Evaluation of the learning curve for thulium laser enucleation of the prostate with the aid of a simulator tool but without tutoring: Comparison of two surgeons with different levels of endoscopic experience Endourology and technology

BMC Urology

Volumn 15, Issue 1, 2015, Pages

  Saredi, Giovanni ^a   Pirola, Giacomo Maria ^b   Pacchetti, Andrea ^a   Lovisolo, Jon Alexander ^a   Borroni, Giacomo ^a   Sembenini, Federico ^c   Marconi, Alberto Mario ^a  

^a OSPEDALE DI CIRCOLO   (Italy)

^b UNIVERSITY OF MODENA AND REGGIO EMILIA   (Italy)

^c UNIVERSITY OF MILANO BICOCCA   (Italy)

Author keywords

Benign prostatic hyperplasia; Endourology; Laser surgery; Prostate disease; Simulator

Indexed keywords

PROSTATE SPECIFIC ANTIGEN; THULIUM;

ADULT; AGED; ARTICLE; BLADDER PERFORATION; COHORT ANALYSIS; COMPARATIVE STUDY; CONTROLLED STUDY; HUMAN; INTERNATIONAL PROSTATE SYMPTOM SCORE; INTRAOPERATIVE BLEEDING; LASER SURGERY; MAJOR CLINICAL STUDY; MALE; PEROPERATIVE COMPLICATION; POSTOPERATIVE HEMORRHAGE; PROSPECTIVE STUDY; PROSTATE ADENOMA; PROSTATE SURGERY; RESECTOSCOPE; RETROSPECTIVE STUDY; SIMULATOR; SURGEON; THULIUM LASER ENUCLEATION OF THE PROSTATE; THULIUM YAG LASER; TRANSURETHRAL RESECTION; TUMOR VOLUME; URETHRA STENOSIS; URINE RETENTION; UROFLOWMETRY; CLINICAL COMPETENCE; EVALUATION STUDY; FOLLOW UP; LEARNING CURVE; LOW LEVEL LASER THERAPY; MIDDLE AGED; MINIMALLY INVASIVE SURGERY; PATHOLOGY; PROCEDURES; PROSTATIC HYPERPLASIA; PROSTATIC NEOPLASMS; REGRESSION ANALYSIS; RISK ASSESSMENT; TREATMENT OUTCOME; VERY ELDERLY;

AGED; AGED, 80 AND OVER; CLINICAL COMPETENCE; COHORT STUDIES; FOLLOW-UP STUDIES; HUMANS; LASER THERAPY; LEARNING CURVE; MALE; MIDDLE AGED; MINIMALLY INVASIVE SURGICAL PROCEDURES; PROSPECTIVE STUDIES; PROSTATIC HYPERPLASIA; PROSTATIC NEOPLASMS; REGRESSION ANALYSIS; RISK ASSESSMENT; THULIUM; TRANSURETHRAL RESECTION OF PROSTATE; TREATMENT OUTCOME;

EID: 84939268535     PISSN: None     EISSN: 14712490     Source Type: Journal    
DOI: 10.1186/s12894-015-0045-2     Document Type: Article

References (16)

1. Gilling PJ, Fraundorfer MR. Holmium laser prostatectomy: a technique in evolution. Curr Opin Urol. 1998;8(1):11-5.
2. Ahyai SA, Gilling P, Kaplan SA, et al. Meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic enlargement. Eur Urol. 2010;58(3):384-97.
3. Kuntz RM, Lehrich K, Ahyai SA. Holmium laser enucleation of the prostate versus open prostatectomy for prostates greater than 100 grams: 5-year follow-up results of a randomised clinical trial. Eur Urol. 2008;53(1):160-6.
4. Fried NM, Murray KE. High-power thulium fiber laser ablation of urinary tissues at 1.94 microm. J Endourol. 2005;19(1):25-31.
5. Gravas S, Bachmann A, Reich O, Roehrborn CG, Gilling PJ, De La Rosette J. Critical review of lasers in benign prostatic hyperplasia (BPH). BJU Int. 2011;107(7):1030-43.
6. Zarrabi A, Gross AJ. The evolution of lasers in urology. Ther Adv Urol. 2011;3(2):81-9.
7. Herrmann TR, Bach T, Imkamp F, et al. Thulium laser enucleation of the prostate (ThuLEP): transurethral anatomical prostatectomy with laser support. Introduction of a novel technique for the treatment of benign prostatic obstruction. World J Urol. 2010;28(1):45-51.
8. Maheshwari PN, Joshi N, Maheshwari RP. Best laser prostatectomy in the year 2013. Indian J Urol. 2013;29(3):236-43.
9. El-Hakim A, Elhilali MM. Holmium laser enucleation of the prostate can be taught: the first learning experience. BJU Int. 2002;90(9):863-9.
10. Brewin J, Ahmed K, Challacombe B. An update and review of simulation in urological training. Int J Surg. 2014;12(2):103-8.
11. Khan R, Aydin A, Khan MS, Dasgupta P, Ahmed K. Simulation-based training for prostate surgery. BJU Int. 2014
12. Gross AJ, Netsch C, Knipper S, Hölzel J, Bach T. Complications and early postoperative outcome in 1080 patients after thulium vapoenucleation of the prostate: results at a single institution. Eur Urol. 2013;63(5):859-67.
13. Netsch C, Bach T, Herrmann TR, Neubauer O, Gross AJ. Evaluation of the learning curve for Thulium VapoEnucleation of the prostate (ThuVEP) using a mentor-based approach. World J Urol. 2013;31(5):1231-8.
14. Zhang F, Shao Q, Herrmann TR, Tian Y, Zhang Y. Thulium laser versus holmium laser transurethral enucleation of the prostate: 18-month follow-up data of a single center. Urology. 2012;79(4):869-74.
15. Bach T, Wendt-Nordahl G, Michel MS, Herrmann TR, Gross AJ. Feasibility and efficacy of Thulium:YAG laser enucleation (VapoEnucleation) of the prostate. World J Urol. 2009;27(4):541-5.
16. Tang K, Xu Z, Xia D, et al. Early outcomes of thulium laser versus transurethral resection of the prostate for managing benign prostatic hyperplasia: a systematic review and meta-analysis of comparative studies. J Endourol. 2014;28(1):65-72.