3D printed model for flexible ureteroscopy training, a low-cost option for surgical training. 2022

C R Trelles Guzmán, and J A Mainez Rodríguez, and I Aguado-Maestro, and R Cansino Alcaide, and J R Pérez-Carral, and L Martínez-Piñeiro
Servicio de Urología, Hospital Universitario La Paz, Madrid, Spain; Universidad Autónoma de Madrid, Ciudad Universitaria de Cantoblanco, Madrid, Spain. Electronic address: carlostre49@hotmail.com.

BACKGROUND Training in experimental models is a valid option that improves the outcomes and shortens surgical learning curves. Our objective was to develop a 3D printed plastic model for teaching, training and education in flexible ureteroscopy, analyzing costs and suitability for the practice of this surgical technique. METHODS A 3D printed model was developed based on a CT scan from a real-life patient's upper urinary tract. Horos™ software was used for segmentation and an FDM-Ultimaker for 3D printing. Renal calyces were numbered to be identified, as in the European Association of Urology Endoscopic Stone Treatment training curriculum, Task 4. The following were used: Innovex single-use flexible ureteroscope (Palex) and nitinol baskets (Coloplast). RESULTS Printing time was 19 h, with a total cost of €8.77. The three-dimensional model allowed the insertion of the flexible ureteroscope and the exploration of the renal calyces by urologists in training as well as in current practice of the specialty without difficulty. The model also allowed the use of baskets and the mobilization and removal of previously placed stones. CONCLUSIONS We unveil a valid three-dimensional model for flexible ureteroscopy training exercises with reasonable costs, which will allow acquiring the necessary skills and confidence to initiate the procedure in a real-life scenario.

UI MeSH Term Description Entries
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000072178 Urologists Physicians specializing in the diagnosis, and treatment of diseases of the urinary tract in both sexes, and the genital tract in the male. Urologist
D014572 Urology A surgical specialty concerned with the study, diagnosis, and treatment of diseases of the urinary tract in both sexes, and the genital tract in the male. Common urological problems include urinary obstruction, URINARY INCONTINENCE, infections, and UROGENITAL NEOPLASMS.
D018666 Ureteroscopy Endoscopic examination, therapy or surgery of the ureter. Surgical Procedures, Ureteroscopic,Ureteroscopic Surgical Procedures,Surgery, Ureteroscopic,Ureteroscopic Surgery,Procedure, Ureteroscopic Surgical,Procedures, Ureteroscopic Surgical,Surgeries, Ureteroscopic,Surgical Procedure, Ureteroscopic,Ureteroscopic Surgeries,Ureteroscopic Surgical Procedure,Ureteroscopies
D020709 Ureteroscopes Endoscopes for examining the interior of the ureter. Ureteroscope
D066330 Printing, Three-Dimensional Process for making, building or constructing a physical object from a three-dimensional digital model by laying down many successive thin layers of building material. 3-D Printing,3-Dimensional Printing,3D Printing,Three-Dimensional Printing,3 D Printing,3 Dimensional Printing,3-D Printings,3-Dimensional Printings,3D Printings,Printing, 3-D,Printing, 3-Dimensional,Printing, 3D,Printing, Three Dimensional,Printings, 3-D,Printings, 3-Dimensional,Printings, 3D,Printings, Three-Dimensional,Three Dimensional Printing,Three-Dimensional Printings

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