Virtual reality simulator for developing spatial skills during retrograde intrarenal pyeloscopy

Introduction. Currently, several virtual reality (VR) simulators have been described for the upper urinary tract stone surgery skill development, including retrograde or antegrade nephroscopy. However, their high cost and the lack of a detailed reconstruction of the intraluminal pelvicalyceal system...

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Main Authors: A. E. Talyshinskii, B. G. Guliev, A. E. Mishvelov, M. U. Agagyulov, A. A. Andriyanov
Format: Article
Language:Russian
Published: Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education 2023-04-01
Series:Вестник урологии
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Online Access:https://www.urovest.ru/jour/article/view/674
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author A. E. Talyshinskii
B. G. Guliev
A. E. Mishvelov
M. U. Agagyulov
A. A. Andriyanov
author_facet A. E. Talyshinskii
B. G. Guliev
A. E. Mishvelov
M. U. Agagyulov
A. A. Andriyanov
author_sort A. E. Talyshinskii
collection DOAJ
description Introduction. Currently, several virtual reality (VR) simulators have been described for the upper urinary tract stone surgery skill development, including retrograde or antegrade nephroscopy. However, their high cost and the lack of a detailed reconstruction of the intraluminal pelvicalyceal system (PCS) appearance limit their implementation into educational process and clinical practice.Objectives. To develop the approach for VR-reconstruction of the intraluminal appearance of the PCS via head mounted device (HMD), as well as estimate its usefulness for novices to improve spatial orientation during retrograde flexible nephroscopy.Materials & methods. Five residents without experience in self-performing retrograde flexible nephroscopy participated in a 7-day training course on the VR simulator developed, during which each novice studied six variants of the PCS. For the procedure simulation, a silicone kidney model was created with the stone placed in the calyx which was selected randomly in each case. Before and after VR-course, each resident assisted the experienced urologist during simulated retrograde nephroscopy to find the stone placed according to random selection. The nephroscopy time and the number of errors in stone-finding during retrograde flexible nephroscopy were analysed.Results. There was a statistically significant decrease in nephroscopy time (on avg by 17.6 minutes, p = 0.043) and errors to find targeted calyx, which was observed once after the training one resident only.Conclusion. The described VR simulator does not require significant time, technical and financial costs, and is available for wide implementation in the training of young specialists.
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publisher Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education
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spelling doaj-art-0cc024d2dc6746ac844f5b5ca046983a2025-08-20T03:57:21ZrusMinistry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional EducationВестник урологии2308-64242023-04-0111110010710.21886/2308-6424-2023-11-1-100-107425Virtual reality simulator for developing spatial skills during retrograde intrarenal pyeloscopyA. E. Talyshinskii0B. G. Guliev1A. E. Mishvelov2M. U. Agagyulov3A. A. Andriyanov4Med-Ray, LLC; St. Peterburg Mariinsky HospitalMechnikov North-Western State Medical University (Mechnikov University); St. Peterburg Mariinsky HospitalStavropol State Medical UniversityMechnikov North-Western State Medical University (Mechnikov University)Mechnikov North-Western State Medical University (Mechnikov University)Introduction. Currently, several virtual reality (VR) simulators have been described for the upper urinary tract stone surgery skill development, including retrograde or antegrade nephroscopy. However, their high cost and the lack of a detailed reconstruction of the intraluminal pelvicalyceal system (PCS) appearance limit their implementation into educational process and clinical practice.Objectives. To develop the approach for VR-reconstruction of the intraluminal appearance of the PCS via head mounted device (HMD), as well as estimate its usefulness for novices to improve spatial orientation during retrograde flexible nephroscopy.Materials & methods. Five residents without experience in self-performing retrograde flexible nephroscopy participated in a 7-day training course on the VR simulator developed, during which each novice studied six variants of the PCS. For the procedure simulation, a silicone kidney model was created with the stone placed in the calyx which was selected randomly in each case. Before and after VR-course, each resident assisted the experienced urologist during simulated retrograde nephroscopy to find the stone placed according to random selection. The nephroscopy time and the number of errors in stone-finding during retrograde flexible nephroscopy were analysed.Results. There was a statistically significant decrease in nephroscopy time (on avg by 17.6 minutes, p = 0.043) and errors to find targeted calyx, which was observed once after the training one resident only.Conclusion. The described VR simulator does not require significant time, technical and financial costs, and is available for wide implementation in the training of young specialists.https://www.urovest.ru/jour/article/view/674virtual realitytrainingretrograde nephroscopy
spellingShingle A. E. Talyshinskii
B. G. Guliev
A. E. Mishvelov
M. U. Agagyulov
A. A. Andriyanov
Virtual reality simulator for developing spatial skills during retrograde intrarenal pyeloscopy
Вестник урологии
virtual reality
training
retrograde nephroscopy
title Virtual reality simulator for developing spatial skills during retrograde intrarenal pyeloscopy
title_full Virtual reality simulator for developing spatial skills during retrograde intrarenal pyeloscopy
title_fullStr Virtual reality simulator for developing spatial skills during retrograde intrarenal pyeloscopy
title_full_unstemmed Virtual reality simulator for developing spatial skills during retrograde intrarenal pyeloscopy
title_short Virtual reality simulator for developing spatial skills during retrograde intrarenal pyeloscopy
title_sort virtual reality simulator for developing spatial skills during retrograde intrarenal pyeloscopy
topic virtual reality
training
retrograde nephroscopy
url https://www.urovest.ru/jour/article/view/674
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AT aemishvelov virtualrealitysimulatorfordevelopingspatialskillsduringretrogradeintrarenalpyeloscopy
AT muagagyulov virtualrealitysimulatorfordevelopingspatialskillsduringretrogradeintrarenalpyeloscopy
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