{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T23:06:33Z","timestamp":1790118393200,"version":"4.0.1"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Although hypospadias is a common condition and pediatric urology fellowship training programs exist, they have recently been described as insufficient to mediate the necessary skills to master hypospadias surgery. Simulation-based education is increasingly promoted, but training is limited by simulators that typically focus on a single surgical technique. We aimed to develop and demonstrate a single adaptable simulator capable of simulating the six commonly used single-stage hypospadias repair methods.<\/jats:p>\n                  <jats:p>A model made from lamb tenderloin and chicken skin was used to simulate the six most common single-stage repair techniques: The Meatal-based Flap (Mathieu), the Tubularized Preputial Island Flap, the Island Onlay, the Meatal Advancement and Glanduloplasty (MAGPI) technique, the Koyanagi\u2013Nonomura technique, and the Yoke repair technique. Simple adaptations were employed to modify the model, including sulcus and meatal repositioning, as well as suture- and resection-based skin adaptations.<\/jats:p>\n                  <jats:p>The model could be adapted to simulate six major hypospadias correction techniques on one single platform. The model required minimal resources and preparation, making it accessible and cost-effective.<\/jats:p>\n                  <jats:p>With the animal tissue model presented, the simulation of six commonly used single-stage reconstruction techniques on one adaptable, easily accessible platform becomes possible. Formal validation studies are warranted prior to their incorporation into standardized training curricula.<\/jats:p>","DOI":"10.1055\/a-2889-0027","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T22:40:31Z","timestamp":1780612831000},"page":"433-439","source":"Crossref","is-referenced-by-count":0,"title":["A Multimodal Animal-Tissue Simulation Model for Training Single-Stage Hypospadias Repair Techniques: A Descriptive Proof-of-Concept Study"],"prefix":"10.1055","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5206-6605","authenticated-orcid":false,"given":"Jonathan","family":"Aichner","sequence":"additional","affiliation":[{"name":"Great Ormond Street Hospital for Children, United Kingdom of Great Britain and Northern Ireland","department":["Department of Paediatric Urology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ganesh","family":"Vythilingam","sequence":"additional","affiliation":[{"name":"Great Ormond Street Hospital for Children, United Kingdom of Great Britain and Northern Ireland","department":["Department of Paediatric Urology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Jhala","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum T\u00fcbingen, Germany","department":["Kinderchirurgie und Kinderurologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp O.","family":"Szavay","sequence":"additional","affiliation":[{"name":"Luzerner Kantonsspital Kinderspital, Switzerland","department":["Department of Pediatric Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navroop","family":"Johal","sequence":"additional","affiliation":[{"name":"Great Ormond Street Hospital for Children, United Kingdom of Great Britain and Northern Ireland","department":["Department of Paediatric Urology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Zundel","sequence":"additional","affiliation":[{"name":"Luzerner Kantonsspital Kinderspital, Switzerland","department":["Department of Pediatric Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.jpurol.2014.12.006","article-title":"Meta-analysis of complication rates of the tubularized incised plate (TIP) repair","volume":"11","author":"K L Pfistermuller","year":"2015","journal-title":"J Pediatr Urol"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"105733","DOI":"10.1016\/j.jpurol.2026.105733","article-title":"Education and training in hypospadias surgery: Current status, competency assessment, and the role of modern educational tools","volume":"22","author":"I Ulman","year":"2026","journal-title":"J Pediatr Urol"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"607.e1","DOI":"10.1016\/j.jpurol.2024.01.006","article-title":"Teaching hypospadias repair by utilising a novel 3D-printed silicon model: An initial assessment using structured trainee and trainer feedback","volume":"20","author":"A Aboalazayem","year":"2024","journal-title":"J Pediatr Urol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1007\/s00238-020-01709-w","article-title":"A multiplanar simulator for hypospadias repair","volume":"44","author":"R Wain","year":"2021","journal-title":"Eur J Plast Surg"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"765.e1","DOI":"10.1016\/j.jpurol.2022.04.020","article-title":"External validation of a low fidelity dry-lab platform to enhance loupes surgical skills techniques for hypospadias repair","volume":"18","author":"V P Bhatia","year":"2022","journal-title":"J Pediatr Urol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.urology.2024.09.013","article-title":"Hypospadias reconstruction training: Development of an ex-vivo model for objective evaluation of surgical skills","volume":"195","author":"T Abbas","year":"2025","journal-title":"Urology"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"693.e1","DOI":"10.1016\/j.jpurol.2024.02.010","article-title":"Surgical simulation of hypospadias repair - 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