Please use this identifier to cite or link to this item: 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
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