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• W4226194799 abstract "You have accessJournal of UrologyCME1 May 2022MP41-20 COST-EFFECTIVE AND READILY REPLICABLE SURGICAL SIMULATION MODEL IMPROVES TRAINEE PERFORMANCE IN URETHROVESICAL ANASTOMOSIS Stacy Jeong, Maxx Caveney, Jacob Knorr, Rebecca Campbell, Daniel Santana, Christopher Weight, Nima Almassi, and Steven Campbell Stacy JeongStacy Jeong More articles by this author , Maxx CaveneyMaxx Caveney More articles by this author , Jacob KnorrJacob Knorr More articles by this author , Rebecca CampbellRebecca Campbell More articles by this author , Daniel SantanaDaniel Santana More articles by this author , Christopher WeightChristopher Weight More articles by this author , Nima AlmassiNima Almassi More articles by this author , and Steven CampbellSteven Campbell More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002607.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To develop a simple, cost-effective, and re-usable model for urethrovesical anastomosis for robotic-assisted radical prostatectomy and evaluate its impact on fundamental surgical skills and confidence of urology trainees. METHODS: A model for the bladder, urethra, and bony pelvis was created from silicone using household materials. Each participant performed several trials of urethrovesical anastomosis using the da Vinci Si Surgical system. Pre-task confidence was assessed prior to each attempt. Two blinded researchers measured the following outcomes: time-to-anastomosis, number of suture throws, perpendicular needle entry, and atraumatic needle driving. Integrity of the anastomosis was determined by gravity filling and measuring the pressure at which leakage occurred. These outcomes were translated into an independently validated Prostatectomy Assessment Competency Evaluation (PACE) score. RESULTS: The price of each model was 64 US dollars and took 2 hours to create. Twenty-one residents enrolled and demonstrated significant improvement in time-to-anastomosis, perpendicular needle driving, anastomotic pressure, and total PACE score between the first and third trial. Pre-task confidence was measured on a Likert scale (1-5) and improved significantly over the three trials (Likert scale of 1.8, 2.8, and 3.3). CONCLUSIONS: We developed a cost-effective model of urethrovesical anastomosis that does not require the use of a 3-D printer. This study demonstrates significant improvement of fundamental surgical skills and validated surgical assessment score for urology trainees over several trials. Our model shows potential for increasing accessibility of robotic training models for urologic education. Additional investigation will be required to further confirm the validity of this model. Source of Funding: N/A © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e728 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Stacy Jeong More articles by this author Maxx Caveney More articles by this author Jacob Knorr More articles by this author Rebecca Campbell More articles by this author Daniel Santana More articles by this author Christopher Weight More articles by this author Nima Almassi More articles by this author Steven Campbell More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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• W4226194799 title "MP41-20 COST-EFFECTIVE AND READILY REPLICABLE SURGICAL SIMULATION MODEL IMPROVES TRAINEE PERFORMANCE IN URETHROVESICAL ANASTOMOSIS" @default.
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