For best learning success, the training of complete virtual interventions is supplemented with practical teaching tutorials.
Didactic content and movies exemplify the best core procedural techniques, e.g. visualization of landmarks (sphincter, verumontanum, ureteral orifices, bladder surface) or safe resection without capsule perforation.
Training Modules for Basic Skills, TURP & Laser BPH
The latest Module for the VirtaMed TURPSim is the new Laser BPH Module.
As for the training of prostate resection, patient cases include small to large prostates with hypertrophies of both lateral and median lobes, presenting challenges such as difficult access and heavy bleeding.
Establish clear viewing conditions
Identify anatomical landmarks and obtain a clear 3D mental image of the anatomy
Efficiently observe pathology
Safely handle laser fiber and scope
Perform different laser techniques such as vaporesection, vaporization or enucleation
Coagulate bleeding sources
Perform a safety inspection at the end of the procedure
Emergency Scenarios for All Relevant Complications
Training in virtual reality offers the chance to exercise not only general interventions but also very special cases and complications. Emergency scenarios can either be triggered by an action of the trainee or remotely by the trainer on the controlling terminal. VirtaMed TURPSim is able to simulate all relevant complications that may occur during TURP procedures.
Perforation of the capsule is one of the most serious complications that can occur during TURP procedures.
The resection map clearly shows if a cut went too deep into the capsule (orange) or if there is more prostatic tissue to be resected (blue). Green tissue means that there should not be resected anymore.
Unintentional resection of the verumontanum or the sphincter has an irreversible negative effect on the future life of the patient.
With the TURP simulator, surgeons can learn to safely resect without risk for the patient.
Objective Feedback for Best Learning Results
For the structured learning of surgical skills, objective feedback is crucial. Virtual reality simulators can be used for the assessment of surgical skills and have been reported to be superior to traditional methods such as direct observation, animal models, videotapes, and procedure logs in terms of reliability and validity.
"TURP is a highly effective treatment for infravesical obstruction due to prostatic enlargement. TURP has a notoriously long learning curve, so an efficient training tool is highly appreciated.
TURPSim offers urologic surgeons a most realistic, hands-on training with a wide range of prostate anatomies, pathologies and operative complications. They practice to perfection without risk for the patient and then transfer this experience to the OR."
PD Dr. med. Michael Müntener, Leitender Arzt Klinik für Urologie, UniversitätsSpital Zürich
Several surgical scenes integrated in the TURP simulator