{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T20:34:22Z","timestamp":1775075662645,"version":"3.50.1"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100002907","name":"Coloplast","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002907","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Penile prosthesis implantation offers a durable, safe, and effective treatment option for male erectile dysfunction; however, many urologists feel apprehensive and uncomfortable placing penile prostheses due to limited training, low surgical experience, and intra- and postoperative complication management.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To compare a previously validated hydrogel inflatable penile prosthesis (IPP) training model with cadaver simulations across 4 main categories: anatomic replication and realism, procedural replication and realism, educational effectiveness, and efficacy and safety.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>An overall 88 participants (15 attendings, 18 fellows, and 55 residents) performed guided IPP placements on a cadaver and a hydrogel model. Based on a 5-point Likert scale, postsurveys were used to assess the participants\u2019 opinions regarding anatomic replication and realism, procedural replication and realism, educational effectiveness, and safety between the hydrogel model and cadavers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>A direct head-to-head scenario was created, allowing participants to fully utilize the hydrogel model and cadaver, which ensured the most accurate comparison possible.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 84% agreed that the hydrogel model replicates the relevant human cadaveric anatomy for the procedure, whereas 69% agreed that the hydrogel tissue resembles the appearance of cadaveric tissue. Regarding the pubic bone, outer skin, corporal bodies, dartos layer, and scrotum, 79%, 74%, 82%, 46%, and 30% respectively agreed that the hydrogel tissue resembled the texture\/behavior of cadavers. Furthermore, 66% of participants agreed that the hydrogel model replicates all the procedural steps. Specifically, participants agreed that the model replicates the skin incision\/dartos dissection (74%), placement of stay suture and corporotomy (92%), corporal dilation (81%), measurement of prosthetic size (98%), reservoir placement (43%), IPP placement (91%), scrotal pump placement (48%), and skin closure (51%). Finally, 86%, 93%, and 78% agreed that the hydrogel model is useful for improving technical skills, as a teaching\/practicing tool, and as an evaluation tool, respectively. To conclude, 81% of participants stated that they would include the hydrogel model platform in their current training.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Implications<\/jats:title>\n                  <jats:p>By replicating the IPP procedure, the hydrogel model offers an additional high-fidelity training opportunity for urologists, allowing them to improve their skills and confidence in placing penile prostheses, with the goal of improving patient surgical outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths and Limitations<\/jats:title>\n                  <jats:p>The hydrogel training model allows users to perform the entire IPP placement procedure with high anatomic realism and educational effectiveness, maintaining many of the high-fidelity benefits seen in cadavers while improving safety and accessibility.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Ultimately, this high-fidelity nonbiohazardous training model can be used to supplement and bolster current IPP training curriculums.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdad071","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T01:55:44Z","timestamp":1690854944000},"page":"1126-1132","source":"Crossref","is-referenced-by-count":4,"title":["Three-dimensional printed hydrogel model vs cadaver: comparing inflatable penile prosthesis training and evaluation"],"prefix":"10.1093","volume":"20","author":[{"given":"Patrick","family":"Saba","sequence":"first","affiliation":[{"name":"University of Rochester Medical Center Department of Urology, , Rochester, NY 14642 , United States"},{"name":"University of Rochester Medical Center Simulation Innovation Laboratory, , Rochester, NY 14642 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Cook","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center Department of Urology, , Rochester, NY 14642 , United States"},{"name":"University of Rochester Medical Center Simulation Innovation Laboratory, , Rochester, NY 14642 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Melnyk","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center Department of Urology, , Rochester, NY 14642 , United States"},{"name":"University of Rochester Medical Center Simulation Innovation Laboratory, , Rochester, NY 14642 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan","family":"Schuler","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center Department of Urology, , Rochester, NY 14642 , United States"},{"name":"University of Rochester Medical Center Simulation Innovation Laboratory, , Rochester, NY 14642 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler","family":"Holler","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center Department of Urology, , Rochester, NY 14642 , United States"},{"name":"University of Rochester Medical Center Simulation Innovation Laboratory, , Rochester, NY 14642 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Witthaus","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center Department of Urology, , Rochester, NY 14642 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Ralph","sequence":"additional","affiliation":[{"name":"St Peters Andrology Centre, King Edward VII Hospital , London, W1G 6AA , United Kingdom"},{"name":"University College London , London, WC1E 6BT , United Kingdom"},{"name":"EAU Section of Genitourinary Reconstructive Surgeons , Arnhem, NL-6803 AA, Th e Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Collins","sequence":"additional","affiliation":[{"name":"University College London , London, WC1E 6BT , United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Bettocchi","sequence":"additional","affiliation":[{"name":"University of Bari Cattedra di Urologia\u2013Policlinico, , Bari, 70124 , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koenraad","family":"Van Renterghem","sequence":"additional","affiliation":[{"name":"Department of Urology, Jessa Ziekenhuis\u2013Campus Salvator , Hasselt, 3500 , Belgium"},{"name":"Hasselt University Faculty of Medicine, , Hasselt, 3500 , Belgium"},{"name":"Department of Urology, University Hospitals Leuven , Zonhoven, 3520 , Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Ghazi","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center Department of Urology, , Rochester, NY 14642 , United States"},{"name":"University of Rochester Medical Center Simulation Innovation Laboratory, , Rochester, NY 14642 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,6,21]]},"reference":[{"issue":"2","key":"2023080101551307300_ref1","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1586\/17434440.5.2.133","article-title":"Inflatable penile prostheses for the treatment of erectile dysfunction: an update","volume":"5","author":"Garber","year":"2008","journal-title":"Expert Rev Med Devices"},{"issue":"2","key":"2023080101551307300_ref2","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1111\/j.1743-6109.2007.00434.x","article-title":"Penile prosthesis surgery: a review of prosthetic devices and associated complications","volume":"4","author":"Sadeghi-Nejad","year":"2007","journal-title":"J Sex Med"},{"issue":"6","key":"2023080101551307300_ref3","doi-asserted-by":"crossref","first-page":"2040","DOI":"10.1016\/j.juro.2014.11.095","article-title":"National practice patterns of treatment of erectile dysfunction with penile prosthesis implantation","volume":"193","author":"Oberlin","year":"2015","journal-title":"J Urol"},{"issue":"suppl 5","key":"2023080101551307300_ref4","doi-asserted-by":"crossref","first-page":"S898","DOI":"10.21037\/tau.2017.11.21","article-title":"Centers of excellence for penile prosthetics are a novel concept that will likely prove difficult to implement","volume":"6","author":"Kovac","year":"2017","journal-title":"Transl Androl Urol"},{"issue":"4","key":"2023080101551307300_ref5","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.esxm.2018.09.001","article-title":"Simulation training in penile implant surgery: assessment of surgical confidence and knowledge with cadaveric laboratory training","volume":"6","author":"Lentz","year":"2018","journal-title":"Sexual Medicine"},{"issue":"4","key":"2023080101551307300_ref6","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1111\/bju.15106","article-title":"Avoiding deep pelvic complications using a \u201cfive-step\u201d technique for high submuscular placement of inflatable penile prosthesis reservoirs","volume":"126","author":"Baumgarten","year":"2020","journal-title":"BJU Int"},{"issue":"4","key":"2023080101551307300_ref7","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/j.jsurg.2015.01.005","article-title":"A novel cadaveric simulation program in urology","volume":"72","author":"Ahmed","year":"2015","journal-title":"J Surg Educ"},{"issue":"11","key":"2023080101551307300_ref8","doi-asserted-by":"crossref","first-page":"2299","DOI":"10.1016\/j.jsxm.2020.08.003","article-title":"The future of penile prosthetic surgical training is here: design of a hydrogel model for inflatable penile prosthetic placement using modern education theory","volume":"17","author":"Witthaus","year":"2020","journal-title":"J Sex Med"},{"issue":"3","key":"2023080101551307300_ref9","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1038\/s41443-019-0211-2","article-title":"3D pelvic cadaver model: a novel approach to surgical training for penile implant surgery","volume":"32","author":"van Renterghem","year":"2020","journal-title":"Int J Impot Res"},{"issue":"5","key":"2023080101551307300_ref10","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1308\/147870811X582954","article-title":"The use and effectiveness of cadaveric workshops in higher surgical training: a systematic review","volume":"93","author":"Gilbody","year":"2011","journal-title":"Ann R Coll Surg Engl"},{"issue":"4","key":"2023080101551307300_ref11","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1001\/jama.2015.17705","article-title":"Clinicians embrace 3D printers to solve unique clinical challenges","volume":"315","author":"Kuehn","year":"2016","journal-title":"JAMA"},{"issue":"3","key":"2023080101551307300_ref12","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1016\/j.juro.2008.10.157","article-title":"Centers of excellence concept and penile prostheses: an outcome analysis","volume":"181","author":"Henry","year":"2009","journal-title":"J Urol"},{"key":"2023080101551307300_ref13","volume-title":"Human Resource Development: The Theory and Practice of Need Assessment","author":"Ulschak","year":"1983"},{"issue":"2","key":"2023080101551307300_ref14","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/j.jsurg.2019.09.006","article-title":"Systematic review of virtual haptics in surgical simulation: a valid educational tool?","volume":"77","author":"Rangarajan","year":"2020","journal-title":"J Surg Educ"},{"issue":"1","key":"2023080101551307300_ref15","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1136\/bmjstel-2017-000234","article-title":"3D printing materials and their use in medical education: a review of current technology and trends for the future","volume":"4","author":"Garcia","year":"2018","journal-title":"BMJ Simul Technol Enhanc Learn"},{"issue":"7","key":"2023080101551307300_ref16","doi-asserted-by":"crossref","first-page":"1631","DOI":"10.1007\/s00345-019-02989-z","article-title":"Mechanical and functional validation of a perfused, robot-assisted partial nephrectomy simulation platform using a combination of 3D printing and hydrogel casting","volume":"38","author":"Melnyk","year":"2020","journal-title":"World J Urol"},{"issue":"2","key":"2023080101551307300_ref17","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.sxmr.2018.04.002","article-title":"Penile prosthesis complications: planning, prevention, and decision making","volume":"7","author":"Scherzer","year":"2019","journal-title":"Sex Med Rev"},{"issue":"2","key":"2023080101551307300_ref18","first-page":"402","article-title":"Risk factors for penile prosthetic infection","volume":"156","author":"Jarow","year":"1996","journal-title":"Endotext"},{"issue":"9","key":"2023080101551307300_ref19","doi-asserted-by":"crossref","first-page":"S169","DOI":"10.5489\/cuaj.6919","article-title":"Northeastern section of the AUA 72nd annual meeting abstracts","volume":"14","author":"Donnelly","year":"2020","journal-title":"Can Urol Assoc J"},{"issue":"suppl 3","key":"2023080101551307300_ref20","first-page":"e982","article-title":"Mp57-10 virtual learning with remote proctoring for inflatable penile prosthesis (IPP) training: a feasibility study for socially distanced education","volume":"206","author":"Ghazi","year":"2021","journal-title":"J Urol"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/20\/8\/1126\/51007788\/qdad071.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/20\/8\/1126\/51007788\/qdad071.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T01:55:56Z","timestamp":1690854956000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/20\/8\/1126\/7204407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,21]]},"references-count":20,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2023,6,21]]},"published-print":{"date-parts":[[2023,7,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jsxmed\/qdad071","relation":{},"ISSN":["1743-6095","1743-6109"],"issn-type":[{"value":"1743-6095","type":"print"},{"value":"1743-6109","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,8]]},"published":{"date-parts":[[2023,6,21]]}}}