Simulation-based prostate enucleation training: Initial experience using 3D-printed organ phantoms.

Area of Science:

• Urology
• Surgical Simulation
• Medical Education

Background:

• Anatomical endoscopic enucleation of the prostate (AEEP) is a key treatment for benign prostatic hyperplasia (BPH).
• Learning AEEP can be challenging, highlighting the need for effective training methods.
• Simulation-based training offers a safe environment for surgeons to acquire and refine skills.

Purpose of the Study:

• To assess the validity and utility of a novel organ phantom for AEEP simulation training.
• To determine if the phantom can be incorporated into surgical education curricula.
• To evaluate surgeon perceptions of the phantom's realism and effectiveness.

Main Methods:

• Urologists with varying experience levels performed AEEP on a novel hydrogel-based organ phantom.
• Training utilized three energy modalities: holmium:YAG laser, thulium fiber laser, and bipolar energy.
• Participants completed questionnaires evaluating content validity, face validity, feasibility, and acceptability.

Main Results:

• All participants affirmed the value of simulators in AEEP training.
• The phantom received positive ratings for overall operative experience, though morcellation and hemostasis were less realistic.
• A significant majority (92.9%) believed the phantom teaches skills transferable to actual surgical procedures.

Conclusions:

• The study confirms the content and face validity of the organ phantom for AEEP simulation.
• The phantom is considered a feasible and appropriate tool for training surgeons in AEEP across different energy modalities.
• This simulation tool has the potential to enhance surgical training and patient safety in BPH management.