Endoscopic surgical simulation using low-fidelity and virtual reality transurethral resection simulators in urology...

Area of Science:

• Urology
• Surgical Simulation
• Medical Education

Background:

• Transurethral resection of bladder lesions (TURBT) and prostate (TURP) are common urological procedures.
• Effective simulation models are crucial for trainee surgical skill development.

Purpose of the Study:

• To evaluate urology trainees' feedback on low-fidelity and virtual reality simulators for TURBT and TURP training.
• To compare the effectiveness of different simulation models in a boot camp setting.

Main Methods:

• Trainees evaluated two simulation models: a low-fidelity tissue model (Samed) and a virtual reality simulator (TURPMentor).
• A 5-point Likert scale questionnaire assessed model performance post-simulation.
• Data collected from 56 trainees performing 174 simulation assessments.

Main Results:

• Both Samed and TURPMentor models received high ratings from trainees.
• Samed model excelled in appearance, texture, feel, and conductibility (median scores 4-5/5).
• TURPMentor model also scored well (median scores 4/5), but trainees noted inadequate haptic feedback and inaccurate movement calibration.

Conclusions:

• Both low-fidelity and virtual reality simulators are highly rated by urology trainees for transurethral resection simulation.
• These simulators enhance trainee confidence and complement each other in providing comprehensive lower tract endoscopic resection training.