Pd15-01 Development of a High-Fidelity Affordable Hydrogel Training Model for the Management of Ischemic Priapism in Developing Countries

You have accessJournal of UrologyGlobal Health/Humanitarian (PD15)1 May 2024PD15-01 DEVELOPMENT OF A HIGH-FIDELITY AFFORDABLE HYDROGEL TRAINING MODEL FOR THE MANAGEMENT OF ISCHEMIC PRIAPISM IN DEVELOPING COUNTRIES Patrick Saba, Lauren Shepard, Nathan Schuler, Sani Aji, Arthur L. Burnett, and Ahmed Ghazi Patrick SabaPatrick Saba , Lauren ShepardLauren Shepard , Nathan SchulerNathan Schuler , Sani AjiSani Aji , Arthur L. BurnettArthur L. Burnett , and Ahmed GhaziAhmed Ghazi View All Author Informationhttps://doi.org/10.1097/01.JU.0001008648.33830.32.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Ischemic priapism (IP) is characterized by a lack of circulation leading to necrosis, erectile dysfunction (ED), and scarring of penile tissue. This demands immediate treatment to relieve stagnant blood and restore circulation. IP affects about 33% of men with sickle cell disease (SCD), leading to ED rates that are 2.5x higher in men with SCD, but 5x higher in men with IP as well. In sub-Saharan Africa, about 300,000 babies are born with SCD annually, creating a need for widespread training. We created a high-fidelity, affordable, non-biohazardous simulation model to teach the management of IP in countries with limited medical access/training. METHODS: We fabricated a simulation to teach needle aspiration and corporal glandular shunt techniques using 3D printing and hydrogel molding (Figure 1A). The model contains the urethra, corpus spongiosum, and corpus cavernosa, weighs <1lb, does not require specialized shipping or storage, and has an material cost of ∼$5.5 models were sent to the Amino Kano Teaching Hospital in Kano, Nigeria. 16 urology practitioners completed a hands-on simulation led by an expert instructor from Johns Hopkins Hospital (Figure 1B). Subjective survey data was collected using a 5-point Likert scale where agreement=4/5, neutral=3, and disagreement=1/2. RESULTS: 100% and 94% agreed the hydrogel model replicates the anatomy and procedural steps for IP management with 100% and 94% specifically agreeing it replicates the needle aspiration and corporal glandular shunt approaches respectively. 94%, 100%, 100%, and 100% agreed it is useful for visualizing, improving technical skills, teaching, and assessing user ability for IP management. 100% agreed it is easy-to-use and a safe non-biohazardous alternative to traditional teaching methods. 69%, 100%, and 88% agreed the it offers useful error feedback, a low stress environment, and improves user confidence. CONCLUSIONS: This simulation offers a high-fidelity, affordable, hands-on training for areas with limited medical access/training, but high prevalence of SCD/IP. The non-biohazardous material allows training to occur anywhere by avoiding barriers of use due to religion or governmental restrictions. Ultimately, the model offers a new way to expand urologic training while circumventing barriers of access. Download PPT Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e359 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Patrick Saba More articles by this author Lauren Shepard More articles by this author Nathan Schuler More articles by this author Sani Aji More articles by this author Arthur L. Burnett More articles by this author Ahmed Ghazi More articles by this author Expand All Advertisement PDF downloadLoading ...