Publication: Surgical training for anatomical endoscopic enucleation of the prostate
Issued Date
2020-01-01
Resource Type
ISSN
14390272
03034569
03034569
Other identifier(s)
2-s2.0-85086505573
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Andrologia. (2020)
Suggested Citation
Jeremy Yuen Chun Teoh, Chak Lam Cho, Yong Wei, Shuji Isotani, Ho Yee Tiong, Teng Aik Ong, Kittinut Kijvikai, Peggy Sau Kwan Chu, Eddie Shu Yin Chan, Chi Fai Ng Surgical training for anatomical endoscopic enucleation of the prostate. Andrologia. (2020). doi:10.1111/and.13708 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/57770
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Title
Surgical training for anatomical endoscopic enucleation of the prostate
Abstract
© 2020 Blackwell Verlag GmbH 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.