Transurethral Resection of Bladder Tumors: Next-generation Virtual Reality Training for Surgeons

Neumann, Eva; Mayer, Julian K.; Russo, Giorgio Ivan; Amend, Bastian; Rausch, Steffen; Deininger, Susanne; Harland, Niklas; Costa, Inês Anselmo da; Hennenlotter, Jörg; Stenzl, Arnulf; Kruck, Stephan; Bedke, Jens

doi:10.1016/j.euf.2018.04.011

Cited by 31 publications

(30 citation statements)

References 16 publications

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“…mid-urethral tape insertion), which is to be expected. Overall, the improvement in technical ability demonstrated through intensive simulation training is consistent with the evidence in contemporary literature that both high- and low-fidelity surgical simulators are useful tools in the acquisition of core urological skills [ 15 , 19 – 21 ]. For further details on how an intensive surgical simulation course can improve competency progression, our previous reports on evaluating trainee progression during simulation training highlight the issue [ 24 ].…”

Section: Evaluation Of Outcomessupporting

confidence: 83%

“…This is particularly relevant in times when clinical opportunities are rarer, such as the current COVID-19 pandemic. The UK urology curriculum contains several procedures which are amenable to simulation, exemplified by simulators designed specifically for ureteroscopy, cystoscopy, transurethral resection of the bladder (TURBT) and transurethral resection of the prostate (TURP) [ 15 , 19 – 21 ]. The engagement of trainees in such simulated procedures has been shown to be beneficial to improving clinical and operative skills [ 9 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

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How to Implement a Simulation-Based Education Programme: Lessons from the UK Urology Simulation Boot Camp

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Biyani

2021

Indian J Surg

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The operative and non-technical skills exposure of urology trainees has reduced due to a number of factors, including the European Working Time Directive, and the COVID-19 pandemic. Simulation-based education (SBE) is an innovative addition to clinical experience which can begin to address the skills-based learning deficiency in order to help trainees meet their curriculum requirements and optimise the exposure required for a trainee to become a competent general urology consultant. Surgical simulation is an effective training tool but has a complex implementation process, requiring considerable planning tailored to specific educational targets, to ensure it is sustainable and reproducible. Methodology from the field of implementation science offers an invaluable approach to design an effective simulation-based training adjunct, as exemplified by the example of the UK Urology Simulation Boot Camp (USBC), a comprehensive training course which incorporates core technical and non-technical skills based on the current Joint Committee on Surgical Training (JCST) urological training curriculum to equip newly appointed urology trainees to work as competent junior registrars. Delivered annually in Leeds since 2015, the course has had excellent feedback and results in improving the urological knowledge of trainees, as well as increases in trainees’ confidence. This paper will provide a summary of how the course was designed, delivered, reproduced, sustained and evaluated. Its success is demonstrated by its incorporation into the UK urology training programme, and since 2018, it is now recommended to all new urology residents in the UK. The course implementation model would be applicable to other surgical specialties.

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Section: Evaluation Of Outcomessupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

How to Implement a Simulation-Based Education Programme: Lessons from the UK Urology Simulation Boot Camp

Please

Biyani

2021

Indian J Surg

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“…As a result, ESRD will create a serious socioeconomic burden worldwide. Alarmingly, even with regular nephrology follow-up of these ESRD patients, more than 60% of newly diagnosed ESRD patients are unplanned when starting renal replacement therapy [ 10 ] and often require emergency initiation of dialysis [ 11 ], although emergency initiation of dialysis is the preferred mode of initiation, it is still a common problem worldwide. Although it is the preferred mode of initiation, urgent initiation of dialysis is still a common problem worldwide, accounting for 30–50% of patients starting dialysis [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

CT Imaging Characteristics and Influence Factors of Renal Dialysis-Associated Peritoneal Injury

Tong

2021

Journal of Healthcare Engineering

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Peritoneal dialysis (PD), as one of the main renal replacement modalities for end-stage renal disease, gets the advantages of better protection of residual renal function and better quality of survival. However, ultrafiltration failure after peritoneal injury is an important reason for patients to withdraw from PD treatment. Peritonitis is a major complication of peritoneal dialysis, which results in an accelerated process of peritoneal injury due to direct damage from acute inflammation and local release of cytokine TGF-β. In this paper, the application of ultrasound to examine the peritoneum revealed a positive correlation between peritoneal thickness and the development of peritonitis. The results of this study also further confirmed the effect of peritonitis on peritoneal thickening. A multifactorial regression analysis also revealed that peritonitis and its severity were independent risk factors for peritoneal thickening and omental structural abnormalities. This paper reported a correlation between mural peritoneal thickness and peritoneal transit function. In this study, patients with high peritoneal transit and high mean transit were found to be more prone to omental structural abnormalities than patients with low mean and low transit and a higher proportion of patients with mural peritoneal thickening, but this did not reach statistical significance, which may be related to the still small number of cases.

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“…Virtual cystoscopy using VR seems to be predestined for this purpose. A recent study of Neumann et al [ 35 ] showed that this training method can have multiple advantages: Short training methods can improve efficacy and safety of VR-TURBT. It can decrease the procedural time and it can reduce accidental bladder injury and blood loss [ 35 ].…”

Section: Training For Transurethral Resection Of Bladder Tumorsmentioning

confidence: 99%

“…A recent study of Neumann et al [ 35 ] showed that this training method can have multiple advantages: Short training methods can improve efficacy and safety of VR-TURBT. It can decrease the procedural time and it can reduce accidental bladder injury and blood loss [ 35 ]. Comparable to other box simulators enhanced with VR or AR methods this new training method could help to speed up the adoption of this new diagnostic and surgical practice.…”

Section: Training For Transurethral Resection Of Bladder Tumorsmentioning

confidence: 99%

Virtual Reality and Simulation for Progressive Treatments in Urology

et al. 2018

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In urology technologies and surgical practices are constantly evolving and virtual reality (VR) simulation has become a significant supplement to existing urology methods in the training curricula of urologists. However, new developments in urology also require training and simulation for a wider application. In order to achieve this VR and simulation could play a central role. The purpose of this article is a review of the principal applications for VR and simulation in the field of urology education and to demonstrate the potential for the propagation of new progressive treatments. Two different cases are presented as examples: exposure therapy for paruresis and virtual cystoscopy for diagnosis and surgery of bladder cancer. The article uses research and publications listed in openly accessible directories and is organized into 3 sections: The first section covers features of VR and simulation technologies. The second one presents confirmed applications of current technologies in urology education and showcases example future applications in the domain of bladder treatment and surgery. The final section discusses the potential of the technology to improve health care quality.

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Transurethral Resection of Bladder Tumors: Next-generation Virtual Reality Training for Surgeons

Abstract: We investigated how students without endoscopic experience profit from simulation-based training. The safe environment and repeated simulations can improve the surgical training. It may be possible to enhance patient's safety and the training of surgeons in long term.

Cited by 31 publications

References 16 publications

How to Implement a Simulation-Based Education Programme: Lessons from the UK Urology Simulation Boot Camp

How to Implement a Simulation-Based Education Programme: Lessons from the UK Urology Simulation Boot Camp

CT Imaging Characteristics and Influence Factors of Renal Dialysis-Associated Peritoneal Injury

Virtual Reality and Simulation for Progressive Treatments in Urology

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