Mp78-14 international expert consensus on development of a state of the art male genital simulation model for urethroplasty and artificial urinary sphincter insertion

You have accessJournal of UrologyCME1 Apr 2023MP78-14 INTERNATIONAL EXPERT CONSENSUS ON DEVELOPMENT OF A STATE OF THE ART MALE GENITAL SIMULATION MODEL FOR URETHROPLASTY AND ARTIFICIAL URINARY SPHINCTER INSERTION Andrew Cohen, Marc (Toto) Abalajon, Katherine Anderson, Nima Baradaran, Cooper Benson, William Boysen, Benjamin Breyer, Arthur Burnett, Felix Campos, Lindsay Hampson, Ty Higuchi, Niels Johnsen, Nicolaas Lumen, Dmitriy Nikolavsky, Joseph Pariser, Jay Simhan, Alex Vanni, Nick Warner, E. James Wright, and Ahmed Ghazi Andrew CohenAndrew Cohen More articles by this author , Marc (Toto) AbalajonMarc (Toto) Abalajon More articles by this author , Katherine AndersonKatherine Anderson More articles by this author , Nima BaradaranNima Baradaran More articles by this author , Cooper BensonCooper Benson More articles by this author , William BoysenWilliam Boysen More articles by this author , Benjamin BreyerBenjamin Breyer More articles by this author , Arthur BurnettArthur Burnett More articles by this author , Felix CamposFelix Campos More articles by this author , Lindsay HampsonLindsay Hampson More articles by this author , Ty HiguchiTy Higuchi More articles by this author , Niels JohnsenNiels Johnsen More articles by this author , Nicolaas LumenNicolaas Lumen More articles by this author , Dmitriy NikolavskyDmitriy Nikolavsky More articles by this author , Joseph PariserJoseph Pariser More articles by this author , Jay SimhanJay Simhan More articles by this author , Alex VanniAlex Vanni More articles by this author , Nick WarnerNick Warner More articles by this author , E. James WrightE. James Wright More articles by this author , and Ahmed GhaziAhmed Ghazi More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003355.14AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The number of available simulation-based models for technical skills training in urology is rapidly increasing, and development of training around these procedures should follow a structured approach. Utilizing modern education theory previously used to develop a hydrogel model for penile prosthesis placement, we aim to establish the criteria for development of a hydrogel male genital simulation model for Urethroplasty and Artificial Urinary Sphincter Insertion using international expert consensus. METHODS: 19 international experts of genitourinary reconstructive surgery were invited to participate in a three phase consensus building approach (modified Delphi technique). A total of 39 unique questions with 155 sub questions over three rounds were included in 4 categories 1) Overall utility of the model 2) anatomical and procedural components, 3) tissue fidelity and 4) evaluation of performance. Components reaching a content validity index (CVI) ≥0.80 were utilized to fabricate a prototype model. RESULTS: 106 of the 155 (68.3%) questions reached the consensus benchmark. Regarding utility, consensus was reached that a non-biohazardous urethral model and simulation-based platform would be very beneficial and should be developed using a validated educational approach. The expert panel agreed the simulator should allow for surgical practice in a risk free environment and allow performance evaluation. Consensus was reached on key anatomical components (Table 1) including an initial training focus of a 2 cm proximal bulbar stricture. The panel agreed a model should allow flexible application of urethroplasty techniques such as grafts. The addition of an obturator canal was prompted from the group given desires for future urethral sling simulation. Furthermore, the experts approved a framework for a standardized evaluation metric for urethroplasty. They agreed motion analysis wearables for efficiency of movement and retrograde infusion test for anastomotic integrity have value as objective standardized feedback. CONCLUSIONS: Harnessing the consensus of 19 international experts, the framework for a robust and bio-safe model for reconstructive urethral surgery with proposed objective evaluation parameters of surgical performance was achieved. Fabrication of the prototype based on this consensus statement is in development. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1137 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Andrew Cohen More articles by this author Marc (Toto) Abalajon More articles by this author Katherine Anderson More articles by this author Nima Baradaran More articles by this author Cooper Benson More articles by this author William Boysen More articles by this author Benjamin Breyer More articles by this author Arthur Burnett More articles by this author Felix Campos More articles by this author Lindsay Hampson More articles by this author Ty Higuchi More articles by this author Niels Johnsen More articles by this author Nicolaas Lumen More articles by this author Dmitriy Nikolavsky More articles by this author Joseph Pariser More articles by this author Jay Simhan More articles by this author Alex Vanni More articles by this author Nick Warner More articles by this author E. James Wright More articles by this author Ahmed Ghazi More articles by this author Expand All Advertisement PDF downloadLoading ...