TUR-P phantom for resident surgical training: food-based design as a human mimicking model of the prostate
Purpose This study would like to develop a novel model similar to human prostate in terms of its texture profile, sensation upon resection, and anatomical hallmarks for resident transurethral resection of the prostate (TUR-P) training. Methods Ten phantom designs were proposed, using broadly availab...
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| Veröffentlicht in: | World journal of urology 2020-11, Vol.38 (11), p.2907-2914 |
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| creator | Rasyid, Nur Putra, Harun Wijanarko Kusumo Birowo, Ponco Wahyudi, Irfan Mochtar, Chaidir Arif Hamid, Agus Rizal A. H. |
| description | Purpose
This study would like to develop a novel model similar to human prostate in terms of its texture profile, sensation upon resection, and anatomical hallmarks for resident transurethral resection of the prostate (TUR-P) training.
Methods
Ten phantom designs were proposed, using broadly available ingredients and a homemade protocol. Three steps of evaluation and development were done: objective measurement measuring texture profile (e.g. hardness, elasticity, cohesiveness/consistency, and adhesiveness/stickiness) using TA-XT2i Texture Analyzer (Llyod Instruments, Ametek Inc) to compare the designs with human prostate, finding the most similar design to prostate; expert consensus by a panel of urologist/senior residents comparing the simulation of TUR-P on the selected design with pre-existing control phantom; and anatomical design development using 3D printing for molding.
Results
Texture profile analysis for mean hardness, elasticity, cohesiveness/consistency, and adhesiveness/stickiness of human prostate was 3753.4 ± 673.4, 85 ± 1.9, 0.7 ± 0.03, and 0, respectively, and design IX was the most similar to human prostate (3660.7 ± 465.6, 87.0 ± 2.5, 0.6 ± 0.05, 0). Furthermore, expert consensus showed superiority of design IX compared with pre-existing control phantom (16.95 ± 1.36 vs 8.86 ± 3.10;
P
|
| doi_str_mv | 10.1007/s00345-020-03085-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2351482318</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2351482318</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-5ea1e8f4713654ccb7e4c80dfd6ae4d994a6ce487b7aef28a6cb1b5a2973a9d3</originalsourceid><addsrcrecordid>eNp9kUFv3CAQhVHUKNmk_QM9VEi99EILDDa4typKm0qREkWbM8Iw3vXWxhuwD_33Id00lXrICaH53nswj5D3gn8WnOsvmXNQFeOSMw7cVAyOyEooAGa0rN-QFddSMdUYOCVnOe84F7rm1Qk5BVlEUsOK7Nb3d-yW7rcuztNIuynRhLkPGGeal7TpvRvonFwf-7j5WuZTYK3LGGgo2CZSl6mj22V0kY792PtfhaPjFHCgU0fnLdJ9mvLsZnxLjjs3ZHz3fJ6T9ffL9cUVu7758fPi2zXzoKuZVegEmk5pAXWlvG81Km946ELtUIWmUa72qIxutcNOmnJrRVs52WhwTYBz8ulgW3IfFsyzHfvscRhcxGnJVkIllJEgTEE__ofupiXF8jgrS74xwGtdKHmgfPlITtjZfepHl35bwe1TEfZQhC07tX-KsFBEH56tl3bE8CL5u_kCwAHIZRQ3mP5lv2L7CHMnk60</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2471883067</pqid></control><display><type>article</type><title>TUR-P phantom for resident surgical training: food-based design as a human mimicking model of the prostate</title><source>SpringerLink Journals (MCLS)</source><creator>Rasyid, Nur ; Putra, Harun Wijanarko Kusumo ; Birowo, Ponco ; Wahyudi, Irfan ; Mochtar, Chaidir Arif ; Hamid, Agus Rizal A. H.</creator><creatorcontrib>Rasyid, Nur ; Putra, Harun Wijanarko Kusumo ; Birowo, Ponco ; Wahyudi, Irfan ; Mochtar, Chaidir Arif ; Hamid, Agus Rizal A. H.</creatorcontrib><description>Purpose
This study would like to develop a novel model similar to human prostate in terms of its texture profile, sensation upon resection, and anatomical hallmarks for resident transurethral resection of the prostate (TUR-P) training.
Methods
Ten phantom designs were proposed, using broadly available ingredients and a homemade protocol. Three steps of evaluation and development were done: objective measurement measuring texture profile (e.g. hardness, elasticity, cohesiveness/consistency, and adhesiveness/stickiness) using TA-XT2i Texture Analyzer (Llyod Instruments, Ametek Inc) to compare the designs with human prostate, finding the most similar design to prostate; expert consensus by a panel of urologist/senior residents comparing the simulation of TUR-P on the selected design with pre-existing control phantom; and anatomical design development using 3D printing for molding.
Results
Texture profile analysis for mean hardness, elasticity, cohesiveness/consistency, and adhesiveness/stickiness of human prostate was 3753.4 ± 673.4, 85 ± 1.9, 0.7 ± 0.03, and 0, respectively, and design IX was the most similar to human prostate (3660.7 ± 465.6, 87.0 ± 2.5, 0.6 ± 0.05, 0). Furthermore, expert consensus showed superiority of design IX compared with pre-existing control phantom (16.95 ± 1.36 vs 8.86 ± 3.10;
P
< 0.001). Most of the respondents agreed that the texture, consistency, and phantom ability to mimic human prostate upon resection were similar with human prostate, though hallmarks of the prostate e.g. veromontanum, and lobes were lacking. We used these feedbacks to develop a mold, designed to produce these important anatomical hallmarks.
Conclusion
This study developed a cost-effective prostate model from a food-based design that is similar to human prostate in terms of its texture and sensation upon TUR-P resection provided with important anatomical hallmarks.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-020-03085-3</identifier><identifier>PMID: 32020273</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cheese ; Design ; Medicine ; Medicine & Public Health ; Mimicry ; Nephrology ; Oncology ; Original Article ; Prostate ; Urology</subject><ispartof>World journal of urology, 2020-11, Vol.38 (11), p.2907-2914</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-5ea1e8f4713654ccb7e4c80dfd6ae4d994a6ce487b7aef28a6cb1b5a2973a9d3</citedby><cites>FETCH-LOGICAL-c375t-5ea1e8f4713654ccb7e4c80dfd6ae4d994a6ce487b7aef28a6cb1b5a2973a9d3</cites><orcidid>0000-0002-7538-2811</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-020-03085-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-020-03085-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32020273$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rasyid, Nur</creatorcontrib><creatorcontrib>Putra, Harun Wijanarko Kusumo</creatorcontrib><creatorcontrib>Birowo, Ponco</creatorcontrib><creatorcontrib>Wahyudi, Irfan</creatorcontrib><creatorcontrib>Mochtar, Chaidir Arif</creatorcontrib><creatorcontrib>Hamid, Agus Rizal A. H.</creatorcontrib><title>TUR-P phantom for resident surgical training: food-based design as a human mimicking model of the prostate</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Purpose
This study would like to develop a novel model similar to human prostate in terms of its texture profile, sensation upon resection, and anatomical hallmarks for resident transurethral resection of the prostate (TUR-P) training.
Methods
Ten phantom designs were proposed, using broadly available ingredients and a homemade protocol. Three steps of evaluation and development were done: objective measurement measuring texture profile (e.g. hardness, elasticity, cohesiveness/consistency, and adhesiveness/stickiness) using TA-XT2i Texture Analyzer (Llyod Instruments, Ametek Inc) to compare the designs with human prostate, finding the most similar design to prostate; expert consensus by a panel of urologist/senior residents comparing the simulation of TUR-P on the selected design with pre-existing control phantom; and anatomical design development using 3D printing for molding.
Results
Texture profile analysis for mean hardness, elasticity, cohesiveness/consistency, and adhesiveness/stickiness of human prostate was 3753.4 ± 673.4, 85 ± 1.9, 0.7 ± 0.03, and 0, respectively, and design IX was the most similar to human prostate (3660.7 ± 465.6, 87.0 ± 2.5, 0.6 ± 0.05, 0). Furthermore, expert consensus showed superiority of design IX compared with pre-existing control phantom (16.95 ± 1.36 vs 8.86 ± 3.10;
P
< 0.001). Most of the respondents agreed that the texture, consistency, and phantom ability to mimic human prostate upon resection were similar with human prostate, though hallmarks of the prostate e.g. veromontanum, and lobes were lacking. We used these feedbacks to develop a mold, designed to produce these important anatomical hallmarks.
Conclusion
This study developed a cost-effective prostate model from a food-based design that is similar to human prostate in terms of its texture and sensation upon TUR-P resection provided with important anatomical hallmarks.</description><subject>Cheese</subject><subject>Design</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mimicry</subject><subject>Nephrology</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Prostate</subject><subject>Urology</subject><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kUFv3CAQhVHUKNmk_QM9VEi99EILDDa4typKm0qREkWbM8Iw3vXWxhuwD_33Id00lXrICaH53nswj5D3gn8WnOsvmXNQFeOSMw7cVAyOyEooAGa0rN-QFddSMdUYOCVnOe84F7rm1Qk5BVlEUsOK7Nb3d-yW7rcuztNIuynRhLkPGGeal7TpvRvonFwf-7j5WuZTYK3LGGgo2CZSl6mj22V0kY792PtfhaPjFHCgU0fnLdJ9mvLsZnxLjjs3ZHz3fJ6T9ffL9cUVu7758fPi2zXzoKuZVegEmk5pAXWlvG81Km946ELtUIWmUa72qIxutcNOmnJrRVs52WhwTYBz8ulgW3IfFsyzHfvscRhcxGnJVkIllJEgTEE__ofupiXF8jgrS74xwGtdKHmgfPlITtjZfepHl35bwe1TEfZQhC07tX-KsFBEH56tl3bE8CL5u_kCwAHIZRQ3mP5lv2L7CHMnk60</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Rasyid, Nur</creator><creator>Putra, Harun Wijanarko Kusumo</creator><creator>Birowo, Ponco</creator><creator>Wahyudi, Irfan</creator><creator>Mochtar, Chaidir Arif</creator><creator>Hamid, Agus Rizal A. H.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7538-2811</orcidid></search><sort><creationdate>20201101</creationdate><title>TUR-P phantom for resident surgical training: food-based design as a human mimicking model of the prostate</title><author>Rasyid, Nur ; Putra, Harun Wijanarko Kusumo ; Birowo, Ponco ; Wahyudi, Irfan ; Mochtar, Chaidir Arif ; Hamid, Agus Rizal A. H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-5ea1e8f4713654ccb7e4c80dfd6ae4d994a6ce487b7aef28a6cb1b5a2973a9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cheese</topic><topic>Design</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mimicry</topic><topic>Nephrology</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Prostate</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rasyid, Nur</creatorcontrib><creatorcontrib>Putra, Harun Wijanarko Kusumo</creatorcontrib><creatorcontrib>Birowo, Ponco</creatorcontrib><creatorcontrib>Wahyudi, Irfan</creatorcontrib><creatorcontrib>Mochtar, Chaidir Arif</creatorcontrib><creatorcontrib>Hamid, Agus Rizal A. H.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rasyid, Nur</au><au>Putra, Harun Wijanarko Kusumo</au><au>Birowo, Ponco</au><au>Wahyudi, Irfan</au><au>Mochtar, Chaidir Arif</au><au>Hamid, Agus Rizal A. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>TUR-P phantom for resident surgical training: food-based design as a human mimicking model of the prostate</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>38</volume><issue>11</issue><spage>2907</spage><epage>2914</epage><pages>2907-2914</pages><issn>0724-4983</issn><eissn>1433-8726</eissn><abstract>Purpose
This study would like to develop a novel model similar to human prostate in terms of its texture profile, sensation upon resection, and anatomical hallmarks for resident transurethral resection of the prostate (TUR-P) training.
Methods
Ten phantom designs were proposed, using broadly available ingredients and a homemade protocol. Three steps of evaluation and development were done: objective measurement measuring texture profile (e.g. hardness, elasticity, cohesiveness/consistency, and adhesiveness/stickiness) using TA-XT2i Texture Analyzer (Llyod Instruments, Ametek Inc) to compare the designs with human prostate, finding the most similar design to prostate; expert consensus by a panel of urologist/senior residents comparing the simulation of TUR-P on the selected design with pre-existing control phantom; and anatomical design development using 3D printing for molding.
Results
Texture profile analysis for mean hardness, elasticity, cohesiveness/consistency, and adhesiveness/stickiness of human prostate was 3753.4 ± 673.4, 85 ± 1.9, 0.7 ± 0.03, and 0, respectively, and design IX was the most similar to human prostate (3660.7 ± 465.6, 87.0 ± 2.5, 0.6 ± 0.05, 0). Furthermore, expert consensus showed superiority of design IX compared with pre-existing control phantom (16.95 ± 1.36 vs 8.86 ± 3.10;
P
< 0.001). Most of the respondents agreed that the texture, consistency, and phantom ability to mimic human prostate upon resection were similar with human prostate, though hallmarks of the prostate e.g. veromontanum, and lobes were lacking. We used these feedbacks to develop a mold, designed to produce these important anatomical hallmarks.
Conclusion
This study developed a cost-effective prostate model from a food-based design that is similar to human prostate in terms of its texture and sensation upon TUR-P resection provided with important anatomical hallmarks.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32020273</pmid><doi>10.1007/s00345-020-03085-3</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-7538-2811</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0724-4983 |
| ispartof | World journal of urology, 2020-11, Vol.38 (11), p.2907-2914 |
| issn | 0724-4983 1433-8726 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2351482318 |
| source | SpringerLink Journals (MCLS) |
| subjects | Cheese Design Medicine Medicine & Public Health Mimicry Nephrology Oncology Original Article Prostate Urology |
| title | TUR-P phantom for resident surgical training: food-based design as a human mimicking model of the prostate |
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