My view is different. If we compare how we learned TURP and HOLEP we'll see many differences. First, we have seen many interventions as spectators before our first attempt, and this is crucial, because is not a different way to cut or coagulate. Is a matter of a 3D anatomical view who has changed. Is a matter of knowing were we are and how we can differentiate what we have to cut and we have to avoid cutting. I learned this procedure around 3-4 years before. Now a member of my team is doing the technique too, after assisting as expectator, if you want, many procedures. The problem? You should have a member of the team previously prepared. And this first member, for economical reasons, is only in part well trained.
I do not deny the value of a good mentor, which is essentisl, but also want to explore all technical and non -technical difficulties which would prevent one from learning the procedure efficiently.