Evidence map›Paper›PMID 40999071›Full record

ReviewProstate cancer and prostatic diseases2025

Endoscopic simulators in benign prostatic hyperplasia surgical training: a scoping review.

Nicolas Siron, Othmane Zekraoui, Marie-Lyssa Lafontaine, Claudia Deyirmendjian, Liam Murad, Tudor Pintilei, Sophie Abou Samra, Abbas Guennoun, Anis Assad, Kussil Oumedjbeur and 5 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Prostate cancer and prostatic diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

15 authors.

Nicolas SironDivision of Urology, University of Montreal Health Center, Montreal, QC, Canada. ns.siron@gmail.com.ORCID http://orcid.org/0000-0002-0888-5988
Othmane ZekraouiDivision of Urology, University of Montreal Health Center, Montreal, QC, Canada.
Marie-Lyssa LafontaineDivision of Urology, University of Montreal Health Center, Montreal, QC, Canada.
Claudia DeyirmendjianDivision of Urology, University of Montreal Health Center, Montreal, QC, Canada.
Liam MuradFaculty of Medicine, McGill University, Montreal, QC, Canada.
Tudor PintileiDivision of Urology, University of Montreal Health Center, Montreal, QC, Canada.
Sophie Abou SamraDivision of Urology, University of Montreal Health Center, Montreal, QC, Canada.
Abbas GuennounDivision of Urology, University of Montreal Health Center, Montreal, QC, Canada.
Anis AssadDivision of Urology, University of Montreal Health Center, Montreal, QC, Canada.
Kussil OumedjbeurDivision of Urology, University of Montreal Health Center, Montreal, QC, Canada.
Ryan SchwartzDivision of Urology, University of Montreal Health Center, Montreal, QC, Canada.
Dean EltermanDivision of Urology, University of Toronto, Toronto, ON, Canada.
Bilal ChughtaiDivision of Urology, Northwell Health, Plainview, New York, NY, USA.ORCID http://orcid.org/0000-0002-0515-2578
Marcelino RiveraDepartment of Urology, Indiana University School of Medicine, Indianapolis, IN, USA.
Naeem BhojaniDivision of Urology, University of Montreal Health Center, Montreal, QC, Canada.ORCID http://orcid.org/0000-0003-2679-2635

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSimulation-based training (SBT) is designed to mimic real-life surgeries and help surgeons develop skills they can transfer to the operating room in a risk-free environment. With the emergence of numerous surgical therapies for benign prostatic hyperplasia (BPH), a need has developed for new learning tools in addition to standard clinical exposure. In this scoping review, we aimed to provide a comprehensive and updated outline of available endoscopic BPH simulators.

methodsWe conducted a scoping review in accordance with the Joanna Briggs Institute methodology. References were identified through searches of MEDLINE, Embase, Web of Science, and CINAHL from inception to March 2025. A search of Google Scholar was also conducted to identify grey literature references. Keywords searched included those related to simulators, medical education and BPH surgeries. Studies included were original articles on simulators used for endoscopic BPH surgery. Data pertaining to simulator validity, acceptability and feasibility were collected.

resultsForty-five records were included, with one reference consisting of a multi-modality curriculum used for simulating two BPH surgeries. Thirty studies assessed transurethral resection of prostate (TURP) simulators, six studies for GreenLight laser prostatectomy (PVP), eight studies for anatomic endoscopic enucleation of the prostate (AEEP) procedures, and two articles for Urolift. For TURP simulators, four bench-top models, nine virtual reality simulators, two food-based phantoms, and one porcine model were identified. For HoLEP simulators, three bench-top models, two VR simulators, and one human cadaver prostate model were assessed. Furthermore, virtual simulation was the only modality tested for PVP (two simulators), ThuLEP (one simulator), and Urolift (one simulator).

conclusionOur results suggest a need for developing SBT models other than TURP. Future iterations of BPH surgical models should be evaluated using the modern definition of validity with the goal of integration into surgical curriculum.

Identifiers

PMID40999071

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.