Comparative assessment of bladder puncture simulators

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Abstract

BACKGROUND: Bladder puncture is a common urological procedure associated with various complications. To ensure safe and effective physician training, different types of simulators are used. The integration of simulators into medical education enhances the quality of specialist training and improves patient safety.

AIM: To determine the qualitative characteristics of modern non-biological simulators available in Russia and compare their effectiveness in teaching bladder puncture skills.

MATERIALS AND METHODS: The study was conducted from February 1, 2024, to April 1, 2024, at two medical universities with the participation of 40 physicians divided into two groups. One group trained using the UROSON-B simulator, while the other used the Suprapubic Catheterization Module (Limbs & Things). The simulators were evaluated based on realism, utility, durability, and training outcomes. After one-month use, the performance of both groups was compared.

RESULTS: The UROSON-B simulator demonstrated superior realism and visualization compared to the Suprapubic Catheterization Module. Physicians trained on UROSON-B exhibited better procedural performance. After one month, this simulator retained higher visualization quality, showed fewer signs of wear, and proved to be more effective and durable than the Suprapubic Catheterization Module.

CONCLUSIONS: Based on the study results, the UROSON-B simulator was identified as the optimal tool for bladder puncture training due to its superior realism, durability, and effectiveness.

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About the authors

Alexandra A. Mishchenko

Academician I.P. Pavlov First St. Petersburg State Medical University

Author for correspondence.
Email: amischenko995@gmail.com
ORCID iD: 0000-0001-7939-4062
SPIN-code: 2304-5596

MD

Russian Federation, Saint Petersburg

Dmitry S. Gorelov

Academician I.P. Pavlov First St. Petersburg State Medical University

Email: dsgorelov@mail.ru
ORCID iD: 0000-0002-7592-8167
SPIN-code: 3138-5214

MD, Cand. Sci. (Medicine)

Russian Federation, Saint Petersburg

Igor V. Semenyakin

JSC Medsi Ent.

Email: dr.semeniakin@gmail.com
ORCID iD: 0000-0003-3246-7337
SPIN-code: 2421-3105

MD, Dr. Sci. (Medicine)

Russian Federation, Moscow

Ibrahim E. Malikiev

Academician I.P. Pavlov First St. Petersburg State Medical University

Email: malikiev9511@gmail.ru
ORCID iD: 0000-0001-6438-6959
Russian Federation, Saint Petersburg

Nikolai A. Nozdrachev

Altai State Medical University

Email: nozdrachevuro@mail.ru
ORCID iD: 0000-0003-3937-7270

MD, Cand. Sci. (Medicine)

Russian Federation, Barnaul

Boris A. Neymark

Altai State Medical University

Email: neimark.b@mail.ru
ORCID iD: 0000-0001-8009-3777
SPIN-code: 7886-8442

MD, Dr. Sci. (Medicine)

Russian Federation, Barnaul

Sergei B. Petrov

Academician I.P. Pavlov First St. Petersburg State Medical University; N.N. Petrov National Medical Research Center of Oncology

Email: petrov-uro@yandex.ru
ORCID iD: 0000-0003-3460-3427
SPIN-code: 2230-2519

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Saint Petersburg; Saint Petersburg

Nariman K. Gadzhiev

Saint Petersburg State University

Email: nariman.gadjiev@gmail.com
ORCID iD: 0000-0002-6255-0193
SPIN-code: 5844-2520

MD, Dr. Sci. (Medicine)

Russian Federation, Saint Petersburg

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. UROSON-B simulator, Alfa-Ritm LLC, Russia

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3. Fig. 2. Suprapubic Catheterization Module (Limbs & Things, UK)

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4. Fig. 3. Assessment of bladder visualization dynamics after 1 month

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5. Fig. 4. Comparative evaluation of puncture performance on simulators

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6. Fig. 5. Technical condition assessment of simulators after use

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7. Fig. 6. Technical condition assessment of simulators after 1-month use

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