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A Simple, Non - Biological Model for Percutaneous Renal Access Training
Ahsen Karagozlu Akgul1, Dursun Unal2, Murat Demirbas2
1Uludag University Faculty of Medicine, Department of Pediatric Surgery-Division of Pediatric Urology, Bursa,Turkey. ahsenkaragozlu@yahoo.com.
Urology Journal
|December 19, 2017
Summary
This study introduces a new, cost-effective non-biological training model for percutaneous renal puncture (PRP). The model effectively improves surgical skills for procedures like percutaneous nephrolithotomy (PCNL), as shown by reduced procedure times and fewer attempts.
Area of Science:
- Urology
- Surgical Education
- Medical Simulation
Background:
- Percutaneous renal puncture (PRP) is a critical step in urological procedures such as percutaneous nephrostomy and percutaneous nephrolithotomy (PCNL).
- Effective and economical training models are essential for developing proficiency in PRP.
- Existing models may lack cost-effectiveness or reusability.
Purpose of the Study:
- To describe a novel, simple, non-biological model for learning PRP.
- To evaluate the model's effectiveness as a training and assessment tool for PRP.
- To compare the model's cost-effectiveness with existing alternatives.
Main Methods:
- A training box with radiopaque pelvicalyceal system maquettes was designed.
- Novice surgeons and experienced urologists (experts) performed PRP using the model.
- Novices underwent pre- and post-training assessments, with data on procedure time, X-ray exposure, and puncture attempts recorded.
Main Results:
- Novices demonstrated significant skill improvement after training, evidenced by reduced procedure times, decreased X-ray exposure, and fewer puncture attempts (P < .001).
- Experts rated the model highly, with four of five scoring it as 'excellent' and one as 'very good' for training and assessment.
Conclusions:
- The developed non-biological model is an effective tool for enhancing PRP skills.
- The model is simple, economical, highly reusable, portable, and offers good visibility and imaging.
- This training model has the potential for widespread adoption in urological training centers.
