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Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence.

Publication ,  Journal Article
Lentz, AC; Rodríguez, D; Chandrapal, JC; Davis, LG; Ghazi, A; Gross, MS; Munarriz, R
Published in: Urology
September 2020

OBJECTIVE: To assess whether a focused, simulation training course can improve trainee surgical knowledge and confidence in the treatment of male stress urinary incontinence. MATERIALS AND METHODS: Urology residents participated in a prosthetic education course as part of the 2018 SUPS and SMSNA annual meeting. The course included didactic lectures and a hands-on cadaveric laboratory. Participants completed questionnaires before and after the lab (2 weeks and 6 months) to assess procedural knowledge and confidence. Analysis of lab responses was performed using the Wilcoxon signed rank test for matched pairs. RESULTS: Thirty-two residents (median age 29, range 27-34) participated in the course. The majority were postgraduate year 4 (63%) or postgraduate year 5 (20%). Most participants reported minimal AUS or sling experience with 50% and 94% reporting less than 5 cases, respectively. Overall score from the knowledge assessment improved significantly between the pre-lab versus 2-week post-lab (P = .02) and pre-lab versus 6-month post-lab (P = .01). Similarly, procedural confidence improved between pre-lab vs 2-week post-lab (P < .001) and pre-lab versus 6-month post-lab (P < .001). Knowledge and confidence assessments were not different between year of residency training or pre-lab experience. CONCLUSIONS: Simulation training improves knowledge and confidence in prosthetic surgery for male stress incontinence. In the current climate of reduced exposure and limited availability of prosthetic educators, simulation courses can provide much needed educational value.

Duke Scholars

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

September 2020

Volume

143

Start / End Page

48 / 54

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urology
  • Urinary Sphincter, Artificial
  • Urinary Incontinence, Stress
  • Surveys and Questionnaires
  • Suburethral Slings
  • Statistics, Nonparametric
  • Simulation Training
  • Self Concept
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lentz, A. C., Rodríguez, D., Chandrapal, J. C., Davis, L. G., Ghazi, A., Gross, M. S., & Munarriz, R. (2020). Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence. Urology, 143, 48–54. https://doi.org/10.1016/j.urology.2020.06.008
Lentz, Aaron C., Dayron Rodríguez, Jason C. Chandrapal, Leah G. Davis, Ahmed Ghazi, Martin S. Gross, and Ricardo Munarriz. “Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence.Urology 143 (September 2020): 48–54. https://doi.org/10.1016/j.urology.2020.06.008.
Lentz AC, Rodríguez D, Chandrapal JC, Davis LG, Ghazi A, Gross MS, et al. Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence. Urology. 2020 Sep;143:48–54.
Lentz, Aaron C., et al. “Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence.Urology, vol. 143, Sept. 2020, pp. 48–54. Pubmed, doi:10.1016/j.urology.2020.06.008.
Lentz AC, Rodríguez D, Chandrapal JC, Davis LG, Ghazi A, Gross MS, Munarriz R. Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence. Urology. 2020 Sep;143:48–54.
Journal cover image

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

September 2020

Volume

143

Start / End Page

48 / 54

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urology
  • Urinary Sphincter, Artificial
  • Urinary Incontinence, Stress
  • Surveys and Questionnaires
  • Suburethral Slings
  • Statistics, Nonparametric
  • Simulation Training
  • Self Concept
  • Male