Evidence map›Paper›PMID 40681874›Full record

SynthesisWorld journal of urology2025

Simulation-based training in minimally invasive surgical therapies (MIST): current evidence and future directions for artificial intelligence integration-a systematic review by EAU endourology.

Carlotta Nedbal, Vineet Gauhar, Thomas Herrmann, Abhishek Singh, Ali Talyshinskii, Feras Al Jaafari, Bhaskar Kumar Somani

Abstract readSystematic Review
In one paragraph

Synthesis in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Carlotta NedbalPolytechnic University Le Marche, Ancona, Italy. carlottanedbal@gmail.com.ORCID http://orcid.org/0000-0003-2031-347X
Vineet GauharEndourology Section, European Association of Urology, Arnhem, The Netherlands.
Thomas HerrmannEndourology Section, European Association of Urology, Arnhem, The Netherlands.
Abhishek SinghDepartment of Community Medicine and Public Health, King George's Medical University, Lucknow, Uttar Pradesh, India.
Ali TalyshinskiiAstana Medical University, Astana, Astana, Kazakhstan.
Feras Al JaafariSchool of Medicine, University of St Andrews and Victoria Hospital, NHS Fife, Kirkcaldy, Scotland, UK.
Bhaskar Kumar SomaniEndourology Section, European Association of Urology, Arnhem, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBenign prostatic hyperplasia (BPH) affects a growing proportion of the aging male population. Minimally invasive surgical therapies (MISTs) such as Rezum and UroLift offer effective alternatives to traditional approaches like transurethral resection of the prostate (TURP). However, training in these procedures is challenged by limited case exposure and variability across residency programs. Simulation-based training has emerged as a valuable tool to enhance surgical education. This study aims to assess the current evidence on simulation-based training for Rezum and UroLift, evaluating its validity, effectiveness, and potential integration with artificial intelligence (AI) in urology education. MATERIALS AND

methodsA systematic literature review was conducted on March 11, 2025, across PubMed, Scopus, Cochrane, and Google Scholar following PRISMA guidelines. Search terms included combinations of MIST techniques (Rezum, UroLift, iTIND) and training modalities (simulation, virtual reality, artificial intelligence). Studies were selected using PICOS criteria, focusing on urology trainees undergoing simulation-based training. Preclinical, review, and non-English studies were excluded.

resultsonly 3 studies met the inclusion criteria: one focused on Ron between junior and senior residents, especially in implant placement and procedural technique. Simulation was highly rated by trainees in workshop settings, though predictive validity remains unproven.

conclusionSimulation-based training for Rezum and UroLift is a promising method to enhance resident competency in MIST procedures. Current evidence supports its face, content, and construct validity, though further studies are needed to confirm predictive validity and optimize training protocols. Integration of AI and telementoring may further improve training effectiveness and accessibility across institutions.

Indexed as

Artificial IntelligenceMinimally Invasive Surgical ProceduresProstatic HyperplasiaSimulation TrainingUrologic Surgical ProceduresUrologyForecastingHumansMaleArtificial intelligenceBPHMISTSimulationTraining

Identifiers

PMID40681874
PMCPMC12274230

What OpenQuestion holds

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Registered trials

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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.