Endoscopic correction of vesicoureteral reflux simulator curriculum as an effective teaching tool: Pilot study

Journal of Pediatric Urology
Tandis SoltaniAntoine E Khoury

Abstract

It has been well recognized that simulators are effective tools to teach and evaluate technical skills in laparoscopic surgery. Endoscopic injection for the correction of vesicourteral reflux has a definite learning curve. Surgeon experience has also been demonstrated to have an important role in the outcome of the procedure. Simulated training allows for practice in a realistic setting without the inherent risk of harm to the patient. This stress free environment allows the trainee to focus on the acquisition of surgical skills without worry about surgical outcome. The aim was to validate a porcine bladder simulator curriculum for training and assessment of the surgical skills for the endoscopic correction of vesicoureteral reflux. We developed a porcine bladder-based dextranomer/hyaluronic acid (Dx/HA) injection simulator consisting of a dissected ex vivo porcine bladder in a polystyrene box with the distal ureters and urethra secured (Figure). We performed content validation by five experienced pediatric urologists. We then organized a simulator curriculum, which included lecture, demonstration, and a 2-h hands-on training on the simulator. Content, discriminant, and concurrent validation of the simulator curriculum were car...Continue Reading

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Citations

Oct 17, 2018·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Ayhan DalkiliçKaya Horasanli
Aug 10, 2019·Pediatric Surgery International·Shinichiro YokoyamaSatoshi Hirano
Nov 18, 2020·Journal of Endourology·Abdullatif AydınKamran Ahmed

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