Virtual reality simulator for training on photoselective vaporization of the prostate with 980nm diode laser and learning curve of the technique

Angulo, Javier; Arance, I.; García-Tello, A.; Heras, María; Andrés, Germán; Gimbernat, H.; Lista, F.; Fata, F. Ramón de

doi:10.1016/j.acuroe.2014.06.003

Cited by 13 publications

(9 citation statements)

References 20 publications

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“…The simulator includes a number of cases of varying sizes of hypertrophied prostates. Angulo et al demonstrated construct validity amongst 18 participants and improvement in the learning curve upon repetition.…”

Section: Resultsmentioning

confidence: 99%

“… also evaluated the learning curves of this simulator with 25 novices and concluded that there was significant improvement in all part‐task training modules and a significant reduction in case operating time and error. Similarly, a VR simulator has also been developed for diode laser PVP, the Myo Sim Simulator (VirtaMed, Zürich, Switzerland) . The simulator includes a number of cases of varying sizes of hypertrophied prostates.…”

Section: Resultsmentioning

confidence: 99%

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Simulation‐based training for prostate surgery

et al. 2015

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A review of the literature between 1999 and 2014 was performed. The search terms included a combination of urology, prostate surgery, robotic prostatectomy, laparoscopic prostatectomy, transurethral resection of the prostate (TURP), simulation, virtual reality, animal model, human cadavers, training, assessment, technical skills, validation and learning curves. Furthermore, relevant abstracts from the American Urological Association, European Association of Urology, British Association of Urological Surgeons and World Congress of Endourology meetings, between 1999 and 2013, were included. Only studies related to prostate surgery simulators were included; studies regarding other urological simulators were excluded. ResultsA total of 22 studies that carried out a validation study were identified. Five validated models and/or simulators were identified for TURP, one for photoselective vaporisation of the prostate, two for holmium enucleation of the prostate, three for laparoscopic radical prostatectomy (LRP) and four for robotassisted surgery. Of the TURP simulators, all five have demonstrated content validity, three face validity and four construct validity. The GreenLight laser simulator has demonstrated face, content and construct validities. The Kansai HoLEP Simulator has demonstrated face and content validity whilst the UroSim HoLEP Simulator has demonstrated face, content and construct validity. All three animal models for LRP have been shown to have construct validity whilst the chicken skin model was also content valid. Only two robotic simulators were identified with relevance to robot-assisted laparoscopic prostatectomy, both of which demonstrated construct validity. ConclusionsA wide range of different simulators are available for prostate surgery, including synthetic bench models, virtual-reality platforms, animal models, human cadavers, distributed simulation and advanced training programmes and modules. The currently validated simulators can be used by healthcare organisations to provide supplementary training sessions for trainee surgeons. Further research should be conducted to validate simulated environments, to determine which simulators have greater efficacy than others and to assess the cost-effectiveness of the simulators and the transferability of skills learnt. With surgeons investigating new possibilities for easily reproducible and valid methods of training, simulation offers great scope for implementation alongside traditional methods of training.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Simulation‐based training for prostate surgery

et al. 2015

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“…We identified 22 studies about different TURP/PVP simulators. Ten TURP [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] and two PVP [32,33] simulators or models have been identified. Nine VR simulators, seven for TURP [12, 14, 15, 19-22, 24, 25, 27-31], and two for PVP [32,33] are presented in Table 1.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Ten TURP [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] and two PVP [32,33] simulators or models have been identified. Nine VR simulators, seven for TURP [12, 14, 15, 19-22, 24, 25, 27-31], and two for PVP [32,33] are presented in Table 1. Additionally, three bench-top synthetic [13,16,17], one tissue- [18], and one food-based [26] TURP model were found.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Simulation training in transurethral resection/laser vaporization of the prostate; evidence from a systematic review by the European Section of Uro-Technology

et al. 2021

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Purpose Transurethral resection (TURP) and photoselective vaporization of the prostate (PVP) constitute established surgical options to treat benign prostate hyperplasia. We investigated the current literature for simulators that could be used as a tool for teaching urologists alone or within the boundaries of a course or a curriculum. Methods A literature search was performed using PubMed, Scopus, EMBASE, and Cochrane Central Register of Controlled Trials-CENTRAL. Search terms included: Simulat*, train*, curricull*, transurethral, TUR*, vaporesect*, laser. The efficacy of different simulators and the impact of different devices, curricula and courses in training and trainee learning curves were the primary endpoints. Results Thirty-one studies are selected and presented. Validated virtual reality TURP simulators are the UW VR, PelvicVision, Uro-Trainer, and TURPsim™. Validated synthetic TURP models are Dr. K. Forke's TURP trainer, Bristol TURP trainer, different tissue prostate models, and 3D-printed phantoms. The Myo Sim PVP and the GreenLightTM are sufficiently validated PVP simulators. Several TURP and PVP training curricula have been developed and judged as applicable. Finally, the TURP modules of the European Urology Residents Education Programme (EUREP) Hands-on Training course and the Urology Simulation Bootcamp Course (USBC) are the most basic annual TURP courses identified in the international literature. Conclusions Simulators and courses or curricula are valuable learning and training TURP/PVP tools. The existent models seem efficient, are not always adequately evaluated and accepted. As part of training curricula and training courses, the use of training simulators can significantly improve quality for young urologists' education and clinical practice.

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“…They are both the essential part of surgical skills training and proper objective structured clinical examination tools for clinicians and residents in their clinical practice. Angulo et al 13 evaluated the use of simulators for training PVP with a diode laser. They found an association between the verified efficacy parameters and diverse practice groups.…”

Section: Prostate Surgeriesmentioning

confidence: 99%

The Learning Curves for Laser Application in Urology Procedures: Review of the Literature

Allameh

Razzaghi

Abedi³

et al. 2020

J Lasers Med Sci

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Introduction: Currently, a laser is a popular technology in urological surgeries. The important laserrelated issue is the time when a surgeon reaches an acceptable level of safety and efficacy using laser technology. Methods: In this review, we aimed to assess the learning curves of three types of surgeries in urology, including photoselective vaporization of the prostate (PVP), holmium laser enucleation of the prostate (HoLEP) and retrograde intra-renal surgeries (RIRSs). Here, we searched Medline, Web of Science, Google Scholar, EMBASE, and Scopus for such keywords as Urology, laser, laser vaporization, prostate, nephrolithiasis, benign prostatic hyperplasia (BPH), and learning curve. Results: We evaluated 14 studies about PVP, 17 about RIRS, and 29 studies about HoLEP. Also, we separately discussed the learning curves of these three kinds of surgeries in detail. Conclusion: All the urologists, even expert surgeons, should attend a formal training course and have a skilled tutor present at their first cases.

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Virtual reality simulator for training on photoselective vaporization of the prostate with 980nm diode laser and learning curve of the technique

Cited by 13 publications

References 20 publications

Simulation‐based training for prostate surgery

Simulation‐based training for prostate surgery

Simulation training in transurethral resection/laser vaporization of the prostate; evidence from a systematic review by the European Section of Uro-Technology

The Learning Curves for Laser Application in Urology Procedures: Review of the Literature

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