Surreal illustration of a surgical theater within a bladder, showcasing a novel TURBT training model.

TURBT Training Revolution: A New Model for Bladder Tumor Resection

"Discover how a novel porcine training model is transforming the way urologists learn transurethral resection of bladder tumor, improving skills and patient outcomes."


Transurethral resection of bladder tumor (TURBT) is a cornerstone procedure in urology, essential for diagnosing and treating bladder cancer. It requires precision and skill to ensure complete tumor removal while preserving healthy tissue. Traditional training often relies on real-patient scenarios, which can be challenging for novice surgeons. The need for effective and accessible training models has never been greater.

A recent study published in the World Journal of Urology introduces a promising solution: a newly developed porcine bladder training model for TURBT. This innovative model aims to bridge the gap between theoretical knowledge and practical application, offering a safe and controlled environment for urologists to hone their skills in both piecemeal and en bloc resection techniques.

This article explores the development, validation, and potential impact of this novel training model. We'll delve into how it's constructed, the methods used to assess its effectiveness, and why it could revolutionize TURBT training, ultimately leading to improved patient outcomes and a higher standard of care.

The Porcine Model: A Hands-On Approach to TURBT Training

Surreal illustration of a surgical theater within a bladder, showcasing a novel TURBT training model.

The Asian Urological Surgery Training & Education Group (AUSTEG) recognized the critical need for improved TURBT training and developed a low-cost, easy-to-build model using ex vivo porcine bladders. This model provides a realistic simulation of the surgical environment, allowing trainees to practice and refine their skills without the risks associated with live surgery.

The model involves several key steps:

  • Creating the 'Tumors': Bladder mucosa is tied with sutures to mimic bladder tumors of varying sizes and locations.
  • Setting Up the Surgical Field: An anterior cystostomy is created in the porcine bladder, which is then everted to allow for the creation of the artificial 'tumors'. The bladder is reverted and placed in a training box.
  • Simulating Resection: Resectoscope inserted via the urethra allows trainees to perform piecemeal and en bloc resections.
  • Visual Feedback: The bladder is wrapped in a colored cloth to provide visual cues when the bladder wall becomes thin during resection.
This setup enables urology residents and specialists to gain hands-on experience with TURBT techniques in a controlled setting, receiving immediate feedback and refining their skills.

The Future of TURBT Training

The porcine TURBT training model represents a significant step forward in surgical education, offering a cost-effective, accessible, and validated tool for urologists to enhance their skills. By providing a realistic simulation environment, this model empowers trainees to master TURBT techniques, potentially leading to improved patient outcomes and a higher standard of care in bladder cancer treatment.

While this model shows great promise, the researchers emphasize the importance of future studies to evaluate its predictive validity and assess the long-term impact on surgical performance. AUSTEG remains dedicated to surgical education and plans to continue providing high-quality training opportunities for urologists in Asia and beyond.

As TURBT techniques continue to evolve, the integration of innovative training models like the porcine bladder will be crucial in ensuring that urologists are well-equipped to provide the best possible care for their patients. Ultimately, this commitment to education will translate into improved outcomes and a better quality of life for individuals affected by bladder cancer.

About this Article -

This article was crafted using a human-AI hybrid and collaborative approach. AI assisted our team with initial drafting, research insights, identifying key questions, and image generation. Our human editors guided topic selection, defined the angle, structured the content, ensured factual accuracy and relevance, refined the tone, and conducted thorough editing to deliver helpful, high-quality information.See our About page for more information.

This article is based on research published under:

DOI-LINK: 10.1007/s00345-018-2602-2, Alternate LINK

Title: A Newly Developed Porcine Training Model For Transurethral Piecemeal And En Bloc Resection Of Bladder Tumour

Subject: Urology

Journal: World Journal of Urology

Publisher: Springer Science and Business Media LLC

Authors: Jeremy Yuen-Chun Teoh, Chak-Lam Cho, Yong Wei, Shuji Isotani, Ho-Yee Tiong, Teng-Aik Ong, Kittinut Kijvikai, Peggy Sau-Kwan Chu, Eddie Shu-Yin Chan, Chi-Fai Ng

Published: 2018-12-17

Everything You Need To Know

1

What is a Transurethral Resection of Bladder Tumor (TURBT)?

The Transurethral Resection of Bladder Tumor (TURBT) is a surgical procedure used in urology to diagnose and treat bladder cancer. It involves removing tumors from the bladder through the urethra. This process requires precision and skill to ensure complete tumor removal while preserving healthy tissue, making effective training essential. It's a cornerstone procedure for the initial diagnosis and treatment of bladder cancer.

2

Why is the porcine bladder training model important?

The porcine bladder training model is important because it provides a safe, controlled, and realistic environment for urologists to practice and refine their TURBT skills. This model, developed by the Asian Urological Surgery Training & Education Group (AUSTEG), uses ex vivo porcine bladders to simulate the surgical environment. By using the Porcine Model, trainees can gain hands-on experience with TURBT techniques in a controlled setting without the risks associated with live surgery. This can lead to improved surgeon skill and potentially better patient outcomes.

3

How is the porcine bladder training model set up?

The model uses several key steps. Firstly, bladder mucosa is tied with sutures to mimic bladder tumors of varying sizes and locations. Then, an anterior cystostomy is created in the porcine bladder, which is then everted to allow for the creation of the artificial 'tumors'. The bladder is reverted and placed in a training box. A resectoscope is inserted via the urethra to perform piecemeal and en bloc resections. Finally, the bladder is wrapped in a colored cloth to provide visual cues when the bladder wall becomes thin during resection.

4

What are the implications of using the porcine TURBT training model?

The implications of using the porcine TURBT training model are significant. The model offers a cost-effective, accessible, and validated tool for urologists to enhance their skills. By providing a realistic simulation environment, it empowers trainees to master TURBT techniques. This can lead to improved patient outcomes, a higher standard of care in bladder cancer treatment, and potentially reduce complications associated with the procedure. Furthermore, the ability to practice both piecemeal and en bloc resection techniques adds to the model's comprehensive training capabilities.

5

Who is this porcine TURBT training model for?

The model is designed for urology residents and specialists. It allows them to gain hands-on experience with TURBT techniques. The setup provides immediate feedback and allows for refining skills. The accessible and cost-effective nature of the porcine model makes it beneficial for a wide range of urologists looking to improve their TURBT skills. This training could potentially lead to better outcomes for bladder cancer patients.

Newsletter Subscribe

Subscribe to get the latest articles and insights directly in your inbox.