Department of Urology, Hull University Teaching Hospital, Castle Hill Hospital, Cottingham, United Kingdom.
Leeds Teaching Hospitals NHS Trust, Department of Medical Education, Leeds, United Kingdom.
Actas Urol Esp (Engl Ed). 2021 Nov;45(9):582-586. doi: 10.1016/j.acuroe.2020.10.014. Epub 2021 Oct 22.
To design and assess a novel penile fracture simulation model for teaching penile fracture repair.
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".
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.
This is the first simulation model for penile fracture repair and has demonstrated face validity at a national urology bootcamp.
设计并评估一种新型的阴茎骨折模拟模型，用于教授阴茎骨折修复。
我们使用经过验证的割礼模拟器来创建模型。割礼的包皮被分成两半。在包皮的前半部分的一部分上创建一个横向裂缝（“模拟骨折”），并将其应用于阴茎模型上。在切口下放一个红色果冻片（“血块”）。将第二条全长包皮覆盖在上面以覆盖缺陷。该模型由泌尿科模拟训练营的参与者和专家教师进行评估。使用 5 分李克特量表问卷进行评估。使用 Microsoft Excel 和 IBM SPSS Statistics V25 分析数据。使用“单向随机模型”计算组内相关系数。
22 名泌尿科学员和 4 名专家参加了评估。大多数学员强烈同意（59%，n=13）该模型对与专家一起培训很有用，在 75%的情况下专家也同样同意。学员（68%，n=14）和教师（75%）都认为阴茎骨折的外观良好。总体而言，该模型代表任务的逼真模拟的能力被 23%的参与者认为是极好的，被 64%的参与者认为是良好的。学员在模拟后处理类似情况的个人信心被认为很高。报告的主要困难与筋膜平面和尿道有关。
这是第一个用于阴茎骨折修复的模拟模型，在国家泌尿科训练营中已经证明了其表面有效性。
