"Homemade" TUR-simulator for less than $40 U.S.? The "Tupper" experience

Area of Science:

• Urology
• Surgical Simulation
• Medical Education

Background:

• Transurethral surgery is a cornerstone of urologic practice.
• Developing effective resection skills is crucial for resident training.
• A need exists for accessible, cost-effective training tools for transurethral procedures.

Purpose of the Study:

• To introduce a novel, homemade simulator for transurethral procedures.
• To evaluate the simulator's efficacy in training resection skills and flexible cystoscopy.
• To assess the cost-effectiveness and realism of the developed simulator.

Main Methods:

• The simulator was constructed using readily available materials (garden hose, Tupperware box, etc.) costing under $40.
• Simulated mono- and bipolar resection, laser vaporesection, and flexible cystoscopy were performed.
• Different meat types were utilized to optimize the tactile feedback for realistic resection simulation.

Main Results:

• The simulator facilitated realistic training for transurethral resection and flexible cystoscopy.
• Pork and beef provided the most realistic feel for resection, while pork and chicken were optimal for laser surgery.
• Significant improvements were observed, including a 50.96% average time reduction in flexible cystoscopy tasks.

Conclusions:

• This inexpensive and simple simulator effectively trains basic endourologic skills for lower urinary tract procedures.
• It offers a valuable tool for urology residents to gain confidence and proficiency.
• The simulator can aid in training new techniques, potentially reducing patient risk.