TY - JOUR
T1 - Residency Surgical BPH Training Paradigms from MIST to HOLEP
AU - Luu, Thaiphi
AU - Gonzalez, Ricardo R.
N1 - © 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2023/6
Y1 - 2023/6
N2 - PURPOSE OF REVIEW: Benign prostatic hyperplasia (BPH) is a common medical condition of older men that often requires medical or surgical therapy. Surgical options for BPH have grown exponentially over the last two decades. The numerous options and/or lack of access to them can make it challenging for new trainees to gain proficiency. We examine the literature for available BPH surgical simulators, learning curves, and training pathways.RECENT FINDINGS: Each BPH surgical therapy has a learning curve which must be overcome. There is an abundance of TURP simulators which have shown face, content, and construct validity in the literature. Similarly, laser therapies have validated simulators. Newer technologies do have available simulators, but they have not been validated. There are strategies to improve learning and outcomes, such as having a structured training program. Simulators are available for BPH surgical procedures and some have been implemented in urology residencies. It is likely that such simulation may make urologists more facile on their learning curves for newer technologies. Further studies are needed. Future directions may include integration of simulator technology into training pathways that include surgical observation and proctorship.
AB - PURPOSE OF REVIEW: Benign prostatic hyperplasia (BPH) is a common medical condition of older men that often requires medical or surgical therapy. Surgical options for BPH have grown exponentially over the last two decades. The numerous options and/or lack of access to them can make it challenging for new trainees to gain proficiency. We examine the literature for available BPH surgical simulators, learning curves, and training pathways.RECENT FINDINGS: Each BPH surgical therapy has a learning curve which must be overcome. There is an abundance of TURP simulators which have shown face, content, and construct validity in the literature. Similarly, laser therapies have validated simulators. Newer technologies do have available simulators, but they have not been validated. There are strategies to improve learning and outcomes, such as having a structured training program. Simulators are available for BPH surgical procedures and some have been implemented in urology residencies. It is likely that such simulation may make urologists more facile on their learning curves for newer technologies. Further studies are needed. Future directions may include integration of simulator technology into training pathways that include surgical observation and proctorship.
KW - BPH
KW - Learning curves
KW - Simulators
KW - Training program
KW - VR
KW - Internship and Residency
KW - Humans
KW - Transurethral Resection of Prostate
KW - Male
KW - Prostatic Hyperplasia/surgery
KW - Computer Simulation
KW - Aged
KW - Education, Medical, Continuing/methods
UR - http://www.scopus.com/inward/record.url?scp=85150621588&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85150621588&partnerID=8YFLogxK
U2 - 10.1007/s11934-023-01153-w
DO - 10.1007/s11934-023-01153-w
M3 - Review article
C2 - 36947390
AN - SCOPUS:85150621588
SN - 1527-2737
VL - 24
SP - 261
EP - 269
JO - Current Urology Reports
JF - Current Urology Reports
IS - 6
ER -