SynthesisWorld journal of urology2021
Systematic review of the endoscopic enucleation of the prostate learning curve.
Synthesis in World journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
43 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Endoscopic enucleation vs. robot-assisted simple prostatectomy for large prostates: a systematic review and meta-analysis of patients' perspectives.Prostate cancer and prostatic diseases · 2026Pooled it
- Endoscopic enucleation of the prostate versus transurethral resection of the prostate for benign prostatic hyperplasia: a systematic review and meta-analysis.Prostate cancer and prostatic diseases · 2025Pooled it
- Comparison of EEP and TURP long-term outcomes: systematic review and meta-analysis.World journal of urology · 2023Pooled it
- [Endoscopic enucleation for prostate volumes ≥ 200 ml: current evidence, technical challenges, and clinical implications].Urologie (Heidelberg, Germany) · 2026Review
- Endoscopic enucleation of the prostate made practical: lessons from experts from the BEAM25 meeting.World journal of urology · 2026Review
- En-bloc HoLEP training and learning curve challenges: a multi-generational survey study.World journal of urology · 2026Article
- Evaluation of the Transition from Holmium:YAG to Pulsed Thulium:YAG for Laser Endoscopic Enucleation of the Prostate and the Effect on Procedural Performance.European urology open science · 2026Article
- Establishing an endoscopic enucleation of the prostate practice: a survey of strategies and challenges by successful early career urologists.World journal of urology · 2026Article
- Simulation based training versus mentorship in the initial learning curve of holmium laser enucleation of the prostate (HoLEP) surgery. The effects of simulation training on surgical success, complication rates, and surgeon workload: a prospective comparative study.World journal of urology · 2025Article
- Thulium fibre laser endoscopic enucleation of the prostate (THUFLEP) learning curve assessment: A retrospective analysis of the experience of a single surgeon.BJUI compass · 2025Article
- Endoscopic enucleation of the prostate (EEP) versus transurethral resection of the prostate (TURP): advantages and implications.Prostate cancer and prostatic diseases · 2025Article
- Re: Endoscopic enucleation of the prostate versus transurethral resection of the prostate for benign prostatic hyperplasia: a systematic review and meta-analysis.Prostate cancer and prostatic diseases · 2025Article
- Comparing the clinical outcomes and learning curves of prostatic urethral lift performed by experienced versus naïve urologists.World journal of urology · 2025Article
- Article
- Surgical outcomes of transurethral enucleation with bipolar energy for benign prostatic hyperplasia: single surgeon's initial experience.BMC urology · 2025Article
- Learning curve analysis of transurethral thulium fiber laser enucleation of the prostate with preserving urethral Mucosa at the prostatic apex.Frontiers in surgery · 2025Article
- Management and Treatment of Benign Prostatic Hyperplasia Symptoms: Current Insights.Research and reports in urology · 2025Review
- Holmium laser enucleation of the prostate vs single-port transvesical enucleation of the prostate: Single-center comparative surgical outcomes during early adoption.Central European journal of urology · 2025Article
- Letter to the editor for the article "Does concordance between preoperatively measured prostate volume and enucleated weight predict outcomes in endoscopic enucleation of the prostate? Results from the REAP database".World journal of urology · 2024Article
- Letter to the editor for the article "Optimizing hemostasis in HoLEP surgery: retrospective review of selective bipolar plasmakinetic technology guided by bladder irrigation fluid color".World journal of urology · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIt has been shown that endoscopic enucleation of the prostate (EEP) allows for similar efficacy and safety, no matter what energy and type of instruments we use, but the length of learning may differ greatly. The aim of this systematic review is to verify if there is any significant difference between EEP methods in learning. EVIDENCE ACQUISITION: We performed a systematic literature search in three databases and included only the articles containing their own data on the EEP learning curve assessment during the last 10 years. The primary endpoint was to determine the necessary experience needed to achieve a plateau. The secondary endpoints were to review methods used to evaluate a learning curve. EVIDENCE SYNTHESIS: The final sample included 17 articles, containing a total of 4615 EEPs performed by 76 surgeons, the most common method was HoLEP (9/17). The majority of articles studying HoLEP report a learning curve of experience level achievement in roughly 30-40 (min 20; max 60) cases. The studies of GreenLight laser showed high heterogeneity in the results with minimum of 20 cases and maximum of 150-200 cases. TUEB required roughly 40-50 cases to reach the plateau.
conclusionAlthough EEP is considered challenging, it shows a steep learning curve with a plateau after 30-50 cases. Proper criteria are critical for accurate assessment of the learning curve. The Trifecta and Pentafecta criteria are currently the most appropriate method to evaluate EEP learning.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.