Transurethral resection of bladder tumor: A systematic review of simulator-based training courses and curricula

Objective: Transurethral resection of bladder tumor is one of the most common everyday urological procedures. This kind of surgery demands a set of skills that need training and experience. In this review, we aimed to investigate the current literature to find out if simulators, phantoms, and other...

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Main Authors: Panagiotis Kallidonis, Angelis Peteinaris, Gernot Ortner, Kostantinos Pagonis, Costantinos Adamou, Athanasios Vagionis, Evangelos Liatsikos, Bhaskar Somani, Theodoros Tokas
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Asian Journal of Urology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214388223000024
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author Panagiotis Kallidonis
Angelis Peteinaris
Gernot Ortner
Kostantinos Pagonis
Costantinos Adamou
Athanasios Vagionis
Evangelos Liatsikos
Bhaskar Somani
Theodoros Tokas
author_facet Panagiotis Kallidonis
Angelis Peteinaris
Gernot Ortner
Kostantinos Pagonis
Costantinos Adamou
Athanasios Vagionis
Evangelos Liatsikos
Bhaskar Somani
Theodoros Tokas
author_sort Panagiotis Kallidonis
collection DOAJ
description Objective: Transurethral resection of bladder tumor is one of the most common everyday urological procedures. This kind of surgery demands a set of skills that need training and experience. In this review, we aimed to investigate the current literature to find out if simulators, phantoms, and other training models could be used as a tool for teaching urologists. Methods: A systematic review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement and the recommendations of the European Association of Urology guidelines for conducting systematic reviews. Fifteen out of 932 studies met our inclusion criteria and are presented in the current review. Results: The UroTrainer (Karl Storz GmbH, Tuttlingen, Germany), a virtual reality training simulator, achieved positive feedback and an excellent face and construct validity by the participants. The inspection of bladder mucosa, blood loss, tumor resection, and procedural time was improved after the training, especially for inexperienced urologists and medical students. The construct validity of UroSim® (VirtaMed, Zurich, Switzerland) was established. SIMBLA simulator (Samed GmbH, Dresden, Germany) was found to be a realistic and useful tool by experts and urologists with intermediate experience. The test objective competency model based on SIMBLA simulator could be used for evaluating urologists. The porcine model of the Asian Urological Surgery Training and Education Group also received positive feedback by the participants that tried it. The Simulation and Technology Enhanced Learning Initiative Project had an extraordinary face and content validity, and 60% of participants would like to use the simulators in the future. The 5-day multimodal training curriculum “Boot Camp” in the United Kingdom achieved an increase of the level of confidence of the participants that lasted months after the project. Conclusion: Simulators and courses or curricula based on a simulator training could be a valuable learning tool for any surgeon, and there is no doubt that they should be a part of every urologist's technical education.
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spelling doaj.art-bc71bb7bcbf1417e92f8680ef06542782024-01-26T05:33:24ZengElsevierAsian Journal of Urology2214-38822024-01-0111119Transurethral resection of bladder tumor: A systematic review of simulator-based training courses and curriculaPanagiotis Kallidonis0Angelis Peteinaris1Gernot Ortner2Kostantinos Pagonis3Costantinos Adamou4Athanasios Vagionis5Evangelos Liatsikos6Bhaskar Somani7Theodoros Tokas8Department of Urology, University Hospital of Rion, Patras, Greece; Corresponding author.Department of Urology, University Hospital of Rion, Patras, GreeceDepartment of Urology and Andrology, General Hospital Hall I.T., Hall in Tirol, AustriaDepartment of Urology, University Hospital of Rion, Patras, GreeceDepartment of Urology, University Hospital of Rion, Patras, GreeceDepartment of Urology, University Hospital of Rion, Patras, GreeceDepartment of Urology, University Hospital of Rion, Patras, Greece; Medical University of Vienna, Vienna, AustriaDepartment of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, UKDepartment of Urology and Andrology, General Hospital Hall I.T., Hall in Tirol, AustriaObjective: Transurethral resection of bladder tumor is one of the most common everyday urological procedures. This kind of surgery demands a set of skills that need training and experience. In this review, we aimed to investigate the current literature to find out if simulators, phantoms, and other training models could be used as a tool for teaching urologists. Methods: A systematic review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement and the recommendations of the European Association of Urology guidelines for conducting systematic reviews. Fifteen out of 932 studies met our inclusion criteria and are presented in the current review. Results: The UroTrainer (Karl Storz GmbH, Tuttlingen, Germany), a virtual reality training simulator, achieved positive feedback and an excellent face and construct validity by the participants. The inspection of bladder mucosa, blood loss, tumor resection, and procedural time was improved after the training, especially for inexperienced urologists and medical students. The construct validity of UroSim® (VirtaMed, Zurich, Switzerland) was established. SIMBLA simulator (Samed GmbH, Dresden, Germany) was found to be a realistic and useful tool by experts and urologists with intermediate experience. The test objective competency model based on SIMBLA simulator could be used for evaluating urologists. The porcine model of the Asian Urological Surgery Training and Education Group also received positive feedback by the participants that tried it. The Simulation and Technology Enhanced Learning Initiative Project had an extraordinary face and content validity, and 60% of participants would like to use the simulators in the future. The 5-day multimodal training curriculum “Boot Camp” in the United Kingdom achieved an increase of the level of confidence of the participants that lasted months after the project. Conclusion: Simulators and courses or curricula based on a simulator training could be a valuable learning tool for any surgeon, and there is no doubt that they should be a part of every urologist's technical education.http://www.sciencedirect.com/science/article/pii/S2214388223000024SimulatorTrainCurriculumTransurethral resectionVaporesectionLaser
spellingShingle Panagiotis Kallidonis
Angelis Peteinaris
Gernot Ortner
Kostantinos Pagonis
Costantinos Adamou
Athanasios Vagionis
Evangelos Liatsikos
Bhaskar Somani
Theodoros Tokas
Transurethral resection of bladder tumor: A systematic review of simulator-based training courses and curricula
Asian Journal of Urology
Simulator
Train
Curriculum
Transurethral resection
Vaporesection
Laser
title Transurethral resection of bladder tumor: A systematic review of simulator-based training courses and curricula
title_full Transurethral resection of bladder tumor: A systematic review of simulator-based training courses and curricula
title_fullStr Transurethral resection of bladder tumor: A systematic review of simulator-based training courses and curricula
title_full_unstemmed Transurethral resection of bladder tumor: A systematic review of simulator-based training courses and curricula
title_short Transurethral resection of bladder tumor: A systematic review of simulator-based training courses and curricula
title_sort transurethral resection of bladder tumor a systematic review of simulator based training courses and curricula
topic Simulator
Train
Curriculum
Transurethral resection
Vaporesection
Laser
url http://www.sciencedirect.com/science/article/pii/S2214388223000024
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