai |
Keywords: | Science & Technology Life Sciences & Biomedicine Andrology Endocrinology & Metabolism AEEP benign prostatic hyperplasia learning curve prostate enucleation surgical training HOLMIUM LASER ENUCLEATION LEARNING-CURVE SIMULATOR RESECTION FACE |
Issue Date: | 17-Jun-2020 | Publisher: | WILEY | Citation: | Teoh, Jeremy Yuen-Chun, Cho, Chak-Lam, Wei, Yong, Isotani, Shuji, Tiong, Ho-Yee, Ong, Teng-Aik, Kijvikai, Kittinut, Chu, Peggy Sau-Kwan, Chan, Eddie Shu-Yin, Ng, Chi-Fai (2020-06-17). Surgical training for anatomical endoscopic enucleation of the prostate. ANDROLOGIA 52 (8). ScholarBank@NUS Repository. https://doi.org/10.1111/and.13708 | Abstract: | Anatomical endoscopic enucleation of the prostate has been proposed as a potentially superior benign prostatic hyperplasia surgery than conventional transurethral resection of prostate. However, the learning curve of the procedure is steep, hence limiting its generalisability worldwide. In order to overcome the learning curve, a proper surgical training is extremely important. This review article discussed about various aspects of surgical training in anatomical endoscopic enucleation of the prostate. In summary, no matter what surgical technique or energy modality you use, the principle of anatomical enucleation should be followed. When one starts to perform prostate enucleation, a 50 to 80 g prostate appears to be the ‘best case’ to begin with. Mentorship is extremely important to shorten the learning curve and to prevent drastic complications from the procedure. A proficiency-based progression training programme with the use of simulation and training models should be the best way to teach and learn about prostate enucleation. Enucleation ratio efficacy is the preferred measure for assessing skill level and learning curve of prostate enucleation. Morcellation efficiency is commonly used to assess morcellation performance, but the importance of safety rather than efficiency must be emphasised. | Source Title: | ANDROLOGIA | URI: | https://scholarbank.nus.edu.sg/handle/10635/217017 | ISSN: | 0303-4569 1439-0272 |
DOI: | 10.1111/and.13708 |
Appears in Collections: | Staff Publications Elements |
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