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World Journal of Urology

Erschienen in:

01.12.2024 | Original Article

Development and validation of a novel home-made bench-top training model for retrograde intrarenal surgery

verfasst von: Jingfei Teng, Chong Ma, Feng Gao, Xiao Luo, Yawei Guan, Zhihui Li, Li Yao, Xing Ai

Erschienen in: World Journal of Urology | Ausgabe 1/2024

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Abstract

Purpose

To develop and validate a low-cost homemade bench-top training model to facilitate retrograde intrarenal surgery (RIRS) training.

Methods

The RIRS training model (G-Model) was developed using a surgical glove and a recycled ureter access sheath. Fifteen participants including 10 residents and 5 urologists were enrolled. Designed training curriculum for residents was carried out. Face validity, content validity, construct validity and criterion validity evaluation of the G-Model were carried out.

Results

The global score of face and content validity was 4.15 ± 0.53 and 4.65 ± 0.29, respectively. For construct validity, the overall modified global rating scale (mGRS) score was significantly improved [12.5 (5.25) vs. 24.0 (5.25), p = 0.004], and the total task time was significantly shortened (39.5 ± 4.48 min vs. 24.1 ± 3.81 min, p < 0.001) within residents after G-Model training. The baseline mGRS score and total task time of residents were poorer than those of urologists [12.5 (5.25) vs. 32.0 (1.00), p < 0.001; 39.5 ± 4.48 min vs. 16.0 ± 1.58 min, p < 0.001]. Spearman correlation analysis revealed strong correlations between residents’ G-Model and real patient performance.

Conclusion

The current study presented a valid low-cost easily accessible RIRS bench-top training model which could facilitate skill acquisition and translate to real-life scenario.

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Villa L, Somani BK, Sener TE, Cloutier J, Cloutier J, Butticè S, Marson F, Ploumidis A, Proietti S, Traxer O (2016) Comprehensive flexible ureteroscopy (FURS) simulator for training in endourology: the K-box model. Cent Eur J Urol 69(1):118–120. https://doi.org/10.5173/ceju.2016.710CrossRef

Seo N, Alsaikhan B, Gao B, Djuimo M, Koo S, Hosseinpour S, Carrillo B, Farcas M (2021) A novel ureteroscopy training platform which utilizes CT urograms to replicate complex renal collecting system anatomies. J Endourol 37(8):965–971. https://doi.org/10.1089/end.2021.0163CrossRef

Hu D, Liu T, Wang X (2015) Flexible ureteroscopy training for surgeons using isolated porcine kidneys in vitro. BMC Urol 15:71. https://doi.org/10.1186/s12894-015-0067-9CrossRefPubMedPubMedCentral

Huri E, Skolarikos A, Tatar İ, Binbay M, Sofikerim M, Yuruk E, Karakan T, Sargon M, Demiryurek D, Miano R, Bagcioglu M, Ezer M, Cracco CM, Scoffone CM (2016) Simulation of RIRS in soft cadavers: a novel training model by the cadaveric research on endourology training (CRET) Study Group. World J Urol 34(5):741–746. https://doi.org/10.1007/s00345-015-1676-3CrossRefPubMed

Cai JL, Zhang Y, Sun GF, Li NC, Yuan XL, Na YQ (2013) Proficiency of virtual reality simulator training in flexible retrograde ureteroscopy renal stone management. Chin Med J (Engl) 126(20):3940–3943. https://doi.org/10.3760/cma.j.issn.0366-6999.20130983CrossRefPubMed

Olweny EO, Pearle MS (2011) Update on resident training models for ureteroscopy. Curr Urol Rep 12(2):115–120. https://doi.org/10.1007/s11934-010-0169-6CrossRefPubMed

Schout BM, Hendrikx AJ, Scherpbier AJ, Bemelmans BL (2008) Update on training models in endourology: a qualitative systematic review of the literature between January 1980 and April 2008. Eur Urol 54(6):1247–1261. https://doi.org/10.1016/j.eururo.2008.06.036CrossRefPubMed

Matsumoto ED, Hamstra SJ, Radomski SB, Cusimano MD (2001) A novel approach to endourological training: training at the Surgical Skills Center. J Urol 166(4):1261–1266. https://doi.org/10.1016/s0022-5347(05)65749-7CrossRefPubMed

Ahmed K, Patel S, Aydin A, Veneziano D, van Cleynenbreugel B, Gözen AS, Skolarikos A, Sietz C, Lahme S, Knoll T, Redorta JP, Somani BK, Sanguedolce F, Liatsikos E, Rassweiler J, Khan MS, Dasgupta P, Sarica K (2018) European Association of Urology Section of Urolithiasis (EULIS) consensus statement on simulation, training, and assessment in urolithiasis. Eur Urol Focus 4(4):614–620. https://doi.org/10.1016/j.euf.2017.03.006CrossRefPubMed

10.

Veneziano D, Ploumidis A, Proietti S, Tokas T, Kamphuis G, Tripepi G, Van Cleynenbreugel B, Gozen A, Breda A, Palou J, Sarica K, Liatsikos E, Ahmed K, Somani BK, European School of Urology training group (2018) Evolution and uptake of the endoscopic stone treatment step 1 (EST-s1) protocol: establishment, validation, and assessment in a collaboration by the European School of Urology and the Uro-Technology and Urolithiasis Sections. Eur Urol 74(3):401–402. https://doi.org/10.1016/j.eururo.2018.05.012CrossRefPubMed

11.

Somani BK, Van Cleynenbreugel B, Gozen A, Palou J, Barmoshe S, Biyani S, Gaya JM, Hellawell G, Pini G, Oscar FR, Sanchez Salas R, Macek P, Skolarikos A, Wagner C, Eret V, Haensel S, Siena G, Schmidt M, Klitsch M, Vesely S, Ploumidis A, Proietti S, Kamphuis G, Tokas T, Geraghty R, Veneziano D (2019) The European Urology Residents Education Programme Hands-on Training Format: 4 years of hands-on training improvements from the European School of Urology. Eur Urol Focus 5(6):1152–1156. https://doi.org/10.1016/j.euf.2018.03.002CrossRefPubMed

12.

Cloutier J, Traxer O (2015) Do high-fidelity training models translate into better skill acquisition for an endourologist? Curr Opin Urol 25(2):143–152. https://doi.org/10.1097/MOU.0000000000000143CrossRefPubMed

13.

Trelles Guzmán CR, Mainez Rodríguez JA, Aguado-Maestro I, Cansino Alcaide R, Pérez-Carral JR, Martínez-Piñeiro L (2022) 3D printed model for flexible ureteroscopy training, a low-cost option for surgical training. Actas Urol Esp (Engl Ed) 46(1):16–21. https://doi.org/10.1016/j.acuroe.2021.07.009CrossRefPubMed

14.

Bele U, Kelc R (2016) Upper and lower urinary tract endoscopy training on thiel-embalmed cadavers. Urology 93:27–32. https://doi.org/10.1016/j.urology.2016.01.040CrossRefPubMed

15.

Orecchia L, Manfrin D, Germani S, Del Fabbro D, Asimakopoulos AD, Finazzi Agrò E, Miano R (2021) Introducing 3D printed models of the upper urinary tract for high-fidelity simulation of retrograde intrarenal surgery. Print Med 7(1):15. https://doi.org/10.1186/s41205-021-00105-9CrossRef

16.

Matsumoto ED, Hamstra SJ, Radomski SB, Cusimano MD (2002) The effect of bench model fidelity on endourological skills: a randomized controlled study. J Urol 167(3):1243–1247CrossRefPubMed

17.

Mishra S, Sharma R, Kumar A, Ganatra P, Sabnis RB, Desai MR (2011) Comparative performance of high-fidelity training models for flexible ureteroscopy: are all models effective? Indian J Urol 27(4):451–456. https://doi.org/10.4103/0970-1591.91431CrossRefPubMedPubMedCentral

18.

Soria F, Morcillo E, Serrano A, Cansino R, Rioja J, Fernandez I, de la Cruz J, Van Cleynenbreugel B, Sanchez-Margallo FM (2015) Development and validation of a novel skills training model for retrograde intrarenal surgery. J Endourol 29(11):1276–1281. https://doi.org/10.1089/end.2015.0421CrossRefPubMed

19.

Villa L, Şener TE, Somani BK, Cloutier J, Butticè S, Marson F, Doizi S, Proietti S, Traxer O (2017) Initial content validation results of a new simulation model for flexible ureteroscopy: the key-box. J Endourol 31(1):72–77. https://doi.org/10.1089/end.2016.0677CrossRefPubMed

20.

Blankstein U, Lantz AG, Honey RJ, Pace KT, Ordon M, Lee JY (2015) Simulation-based flexible ureteroscopy training using a novel ureteroscopy part-task trainer. Can Urol Assoc J 9(9–10):331–335. https://doi.org/10.5489/cuaj.2811CrossRefPubMedPubMedCentral

21.

Ogan K, Jacomides L, Shulman MJ, Roehrborn CG, Cadeddu JA, Pearle MS (2004) Virtual ureteroscopy predicts ureteroscopic proficiency of medical students on a cadaver. J Urol 172(2):667–671. https://doi.org/10.1097/01.ju.0000131631.60022.d9CrossRefPubMed

Titel: Development and validation of a novel home-made bench-top training model for retrograde intrarenal surgery
verfasst von: Jingfei Teng
Chong Ma
Feng Gao
Xiao Luo
Yawei Guan
Zhihui Li
Li Yao
Xing Ai
Publikationsdatum: 01.12.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: World Journal of Urology / Ausgabe 1/2024
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-023-04728-x

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Abstract

Purpose

Methods

Results

Conclusion

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