{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T22:35:54Z","timestamp":1773354954121,"version":"3.50.1"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Urol"],"DOI":"10.1007\/s00345-026-06344-x","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T11:40:57Z","timestamp":1773315657000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["En-bloc HoLEP training and learning curve challenges: a multi-generational survey study"],"prefix":"10.1007","volume":"44","author":[{"given":"Pavel","family":"Lyatoshinsky","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thibaut","family":"Liernur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Rein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orlando","family":"Burkhardt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Engeler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gautier","family":"M\u00fcllhaupt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Seiler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Blarer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andry","family":"Perrin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Valerio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik","family":"Abt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"issue":"1","key":"6344_CR1","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1186\/s12894-025-01788-6","volume":"25","author":"LS Matter","year":"2025","unstructured":"Matter LS, Burkhardt O, Lyatoshinsky P, Blarer J, Seiler R, Abt D (2025) Surgical treatment of lower urinary tract symptoms secondary to benign prostatic obstruction: an analysis and meta-synthesis of available guidelines. BMC Urol 25(1):99","journal-title":"BMC Urol"},{"issue":"1","key":"6344_CR2","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1159\/000019535","volume":"33","author":"MR Fraundorfer","year":"1998","unstructured":"Fraundorfer MR, Gilling PJ (1998) Holmium:YAG laser enucleation of the prostate combined with mechanical morcellation: preliminary results. Eur Urol 33(1):69\u201372","journal-title":"Eur Urol"},{"issue":"8","key":"6344_CR3","doi-asserted-by":"publisher","first-page":"1175","DOI":"10.1007\/s00345-015-1741-y","volume":"34","author":"CM Scoffone","year":"2016","unstructured":"Scoffone CM, Cracco CM (2016) The en-bloc no-touch holmium laser enucleation of the prostate (HoLEP) technique. World J Urol 34(8):1175\u20131181","journal-title":"World J Urol"},{"issue":"5","key":"6344_CR4","doi-asserted-by":"publisher","first-page":"333","DOI":"10.4111\/icu.2019.60.5.333","volume":"60","author":"SJ Oh","year":"2019","unstructured":"Oh SJ (2019) Current surgical techniques of enucleation in holmium laser enucleation of the prostate. Investig Clin Urol 60(5):333\u2013342","journal-title":"Investig Clin Urol"},{"issue":"7","key":"6344_CR5","doi-asserted-by":"publisher","first-page":"2337","DOI":"10.1007\/s00345-021-03598-5","volume":"39","author":"F Rucker","year":"2021","unstructured":"Rucker F, Lehrich K, Bohme A, Zacharias M, Ahyai SA, Hansen J (2021) A call for HoLEP: en-bloc vs. two-lobe vs. three-lobe. World J Urol 39(7):2337\u20132345","journal-title":"World J Urol"},{"key":"6344_CR6","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1016\/j.urology.2023.02.014","volume":"175","author":"A Tamalunas","year":"2023","unstructured":"Tamalunas A, Schott M, Keller P, Atzler M, Ebner B, Hennenberg M, Stief CG, Magistro G (2023) Efficacy, Efficiency, and Safety of En-bloc vs Three-lobe Enucleation of the Prostate: A Propensity Score-matched Analysis. Urology 175:48\u201355","journal-title":"Urology"},{"issue":"1","key":"6344_CR7","doi-asserted-by":"publisher","first-page":"47","DOI":"10.5152\/tud.2024.23177","volume":"50","author":"A Dinkar Mahajan","year":"2024","unstructured":"Dinkar Mahajan A, Rajendra Sharma A (2024) Holmium Laser Enucleation of Prostate: Is novel En Bloc Enucleation Technique Better Than the Traditional 2-Lobe Technique-A Prospective Randomized Study. Urol Res Pract 50(1):47\u201352","journal-title":"Urol Res Pract"},{"issue":"11","key":"6344_CR8","doi-asserted-by":"publisher","first-page":"1675","DOI":"10.1089\/end.2020.1189","volume":"35","author":"A Tuccio","year":"2021","unstructured":"Tuccio A, Grosso AA, Sessa F, Salvi M, Tellini R, Cocci A, Viola L, Verrienti P, Di Camillo M, Di Maida F et al (2021) En-Bloc Holmium Laser Enucleation of the Prostate with Early Apical Release: Are We Ready for a New Paradigm? J Endourol 35(11):1675\u20131683","journal-title":"J Endourol"},{"issue":"7","key":"6344_CR9","doi-asserted-by":"publisher","first-page":"2427","DOI":"10.1007\/s00345-020-03451-1","volume":"39","author":"D Enikeev","year":"2021","unstructured":"Enikeev D, Morozov A, Taratkin M, Misrai V, Rijo E, Podoinitsin A, Gabdullina S, Herrmann TRW (2021) Systematic review of the endoscopic enucleation of the prostate learning curve. World J Urol 39(7):2427\u20132438","journal-title":"World J Urol"},{"key":"6344_CR10","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.urology.2018.06.012","volume":"120","author":"S Kampantais","year":"2018","unstructured":"Kampantais S, Dimopoulos P, Tasleem A, Acher P, Gordon K, Young A (2018) Assessing the Learning Curve of Holmium Laser Enucleation of Prostate (HoLEP). A Systematic Review. Urology 120:9\u201322","journal-title":"Urology"},{"key":"6344_CR11","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.urology.2018.06.045","volume":"121","author":"D Enikeev","year":"2018","unstructured":"Enikeev D, Glybochko P, Rapoport L, Gahan J, Gazimiev M, Spivak L, Enikeev M, Taratkin M (2018) A Randomized Trial Comparing The Learning Curve of 3 Endoscopic Enucleation Techniques (HoLEP, ThuFLEP, and MEP) for BPH Using Mentoring Approach-Initial Results. Urology 121:51\u201357","journal-title":"Urology"},{"issue":"8","key":"6344_CR12","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1177\/08927790251360022","volume":"39","author":"M Glienke","year":"2025","unstructured":"Glienke M, Ozkan A, Sigle A, Schoeb DS, Wilhelm K, Schoenthaler M, von Bargen MF, Gratzke C, Miernik A (2025) Mastering HoLEP: Learning Curves and Perioperative Complications in Holmium Laser Enucleation of the Prostate. J Endourol 39(8):849\u2013855","journal-title":"J Endourol"},{"issue":"1","key":"6344_CR13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.acuro.2019.08.008","volume":"44","author":"F Agreda Castaneda","year":"2020","unstructured":"Agreda Castaneda F, Buisan Rueda O, Areal Calama JJ (2020) The complications of the HoLEP learning curve. A systematic review. Actas Urol Esp (Engl Ed) 44(1):1\u20138","journal-title":"Actas Urol Esp (Engl Ed)"},{"issue":"3","key":"6344_CR14","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1111\/bju.13124","volume":"117","author":"G Robert","year":"2016","unstructured":"Robert G, Cornu JN, Fourmarier M, Saussine C, Descazeaud A, Azzouzi AR, Vicaut E, Lukacs B (2016) Multicentre prospective evaluation of the learning curve of holmium laser enucleation of the prostate (HoLEP). BJU Int 117(3):495\u2013499","journal-title":"BJU Int"},{"issue":"6","key":"6344_CR15","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1007\/s00345-016-1957-5","volume":"35","author":"B Peyronnet","year":"2017","unstructured":"Peyronnet B, Robert G, Comat V, Roupret M, Gomez-Sancha F, Cornu JN, Misrai V (2017) Learning curves and perioperative outcomes after endoscopic enucleation of the prostate: a comparison between GreenLight 532-nm and holmium lasers. World J Urol 35(6):973\u2013983","journal-title":"World J Urol"},{"issue":"3","key":"6344_CR16","doi-asserted-by":"publisher","first-page":"477","DOI":"10.21037\/tau-23-106","volume":"12","author":"X Wang","year":"2023","unstructured":"Wang X, Chen G, Wu P, Ben L, Liu Q, Wang J (2023) The en bloc method is feasible for beginners learning to perform holmium laser enucleation of the prostate. Transl Androl Urol 12(3):477\u2013486","journal-title":"Transl Androl Urol"},{"key":"6344_CR17","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1016\/j.urology.2022.01.011","volume":"165","author":"B Press","year":"2022","unstructured":"Press B, Ghiraldi E, Kim DD, Nair H, Johnson K, Kellner D (2022) En-Bloc Enucleation With Early Apical Release Compared to Standard Holmium Laser Enucleation of the Prostate: A Retrospective Pilot Study During the Initial Learning Curve of a Single Surgeon. Urology 165:275\u2013279","journal-title":"Urology"},{"issue":"11","key":"6344_CR18","doi-asserted-by":"publisher","first-page":"2451","DOI":"10.1007\/s00345-019-02671-4","volume":"37","author":"G Saitta","year":"2019","unstructured":"Saitta G, Becerra JEA, Del Alamo JF, Gonzalez LL, Elbers JR, Suardi N, Gomez-Sancha F (2019) En Bloc\u2019 HoLEP with early apical release in men with benign prostatic hyperplasia. World J Urol 37(11):2451\u20132458","journal-title":"World J Urol"},{"issue":"7","key":"6344_CR19","first-page":"e41756","volume":"15","author":"AJ Martinez-Salas","year":"2023","unstructured":"Martinez-Salas AJ, Garcia-Rivera OU, Reyna-Blanco I, Jimenez-Garcia AD, Rosas-Hernandez H (2023) Adequate Mentorship Program for Holmium Laser Enucleation of the Prostate (HoLEP) Leads to Satisfactory Short-Term Outcomes in the Early Learning Curve of Young Urologists: First-Year Outcomes of a Newly Established Mentorship Training in Mexico. Cureus 15(7):e41756","journal-title":"Cureus"},{"issue":"2","key":"6344_CR20","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/j.purol.2022.06.002","volume":"33","author":"M Sie","year":"2023","unstructured":"Sie M, Saussine C, Munier P, Tricard T (2023) Analysing the learning curve of prostate enucleation with the Holmium laser: A retrospective, single-center experience. Prog Urol 33(2):79\u201387","journal-title":"Prog Urol"},{"issue":"9","key":"6344_CR21","doi-asserted-by":"publisher","first-page":"977","DOI":"10.1089\/end.2024.0054","volume":"38","author":"JSS Chavali","year":"2024","unstructured":"Chavali JSS, Rivera ME, Lingeman JE (2024) HoLEP Learning Curve-Resident Perspective: Survey of Senior Residents from High-Volume Tertiary Center. J Endourol 38(9):977\u2013981","journal-title":"J Endourol"},{"issue":"3","key":"6344_CR22","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1111\/luts.12379","volume":"13","author":"D Whiting","year":"2021","unstructured":"Whiting D, Penev B, Ijaaz A, Guest K, Cynk M (2021) En bloc enucleation technique during holmium laser enucleation of the prostate: An analysis of its efficiency. Low Urin Tract Symptoms 13(3):372\u2013376","journal-title":"Low Urin Tract Symptoms"}],"container-title":["World Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-026-06344-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00345-026-06344-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-026-06344-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T11:40:58Z","timestamp":1773315658000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00345-026-06344-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,12]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6344"],"URL":"https:\/\/doi.org\/10.1007\/s00345-026-06344-x","relation":{},"ISSN":["1433-8726"],"issn-type":[{"value":"1433-8726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,12]]},"assertion":[{"value":"26 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"There are no financial or non-financial interests that are directly or indirectly related to the work submitted for publication by any of the authors.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Participation in the survey was voluntary, and informed consent was obtained from all participants of the survey.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable. The research did not involve patient data or experimental interventions on human subjects.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human ethics"}}],"article-number":"237"}}