Resumen
Objetivo: El estudio idealizó el desarrollo y validación de un simulador hecho en impression 3D para entrenamiento en ureterolitotricia flexible con láser. Métodos: El simulador fue elaborado con ácido poliláctico y consta de dos partes selladas herméticamente. Su interior imita un sistema urinario, con el uréter proximal, pelvis y los cálices renales, lo que permite entrenar la navegación con endoscopio, la litotricia con láser, así como la extracción de fragmentos de cálculos. Para la validación, el simulador fue evaluado por 21 jueces expertos, quienes tuvieron acceso a la tecnología y pudieron verificar sus principales características y funcionalidad. La evaluación se documentó mediante el llenado de un cuestionario, que contenía 22 enunciados en escala de Likert, divididos en tres dominios: (1) OBJETIVOS, (2) ESTRUCTURA y PRESENTACIÓN y (3) PERTINENCIA. Resultados: Los 3 dominios obtuvieron una aprobación del 98,6%, 98,3% y 99,3%, respectivamente. La consistencia interna del cuestionario se verificó a través de la prueba Alfa de Cronbach, que alcanzó valores elevados, tanto en los dominios (0,829, 0,87 y 0,9963) como en la valoración general (0,92). Conclusión: El simulador permite el entrenamiento en ureterolitrotricia flexible con láser, pudiendo ser considerado una herramienta auxiliar en la enseñanza y aprendizaje en urología.
Referencias
ADITYA I, et al. Current Educational Interventions for Improving Technical Skills of Urology Trainees in Endourological Procedures: A Systematic Review. Journal of Endourology, 2019; 34(7): 723-731.
AHMED K, et al. European Association of Urology Section of Urolithiasis (EULIS) Consensus Statement on Simulation, Training, and Assessment in Urolithiasis. European Urology Focus, 2017; 4(4): 614-620.
ASSIMOS D, et al. Surgical Management of Stones: American Urological Association/Endourological Society Guideline. Journal of Urology, 2016; 196(4): 1153-1160.
CAPOBUSSI F, MOJA L. 3D printing technology and internet of things prototyping in family practice: building pulse oximeters during COVID-19 pandemic. 3D Printing in Medicine, 2020; 6(1): 32.
CHEN MY, et al. Current applications of three-dimensional printing in urology. British Journal of Urology International, 2020; 125(1): 17-27.
CHILDS BS, MANGANIELLO MD, KORETS R. Novel Education and Simulation Tools in Urologic Training. Current Urology Reports, 2019; 20(12): 81.
CHIORO A, et al. A política de contratualização dos hospitais de ensino: o que mudou na prática? Ciências & Saúde Coletiva, 2021; 26(11) :5691-5700.
FADRIQUE GG, et al. Adherence to the European Association ofUrology Guidelines Regarding the Therapeutic Indications for the Treatment of Urinary Lithiasis: A Spanish Multicenter Study. Urologia Internationalis, 2019; 103(2): 137-142.
GORGEN ARH, et al. The impact of COVID-19 pandemic in urology practice,assistance and residency training in a tertiary referral center in Brazil. International Brazilian Journal of Urology, 2021; 47(5): 1042-1049.
HILL AJ, et al. Incidence of Kidney Stones in the United States: The Continuous National Health and Nutrition Examination Survey. Journal of Urology, 2022; 207(4):851-856.
HUSSEIN S, et al. Validation of a Bench-Top Training Model for Retrograde Intrarenal Surgery. Urologia internationalis, 2021; 105(7-8): 605-610.
INOUE T, et al. New Advanced Bench Model for Flexible Ureteroscopic Training: The Smart Simulator. Journal of Endourology, 2018; 32(1): 22-27.
KOZYRAKIS DG, et al. How Effective Is Retrograde Semirigid and Flexible Ureteroscopic Lithotripsy for the Treatment of Large Ureteral Stones Equal of or Greater than 15 mm? Results from a Single Center. Urologia Internationalis, 2019; 103(1):74-80.
MATSUMOTO ED, et al. The effect of bench model fidelity onendourological skills: A randomized controlled study. Journal of Urology, 2002; 167: 1243-1247.
MINISTÉRIO DA EDUCAÇÃO. Resolução nº 19, de 8 de abril de 2019 - Aprova a matriz de competências dos Programas de Residência Médica em Urologia. In: Diário Oficial da União. Disponível em http://portal.mec.gov.br/. Acessado em: 16/08/2022.
MULLER RF, BIRMAN J. Negociando saberes e poderes: a Política Nacional de Atenção Integral à Saúde do Homem e a Sociedade Brasileira de Urologia. História, Ciências, Saúde – Manguinhos, 2016; 23(3): 703-717.
ORECHIA L, et al. Introducing 3D printed models of the upper urinary tract for high-fidelity simulation of retrograde intrarenal surgery. 3D Printing in Medicine, 2021; 7(1): 15.
PINTO LOAD, et al. Portable model for vasectomy reversal training. International Brazilian Journal of Urology, 2019; 45(5): 1013-1019.
PREZOTTI JA, et al. Impact of COVID-19 on education, health and lifestyle behaviour of Brazilian urology residents. International Brazilian Journal of Urology, 2021; 47(4): 753-776.
SARIKAYA S, et al. Future of Urology Training. Archivos Españoles de Urología, 2018; 71(1): 158-163.
SILVA SFR, et al. Dados demográficos, clínicos e laboratoriais de pacientes com litíase urinária em Fortaleza, Ceará. Brazilian Journal of Nephrology, 2011; 33(3):295-299.
SMITH B, DASGUPTA P. 3D printing technology and its role in urological training. World Journal Of Urology, 2020;38(10): 2385-2391.
SORIA F, et al. Development and validation of a novel skills training model for retrograde intrarenal surgery. Journal of Endourology, 2015; 29(11):1276-1281.
TEIXEIRA EM, SOUZA MOTA VM. Tecnologias Educacionais em Foco. Volume 2. Brasil: Editora Difusão, 2011; 105p.
THONGPRAYOON C, KRAMBECK AE, RULE AD. Determining the true burden of kidney stone disease. Nature Reviews. Nephrology, 2020; 16(12): 736-746.
WILK R, et al. What would you like to print? Students' opinions on the use of 3D printing technology in medicine. PLoS One, 2020; 15(4): e0230851.
ZIEMBA JB, MATLAGA BR. Epidemiology and economics of nephrolithiasis. Investigative and Clinical Urology, 2017; 58(5): 299-306.
