Design and assessment of a penile fracture simulation model.

Autor: Kozan AA; Department of Urology, Hull University Teaching Hospital, Castle Hill Hospital, Cottingham, United Kingdom., Logan M; Leeds Teaching Hospitals NHS Trust, Department of Medical Education, Leeds, United Kingdom., Parnham A; Department of Urology, The Christie NHS Foundation Trust, Manchester, United Kingdom., Liew M; Department of Urology, Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust, Wigan, United Kingdom., Barrass B; Luton & Dunstable University Hospital, Bedfordshire Hospitals NHS Foundation Trust, Department of Urology, Luton, United Kingdom., Venugopal S; Department of Urology, Liverpool University Hospitals NHS Trust, Liverpool, United Kingdom., Biyani CS; Department of Urology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom. Electronic address: shekharbiyani@hotmail.com., Taylor J; Department of Urology, Forth Valley Royal Hospital, Larbert, Scotland, United Kingdom.
Jazyk: English; Spanish; Castilian
Zdroj: Actas urologicas espanolas [Actas Urol Esp (Engl Ed)] 2021 Nov; Vol. 45 (9), pp. 582-586. Date of Electronic Publication: 2021 Oct 22.
DOI: 10.1016/j.acuroe.2020.10.014
Abstrakt: Objective: To design and assess a novel penile fracture simulation model for teaching penile fracture repair.
Methods: We used a validated circumcision simulator to create a model. Foreskin for a circumcision was divided into two halves. A transverse slit ("simulated fracture") was created on one part of the first half of the foreskin (mimicking "tunica") and was applied over the penile model. A red jelly tablet ("clot") was placed underneath the cut. A second full-length of foreskin was applied over it to cover the defect. The model was assessed by participants and expert faculty at the Urology Simulation Boot Camp. Evaluation was performed using a 5-point Likert Scale questionnaire. Data was analysed using Microsoft Excel and IBM SPSS Statistics V25. The intra-class correlation was calculated using a "One-way random model".
Results: Twenty-two urology trainees and four experts participated in the evaluation. The majority of trainees strongly agreed (59%, n = 13) the model is useful for training with experts similarly agreeing in 75% of cases. The appearance of penile fracture was considered good by both trainees (68%, n = 14) and faculty (75%). Overall, the ability of the model to represent a realistic simulation of the task was considered excellent by 23% of participants and good by 64%. Personal confidence after simulation in managing a similar situation was considered high among trainees. The main difficulties reported were related to fascial planes and urethra.
Conclusion: This is the first simulation model for penile fracture repair and has demonstrated face validity at a national urology bootcamp.
(Crown Copyright © 2021. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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