Male Infertility Microsurgical Training

Mehta, Akanksha; Li, Philip S.; Goldstein, Marc

doi:10.1007/978-1-4614-4196-0_1

Cited by 6 publications

(3 citation statements)

References 21 publications

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“…Ensuring a table height of at least 30 inches allows for comfortable placement of the operator9s knees under the table. In our microsurgical laboratory, we use the Zeiss OPMI/S3 and Zeiss OPMI Cs/S4 surgical microscope systems (Carl Zeiss AG, Oberkochen, Germany) with binocular microscopes. 5 Two binocular heads allow for an instructor to observe and provide guidance and feedback to the trainee.…”

Section: Operating Microscopementioning

confidence: 99%

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Male infertility microsurgical training

Mehta¹,

Li²

2012

Asian J Androl

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Microsurgical training is imperative for urologists and clinical andrologists specializing in male infertility. Success in male infertility microsurgery is heavily dependent on the surgeon's microsurgical skills. Laboratory-based practice to enhance microsurgical skills improves the surgeon's confidence, and reduces stress and operating time, benefiting both the patient and the surgeon. This review provides guidelines for setting up a microsurgical laboratory to develop and enhance microsurgical skills using synthetic and animal models. The role of emerging techniques, such as robotic-assisted microsurgery, is also discussed.

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Section: Operating Microscopementioning

confidence: 99%

“…As a result, suture placement and knot tying can easily consume 40%-65% of the total operative time. 5 The success of these procedures is greatly facilitated by the surgeon's ability to efficiently and securely tie microsurgical knots under the operating microscope.…”

Section: Microsurgical Knotsmentioning

confidence: 99%

Male infertility microsurgical training

Mehta¹,

Li²

2012

Asian J Androl

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“…Although widely accepted, men submitted to vasectomy may seek reversal of fertility due to death of children, divorces, new relationships, among other life circumstances (3). It is estimated that 6% of vasectomized men look for fertility reversal sometime in their lives (4).…”

Section: Introductionmentioning

confidence: 99%

Portable model for vasectomy reversal training

et al. 2019

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Objectives To validate an experimental non-animal model for training of vasectomy reversal.Materials and Methods The model consisted of two artificial vas deferens, made with silicon tubes, covered by a white resin, measuring 10 cm (length) and internal and external diameters of 0.5 and 1.5 mm, respectively. The holder of the ducts is made by a small box developed with polylactic acid, using a 3D print. The objective of the invention is to simulate the surgical field of vasovasostomy, when the vas deferens are isolated from other cord structures. For validation, it was verified the acquisition of microsurgical skills during its use, in a capacitation course with 5 urology residents from a Hospital of the region. Along the training sessions, it was analyzed the time (speed) of microsurgical sutures, and quantification of the performance using a checklist. Collected data were analyzed using de BioEstat®5.4 software.Results Medium time for the completion of microsurgical sutures improved considerably during the course, and reached a plateau after the third day of training (p=0.0365). In relation to the checklist, it was verified that during capacitation, there was significant improvement of the scores of each participant, that reached a plateau after the fourth day of training with the model (p=0.0035).Conclusion The developed model was able to allow the students that attended the course to gain skills in microsurgery, being considered appropriate for training vasectomy reversal.

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