A Low-Cost Gelatin-Based Model for Ultrasound-Guided Percutaneous Renal Access

TL;DR

This study created a low-cost gelatin model to train urologists in ultrasound-guided kidney access, improving their skills safely and effectively.

Contribution

A novel, low-cost, and reproducible gelatin-based training model for ultrasound-guided percutaneous renal access is introduced.

Findings

Puncture time decreased significantly from 106 to 40.5 seconds after training on the model.

71.4% of urologists accepted the model as a safe training alternative for practicing ultrasound-guided access skills.

Abstract

The aim of this study was to develop and validate a low-cost and reproducible training model using gelatin that can be useful for acquiring the necessary skills for successful ultrasound-guided access in percutaneous nephrolithotomy without exposing patients to clinical risks.

A prospective and analytical study involving 12 urology residents was conducted to validate the model using content and construct validation systems. The study consisted of 2 parts: content validation through expert opinion surveys and construct validation through resident skill assessments before and after training on the model. This model imitates the calyx to puncture and was developed using pitted olives in dense gelatin. The model was constructed for a total cost of $29.7 per unit with an easy and reproducible construction. Each model can be used to perform approximately 40 punctures before the image quality deteriorates.

Globally, this training model increased skills. Puncture time decreased from 106 to 40.5 seconds after training (P = .002). The study found that the model was accepted by 71.4% of urologists as a safe training alternative and provided a risk-free environment for practicing the 2 skills required for a successful puncture: adjusting the ultrasound machine for an adequate image of the target and surrounding tissues and needle-probe alignment.

This model is easy to build, reproducible, and cost-effective. It enhances the residents’ skills to increase success and safety when performing ultrasound-guided percutaneous access.

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