PD15-06 SIMULATING PERCUTANEOUS NEPHROSTOMY ACCESS WITH AN ULTRA-LOW-COST KIDNEY PHANTOM

You have accessJournal of UrologyGlobal Health/Humanitarian (PD15)1 May 2024PD15-06 SIMULATING PERCUTANEOUS NEPHROSTOMY ACCESS WITH AN ULTRA-LOW-COST KIDNEY PHANTOM Supriya Iyer, David Bayne, Andrew Rabley, Satyendra Persaud, and Ian Metzler Supriya IyerSupriya Iyer , David BayneDavid Bayne , Andrew RableyAndrew Rabley , Satyendra PersaudSatyendra Persaud , and Ian MetzlerIan Metzler View All Author Informationhttps://doi.org/10.1097/01.JU.0001008648.33830.32.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Percutaneous renal access is a complex and potentially lifesaving procedure. Although often performed by interventional radiologists (IR), there has been an increase in the number of urologists gaining access on their own for percutaneous nephrolithotomy (PCNL). Utilizing ultrasound (US) guidance for percutaneous renal access reduces dependence on IR or fluoroscopy. While this skill requires hands-on training, simulation models can be prohibitively expensive and difficult to obtain. We propose a do-it-yourself (DIY) kidney phantom using household products and items commonly found in hospitals as a method of on-demand low-cost simulation. We then assess the usefulness of these phantoms in a hands-on simulation course. METHODS: Phantom models were created to simulate renal calyces, renal parenchyma, and surrounding tissue using surgical gloves, gelatin, psyllium husk, and water (Figure 1). These were created in a home kitchen near the course location without specialized equipment. During the course, held at the Caribbean Urological Association, participants were given one hour of instructional lectures. Participants then used a handheld portable point-of-care ultrasound to identify a target within a phantom and demonstrate proper needle maneuvering techniques to reach the target, with water efflux from the needle indicating successful entry. Pre- and post-session surveys assessed their experience with US-guided needle placement and their evaluation of the course usefulness. RESULTS: The estimated cost of each model was about $4 (United States dollars) per model, and each model was used by up to eight participants before degrading. Of the 14 participants in the course, 86% were attending physicians. 43% of participants reported being "very" or "somewhat" comfortable with US-guided needle placement prior to the course. After the course, 100% of participants reported improved comfort in performing US-guided nephrostomy tube placement. 71% reported that the phantom adequately simulated percutaneous needle placement. 50% reported that the phantom adequately simulated renal anatomy. 93% would recommend the course to their colleagues. CONCLUSIONS: Our DIY ultra-low-cost kidney phantom was a useful modality for training US needle guidance for PCNL procedures and improving comfort level with the procedure. Download PPT Source of Funding: Urology Care Foundation Humanitarian Grant Award © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e360 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Supriya Iyer More articles by this author David Bayne More articles by this author Andrew Rabley More articles by this author Satyendra Persaud More articles by this author Ian Metzler More articles by this author Expand All Advertisement PDF downloadLoading ...