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Design, implementation, and evaluation of a novel curriculum to teach transurethral resection of the prostate (TURP): a 3-year experience of urology simulation bootcamp course

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Abstract

Objectives

To present the three-year experience of the multi-component TURP module at Urology Simulation Bootcamp Course (USBC) and demonstrate trainee’s competence progression and satisfaction.

Methods

During the USBC, a 4-h TURP module was developed and consisted of (a) familiarisation and assembly of resectoscope instrument, (b) didactic lecture on TURP operative techniques and postoperative complications, (c) learning hands-on resection on validated simulators [Samed, GmBH, Dresden, Germany; TURP Mentor™, Simbionix, Israel], and (d) practicing clot evacuation using the Ellik bladder Evacuator. Trainee’s level of instrument knowledge, operative competence, and confidence were assessed pre- and post-course. Trainee’s feedback was also collected.

Results

One hundred thirty trainees participated in the USBC between 2016 and 2018. Eighty-seven percent of trainees scored themselves as 1–3 (low confidence in resection) on a 5-point Likert scale. Trainees significantly improved in their ability to perform resectoscope assembly for resection, coagulation and incision by 33.6% (p < 0.001), 28.1% (p < 0.001) and 34.0% (p < 0.001), respectively. There was a significant improvement in scores in itemised technical skill on the TURP simulator following completion of the TURP module (Mean difference = 3.4 points, 95% CI 2–4, p < 0.001). Ninety-one percent of trainees agreed that the TURP module was useful for their development in urological training.

Conclusion

Our results demonstrated that it is feasible to develop and implement a focussed module for teaching TURP with significant improvement in learning. Trainee feedback suggests that they were highly satisfied with the teaching provided and models used. This style of training can be implemented for other common surgical procedures.

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Acknowledgements

We would like to thank all participants and module co-faculty for their continued support: Safraz Ahmad, James Armitage, Andreas Bourdoumis, Nick Campain, Ivo Dukic, Ismail E-Mokadem, Paul Halliday, Adrian Joyce, Phil Koenig, Sanjay Rajpal, Karol Rogawski, Tariq Tassadaq, Petros Tsafrakidis, Ross Vint. We could not have done without the excellent support from Joanne Johnson, Jodie Fowler Lesley Wood, MarK Logan, Jack Holmes and Dave Gould Medical Education Team, Leeds Teaching Hospital, Leeds.

Funding

Equipment and sponsorship for the Urology Simulation Boot Camp were provided by: Karl Storz, Cook Medical, Coloplast, Ethicon, Dantec, OKB Medical (Simbionix), MediPlus, Teleflex, European Pharma.

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Authors and Affiliations

  1. Birmingham Heartlands Hospital, Birmingham, UK

    Mithun Kailavasan

  2. Leicester General Hospital, Leicester, UK

    Christopher Berridge

  3. Aberdeen Royal Infirmary, Aberdeen, UK

    Grigorios Athanasiadis

  4. Royal Bolton Hospital, Bolton, UK

    Agapios Gkentzis

  5. Freeman Hospital, Newcastle, UK

    Bhavan Rai

  6. St James’s University Hospital, Leeds Teaching Hospital Trust, Leeds, UK

    Sunjay Jain & Chandra S. Biyani

  7. Ninewells Hospital, Dundee, UK

    Ghulam Nabi

Authors
  1. Mithun Kailavasan
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  2. Christopher Berridge
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  3. Grigorios Athanasiadis
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  4. Agapios Gkentzis
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  5. Bhavan Rai
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  6. Sunjay Jain
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  7. Chandra S. Biyani
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  8. Ghulam Nabi
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Contributions

Protocol/project development: CSB, GN. Data collection or management: MK, CB, GA, AG, BR, SJ. Data analysis: MK, CB. Manuscript writing/editing: MK, CB, CSB, GN.

Corresponding author

Correspondence to Chandra S. Biyani.

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All participants in this study provided written informed consent.

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Kailavasan, M., Berridge, C., Athanasiadis, G. et al. Design, implementation, and evaluation of a novel curriculum to teach transurethral resection of the prostate (TURP): a 3-year experience of urology simulation bootcamp course. World J Urol 38, 2899–2906 (2020). https://doi.org/10.1007/s00345-020-03104-3

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  • DOI: https://doi.org/10.1007/s00345-020-03104-3

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