Tarik Emre Sener

Simulation-based surgical training (SST) has become an increasingly important part of contemporary urological education because of growing procedural complexity, patient-safety expectations, limited operative exposure, and the shift toward competency-based training. This review examines the current impact of SST in urology from the perspective of the European School of Urology (ESU) and the European Association of Urology (EAU) Endourology Section.

Why Laser Enucleation Needs a Dedicated Training Model Laser enucleation of the prostate (LEP) has established clinical superiority over transurethral resection for the surgical management of benign prostatic obstruction, offering durable outcomes and low complication rates across a wide range of prostate sizes. Despite this evidence base, LEP remains underutilized in many centers. The limiting factor is not the technology — it is the learning curve.

Transurethral resection of the prostate and transurethral resection of bladder tumors remain among the most important procedures in endoscopic urology. Transurethral Resection of the Prostate (TURP) continues to be a reference surgical technique for benign prostatic obstruction in appropriately selected patients. At the same time, trans urethral resection of the bladder (TURB) remains fundamental for the diagnosis, staging, and treatment of bladder tumors.