{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:58:29Z","timestamp":1790405909385,"version":"4.1.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>TURP remains a cornerstone endourology procedure and a key training platform for transurethral endoscopic skills. The aim of this study is to develop a transurethral treatment (TUT) Step 2-Prostate curriculum using cognitive task analysis (CTA) and Delphi consensus using the European School of Urology (ESU) methodology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>An ESU expert working group performed CTA and structured TURP into 10 domains (equipment, patient preparation, resection technique, bleeding prevention, bleeding management, exit strategy, tips and tricks, postoperative care, TUR syndrome, and management of other intraoperative difficulties).CTA-derived statements were assessed in a two-round Delphi (1\u20139 Likert scale) with consensus defined as \u226580% agreement (7\u20139) and &lt;10% disagreement (1\u20133).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 109 invited experts, 62 completed round 1 and 55 completed round 2. In round 1, 138 statements were evaluated and 116 (84.1%) reached consensus; after reevaluation of 23 statements in round 2, a total of 126\/138 (92.7%) statements achieved consensus, and one statement was rejected. Consensus was highest for safety-critical steps and complication management, while lower agreement clustered around equipment choices and some postoperative practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A CTA-informed, Delphi-validated ESU TUT Step 2P curriculum was established, defining consensus-based core competencies for TURP and providing a structured foundation for simulation development, standardized teaching, and competency-based assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790261456699","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T11:50:30Z","timestamp":1780919430000},"page":"1061-1066","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development of the Transurethral Treatment Intermediate Skills Curriculum for TURP (Step 2P): A Cognitive Task Analysis and Delphi Consensus from the European School of Urology"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5737-6047","authenticated-orcid":false,"given":"Juan-Pablo","family":"Caballero-Romeu","sequence":"first","affiliation":[{"name":"Department of Urology, Dr. Balmis General University General Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain."},{"name":"European School of Urology (ESU), Lower Urinary Tract Endoscopy Working Group, Arnhem, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarik Emre","family":"Sener","sequence":"additional","affiliation":[{"name":"European School of Urology (ESU), Lower Urinary Tract Endoscopy Working Group, Arnhem, The Netherlands."},{"name":"Department of Urology, School of Medicine, Marmara University, Istanbul, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiago","family":"Ribeiro de Oliveira","sequence":"additional","affiliation":[{"name":"European School of Urology (ESU), Lower Urinary Tract Endoscopy Working Group, Arnhem, The Netherlands."},{"name":"Department of Urology, Armed Forces Hospital, Lisbon, Portugal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2714-0006","authenticated-orcid":false,"given":"Davide","family":"Perri","sequence":"additional","affiliation":[{"name":"European School of Urology (ESU), Lower Urinary Tract Endoscopy Working Group, Arnhem, The Netherlands."},{"name":"Department of Urology, Azienda Socio Sanitaria Territoriale Lariana, Como, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Pereira","sequence":"additional","affiliation":[{"name":"European School of Urology (ESU), Lower Urinary Tract Endoscopy Working Group, Arnhem, The Netherlands."},{"name":"Department of Urology, Lisbon Medical Academic Centre, Lisbon, Portugal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Osorio","sequence":"additional","affiliation":[{"name":"European School of Urology (ESU), Lower Urinary Tract Endoscopy Working Group, Arnhem, The Netherlands."},{"name":"Department of Urology, Lus\u00edadas Porto Hospital, Porto, Portugal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurian","family":"Dragos","sequence":"additional","affiliation":[{"name":"European School of Urology (ESU), Lower Urinary Tract Endoscopy Working Group, Arnhem, The Netherlands."},{"name":"Department of Urology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"van Cleynenbreugel","sequence":"additional","affiliation":[{"name":"European School of Urology (ESU), Lower Urinary Tract Endoscopy Working Group, Arnhem, The Netherlands."},{"name":"Department of Urology, Faculty of Medicine, Leuven University Hospital, Leuven, Belgium."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Paciotti","sequence":"additional","affiliation":[{"name":"European School of Urology (ESU), Lower Urinary Tract Endoscopy Working Group, Arnhem, The Netherlands."},{"name":"Department of Biomedical Sciences, Humanitas University, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paramananthan","family":"Mariappan","sequence":"additional","affiliation":[{"name":"European School of Urology (ESU), Lower Urinary Tract Endoscopy Working Group, Arnhem, The Netherlands."},{"name":"Department of Urology, IRCCS Humanitas Research Hospital, Milan, Italy."},{"name":"Department of Urology, Edinburgh Bladder Cancer Surgery, Western General Hospital, University of Edinburgh, Edinburgh, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Kartalas Goumas","sequence":"additional","affiliation":[{"name":"European School of Urology (ESU), Lower Urinary Tract Endoscopy Working Group, Arnhem, The Netherlands."},{"name":"Department of Urology, Istituto Clinico Beato Matteo, Vigevano, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Moris","sequence":"additional","affiliation":[{"name":"European School of Urology (ESU), Lower Urinary Tract Endoscopy Working Group, Arnhem, The Netherlands."},{"name":"Department of Urology, University Hospitals Leuven, Leuven, Belgium."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domenico","family":"Veneziano","sequence":"additional","affiliation":[{"name":"Department of Urology, Smith Institute for Urology, Northwell Health, New York, USA."},{"name":"European School of Urology (ESU), Arnhem, The 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