Evidence map›Paper›PMID 42081043›Full record

ArticleWorld journal of urology2026

Face and content validation of TURP and TURB simulation models: an EAU European School of Urology (ESU) Lower Urinary Tract Endoscopy Working Group Study.

Tarik Emre Sener, Tiago Ribeiro de Oliveira, Engin Denizhan Demirkiran, Davide Perri, Sergio Pereira, Juan Pablo Caballero, Luis Osorio, Ioannis Goumas Kartalas, Rodrigo Ramos, Afonso Sousa Castro and 9 more

Abstract readValidation Study
In one paragraph

Article in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

19 authors.

Tarik Emre SenerDepartment of Urology, School of Medicine, Marmara University, Marmara Üniversitesi Pendik Eğitim Ve Araştırma Hastanesi, Üroloji Anabilim Dalı, 4. Kat. Fevzi Çakmak Mah, Pendik, 34890, Istanbul, Turkey. dr.emresener@gmail.com.
Tiago Ribeiro de OliveiraDepartment of Urology, Armed Forces Hospital, Lisbon, Portugal.
Engin Denizhan DemirkiranDepartment of Urology, School of Medicine, Zonguldak Bülent Ecevit University, Zonguldak, Türkiye.
Davide PerriDepartment of Urology, Azienda Socio Sanitaria Territoriale Lariana, Como, Italy.
Sergio PereiraDepartment of Urology, Lisbon Medical Academic Centre, Lisbon, Portugal.
Juan Pablo CaballeroDepartment of Urology, University General Hospital, Alicante, Spain.
Luis OsorioDepartment of Urology, Lusíadas Porto Hospital, Porto, Portugal.
Ioannis Goumas KartalasDepartment of Urology, Istituto Clinico Beato Matteo, Vigevano, Italy.
Rodrigo RamosDepartment of Urology, Portuguese Institute of Oncology Lisboa, Lisbon, Portugal.
Afonso Sousa CastroDepartment of Urology, Portuguese Institute of Oncology Lisboa, Lisbon, Portugal.
Daniel Oliveira ReisDepartment of Urology, Armed Forces Hospital, Lisbon, Portugal.
Marco PaciottiDepartment of Urology, IRCCS Humanitas Research Hospital Rozzano, Milan, Italy.
Paramananthan MariappanDepartment of Urology, Edinburgh Bladder Cancer Surgery, Western General Hospital, University of Edinburgh, Edinburgh, UK.
Pietro DianaDepartment of Urology, Fundacio Puigvert, Barcelona, Spain.
Laurian DragosDepartment of Urology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Domenico VenezianoDepartment of Urology, Bronxcare Health System, New York, USA.
Chandra Shekhar BiyaniDepartment of Urology, St James's University Hospital, Leeds, UK.
Bhaskar SomaniDepartment of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Evangelos LiatsikosDepartment of Urology, University Hospital Patras, Patras, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the educational validity of two bench-top simulators for Transurethral Resection of the Prostate (TURP) and Transurethral Resection of Bladder Tumor (TURB), focusing on their realism, ergonomics, and relevance for structured endourology training. MATERIALS AND

methodsFourteen expert endourologists from multiple European centers assessed both simulators during the European Association of Urology Residents Education Programme (EUREP) 2025. Face validity and content validity were evaluated using 4-point Likert questionnaires. Item-level (I-CVI) and scale-level (S-CVI/Ave) content validity indices were calculated for all items and adjusted for core procedural skills.

resultsExperts rated both simulators highly for anatomical realism, tissue handling, and overall utility (mean scores > 3.5/4). The TURP simulator achieved an adjusted S-CVI/Ave of 0.92 and the TURB simulator 0.97, indicating excellent consensus on their educational adequacy for key procedural steps. Non-modeled features such as bleeding, obturator reflex, and energy modulation received low ratings, reflecting inherent limitations of bench-top simulation. Both models were considered effective for practicing instrument handling and resection depth control in a risk-free, standardized environment.

conclusionsThe TURP and TURB simulators demonstrated strong face and content validity for core resection training. Their modular, non-biological, and reproducible design supports safe, structured skill acquisition and competency assessment in endourology curricula, offering a practical bridge between theoretical learning and clinical performance.

Indexed as

Simulation TrainingTransurethral Resection of BladderTransurethral Resection of ProstateUrinary Bladder NeoplasmsUrologyEuropeHumansMaleModels, AnatomicEndourology trainingSimulationSurgical educationTURBTURPValidation

Identifiers

PMID42081043
PMCPMC13139298

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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.