V9-08 MALE INFERTILITY MICROSURGERY TRAINING – TRICKS OF THE TRADE

You have accessJournal of UrologyInfertility, ED, and Reconstruction Lower Tract (II)1 Apr 2017V9-08 MALE INFERTILITY MICROSURGERY TRAINING – TRICKS OF THE TRADE Phil V. Bach, Filipe Neto, Ryan Flannigan, Benjamin Stone, Omar Al Hussein Alawamlh, Miriam Feliciano, Richard Lee, Peter Schlegel, Marc Goldstein, and Philip Li Phil V. BachPhil V. Bach More articles by this author , Filipe NetoFilipe Neto More articles by this author , Ryan FlanniganRyan Flannigan More articles by this author , Benjamin StoneBenjamin Stone More articles by this author , Omar Al Hussein AlawamlhOmar Al Hussein Alawamlh More articles by this author , Miriam FelicianoMiriam Feliciano More articles by this author , Richard LeeRichard Lee More articles by this author , Peter SchlegelPeter Schlegel More articles by this author , Marc GoldsteinMarc Goldstein More articles by this author , and Philip LiPhilip Li More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2444AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Male infertility microsurgery (MIM) is physically, technically and mentally challenging, with surgical outcomes that are heavily dependent on the surgeon′s skills. MIM training programs that incorporate systematic evaluation protocols offer an excellent platform to teach microsurgical skills while avoiding the acquisition of bad habits. In this report, we describe the most common mistakes made by trainees who attended our MIM training program. METHODS We conducted a retrospective review of prospectively collected data from five trainees who attended the MIM training program between July 2015 and December 2015. Briefly, the IRB-approved MIM training program at Weill Cornell Medicine is a two-week training course offered to urologists of all levels that is held in a dedicated MIM training lab. During the first week, trainees are introduced to the operating microscope, microsurgical instruments and sutures, and focus on developing basic microsurgical suturing skills. During the second week, the trainees start to perform live MIM procedures (vasovasostomy and vasoepididymostomy) on a rodent model. Instructors provide intense supervision and continuous evaluation throughout all phases of the training. Trainees are also able to observe surgical cases performed at our institution. Evaluations are conducted four times throughout the training course using a structured score form measuring 18 items, each on a 5-point Likert scale. Trainee scores were assessed and compared for improvement over the course of the training course. RESULTS The most common mistakes made by our trainees revolved around sitting position, hand tremor, instrument handling, needle control, suture placement, and knot tying. The errors were most prevalent early on and there were statistically significant improvements across all domains by the end of the MIM training course (Table). CONCLUSIONS A MIM training program is an effective tool for teaching MIM skills. By incorporating intense supervision and continuous evaluation into an MIM training program, MIM trainees can avoid the development of bad habits that may be difficult to overcome and potentially have a negative impact on surgical outcomes. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1058-e1059 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Phil V. Bach More articles by this author Filipe Neto More articles by this author Ryan Flannigan More articles by this author Benjamin Stone More articles by this author Omar Al Hussein Alawamlh More articles by this author Miriam Feliciano More articles by this author Richard Lee More articles by this author Peter Schlegel More articles by this author Marc Goldstein More articles by this author Philip Li More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...