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Design and assessment of a penile fracture simulation model
Kozan, A. A. Logan, M. Parnham, Arie S Liew, M. Barrass, B. Venugopal, S. Biyani, C. S. Taylor, J.
Kozan, A. A.
Logan, M.
Parnham, Arie S
Liew, M.
Barrass, B.
Venugopal, S.
Biyani, C. S.
Taylor, J.
Citations
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Abstract
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.
Description
Date
2021
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Collections
Keywords
Type
Article
Citation
Kozan AA, Logan M, Parnham A, Liew M, Barrass B, Venugopal S, et al. Design and assessment of a penile fracture simulation model [Internet]. Vol. 45, Actas Urológicas Españolas (English Edition). Elsevier BV; 2021. p. 582–6.