Urology Annals最新文献

{"title":"Predictive tools and scoring systems for surgical intervention in antenatal hydronephrosis and pelviureteric junction obstruction: An ATLAS based on comprehensive review of literature.","authors":"Leo Edward Fitzgerald Gradwell, Abdullah Khalid Fouda Neel, Bhaskar K Somani","doi":"10.4103/ua.ua_88_25","DOIUrl":"10.4103/ua.ua_88_25","url":null,"abstract":"<p><p>Antenatal hydronephrosis (ANH) is detected in up to 5% of pregnancies and is most commonly caused by pelviureteric junction obstruction (PUJO). While many cases resolve spontaneously, subset of patients require surgical intervention. Differentiating between these groups remains a clinical challenge, often leading to unnecessary investigations or delayed treatment. Numerous scoring systems and predictive tools have been developed to support risk stratification, yet none have achieved universal adoption. A comprehensive literature search of MEDLINE and Google Scholar was performed to identify scoring systems, predictive models, and tools designed to predict the need for surgical intervention in patients with ANH or confirmed PUJO. Search terms included variations of \"PUJO,\" \"prognosis,\" \"predictor,\" and \"surgery.\" Included studies described original tools or external validation of models using radiological parameters to stratify risk. Each tool was appraised for input parameters, derivation methodology, outcome definitions, external validation, and clinical applicability. Nine predictive tools were identified, all based on imaging data, with one incorporating machine learning (ML). Eight of nine tools aimed to predict the need for pyeloplasty. Four tools have undergone some form of external validation. Most tools used numerical scores, one applied a visual grading system, and another used a nonpercentage-based ML approach. While several demonstrated high predictive accuracy, limitations included retrospective design, small sample sizes, subjective imaging interpretation, and lack of consistent surgical outcome definitions. Despite growing interest and several promising models, no tool has yet been externally validated in large, diverse prospective cohorts. Further research is needed to develop clinically robust, generalizable tools for early risk stratification in ANH.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"17 3","pages":"133-143"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urological education in Saudi Arabia medical schools: Where are we now and how can we do better? A cross-sectional study.","authors":"Abdulhakeem Jafar Almarzooq, Hatim Mohammed Alqutayfi, Ali Fahmi Alkhars, Ali Saeed Albashrawi, Hadi Abdulaziz Aldarwish, Fatima Hussin Albladi, Abdulelah Adnan Alshebly, Abdulrahman Almulla, Abdullatif K Almaghlouth","doi":"10.4103/ua.ua_23_25","DOIUrl":"10.4103/ua.ua_23_25","url":null,"abstract":"<p><strong>Introduction: </strong>Urology is a part of healthcare known as surgical specialty that deals with different diseases of male and female urinary system and male reproductive organs.</p><p><strong>Aim: </strong>The study aimed to evaluate the urological education in Saudi Arabia medical schools and assess medical students' knowledge and preference.</p><p><strong>Methodology: </strong>A cross-sectional study in Saudi Arabia targeted clinical years' medical students from all regions, using a validated questionnaire to collect demographic, academic, and urology specialty knowledge, attitudes, and reasons for not choosing a specialty. The questionnaire was distributed through social media until no more answers were obtained.</p><p><strong>Results: </strong>A study of 216 students in Saudi Arabia found that 58.8% were male, with 107 in their 5^th year, 78 in their 6^th year, and 31 in medical interns. The majority were in public universities, with 59.7% believing urology rotation should be the part of the medical school curriculum. The most preferred specialties were family medicine (18.1%), anesthesia (7.9%), and urology (7.4%).</p><p><strong>Conclusion and recommendations: </strong>The study revealed that medical students lack knowledge and interest in the urology specialty, leading to low career preference. The frequency of rotations is insufficient, and more exposure is needed. Most students believe urology rotation should be the part of medical school curriculum.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"17 3","pages":"165-172"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cost-effective modified split graft technique using bovine pericardium after plaque excision in Peyronie's disease - An initial experience.","authors":"Lalit Kumar, Anil Baliyan, Aviral Srivastava, Anuja Thakur, Sameer Trivedi","doi":"10.4103/ua.ua_5_25","DOIUrl":"10.4103/ua.ua_5_25","url":null,"abstract":"<p><strong>Aims: </strong>The plaque excision and grating technique is indicated for correcting penile curvature in Peyronie's disease. We assessed our experience of the modified split graft technique using bovine pericardium after plaque excision.</p><p><strong>Materials and methods: </strong>Between March 2020 and September 2024, we operated on 12 patients by the excision of plaque and split grafting technique. Here, we discuss our experience customizing a bovine pericardium graft on a table according to the size of the defect and joining pieces of graft and tunica albuginea with a Polydioxanone (PDS) suture to cover the cavernosal defect.</p><p><strong>Results: </strong>Patients' mean age and follow-up were 48 years and 30 months, respectively. The average size of the plaque and penile curvature was 4.6 cm (range 1.5-8 cm) and 45°, respectively. No residual penile curvature was observed in 83.5% of patients while (16.5%) had curvature of <20°. All patients experienced an improvement in stretched penile length with an average increase of 1.6 cm. Seventy-five percent of patients were able to perform sexual activity without assistance after 3 months. One patient, who had a sizeable cavernosal defect of 8 cm × 2 cm, experienced severe postoperative erectile dysfunction (ED) along with residual penile curvature of 15° and required semi-rigid penile prosthesis. Two patients having mild ED was managed by Tadalafil 10 mg. Another patient with residual chordee of <20° was managed on conservative therapy.</p><p><strong>Conclusions: </strong>In our limited experience, this modified split graft technique using bovine pericardium after plaque excision seems feasible, cost-effective, and safe. It has comparable outcomes to the standard methods reported in the literature and reduces graft material wastage. Further, long-term randomized trials are needed to validate its long-term efficacy and safety compared to conventional grafting approaches.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"17 3","pages":"186-191"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Circulating microRNAs as biomarker in prostate cancer and their significance in the differentiation of benign and malignant conditions of the prostate.","authors":"Kowsalya Ramprasad, Madhura Navule Siddappa, Manohar Chikkamoga Siddaiah, Manju Moorthy, Gopalakrishna Ramaswamy","doi":"10.4103/ua.ua_11_25","DOIUrl":"10.4103/ua.ua_11_25","url":null,"abstract":"<p><strong>Background: </strong>Prostate cancer is among the most commonly diagnosed cancers in males worldwide. While Prostate-specific antigen (PSA) remains the front-line screening marker, it lacks sufficient diagnostic accuracy.</p><p><strong>Aims and objectives: </strong>So, in the quest for improved biomarkers, the expression profiles of circulating miRNAs have become increasingly significant. Hence, this study was undertaken to identify the miRNA profile unique to prostate cancer.</p><p><strong>Materials and methods: </strong>Using NanoString Human MicroRNA Arrays, we analyzed serum samples from three groups: patients with localized prostate cancer, metastatic prostate cancer, and benign prostatic hyperplasia.</p><p><strong>Results: </strong>Our analysis revealed distinct circulating miRNA expression patterns in prostate cancer patients compared to those with benign conditions. Specifically, miR-1272 and miR-1247-5p were significantly up-regulated (log2FC > 1, p < 0.05), whereas miR-337-3p, miR-191-5p, and let-7a-5p were significantly down-regulated (log2FC < -1, p < 0.05) in prostate cancer versus BPH. Additionally, when comparing localized and metastatic prostate cancer, hsa-miR-302d-3p and hsa-miR-1246 were notably up-regulated (log2FC > 3, <i>P</i> < 0.05). These specific miRNAs show potential for facilitating early diagnosis, enhancing risk stratification, and serving as non-invasive biomarkers for monitoring disease progression, thereby helping to reduce the need for unnecessary biopsies.</p><p><strong>Conclusions: </strong>Our findings suggest that circulating miRNAs could serve as minimally invasive biomarkers in prostatic cancer with a higher specificity and sensitivity, making them more effective at distinguishing between cancerous and benign conditions. However, despite their promise, miRNA testing remains costly, technically complex, and not yet standardized for routine clinical use. Therefore, further validation in larger, independent cohorts is essential to confirm the diagnostic and prognostic utility of the miRNAs identified in this study.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"17 3","pages":"192-200"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: Type II diabetes miletus: Does it increase the chance to fail the first trail of void following transurethral resection of prostate (TURP)?","authors":"","doi":"10.4103/ua.ua_106_25","DOIUrl":"10.4103/ua.ua_106_25","url":null,"abstract":"<p><p>[This corrects the article on p. 92 in vol. 17, PMID: 40352087.].</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"17 3","pages":"206"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simplified technique of patient positioning and renal access in true supine percutaneous nephrolithotomy.","authors":"Vimal Kumar Dixit, Apurva Gupta, Vivek Kumar Vijjan, Kamal Sharma, Amitav Kumar, Saurabh Pruthi, Yashendra Sethi","doi":"10.4103/ua.ua_103_24","DOIUrl":"10.4103/ua.ua_103_24","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate a novel, simplified technique for TRUE supine percutaneous nephrolithotomy (PCNL) that omits the use of bolsters or stirrups, utilizing a novel anatomical landmark (\"Dixit line\") for initial puncture. The outcomes of this technique are compared with those of the traditional supine PCNL approach.</p><p><strong>Materials and methods: </strong>A retrospective observational study was conducted on 400 patients who underwent supine PCNL for renal or upper ureteric stones between January 2020 and January 2024. All procedures were performed by a single urologist at a tertiary care center. Patients were divided into two groups: One treated with the novel technique and the other with the traditional technique. Data on demographics, stone characteristics, intraoperative variables, and postoperative outcomes were collected and analyzed.</p><p><strong>Results: </strong>The novel technique group demonstrated significantly shorter operative times (53 ± 10 min vs. 70 ± 15 min, <i>P</i> < 0.01), demonstrating enhanced procedural efficiency. Demographic and stone characteristics, as well as most intraoperative and postoperative outcomes, showed no significant differences between the two groups. However, the novel technique group exhibited a trend toward quicker discharge times (1.8 ± 0.5 days vs. 2.1 ± 0.7 days, <i>P</i> = 0.05).</p><p><strong>Conclusions: </strong>The novel TRUE supine PCNL technique, which excludes bolsters or stirrups and uses the \"Dixit line\" for initial puncture may serve as an effective alternative to traditional methods, improving efficiency while maintaining safety.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"17 3","pages":"149-155"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of outcome of dorsal onlay urethroplasty using buccal mucosal graft and vaginal wall graft for female urethral stricture.","authors":"Gaurav Babelay, Ahsan Ahmad, Nikhil Ranjan, Kumar Dheeraj","doi":"10.4103/ua.ua_121_24","DOIUrl":"10.4103/ua.ua_121_24","url":null,"abstract":"<p><strong>Background: </strong>It was estimated that 3%-8% of women presented with bladder obstruction, and 4%-13% of these women had female urethral stricture (FUS), which is an uncommon disorder.</p><p><strong>Aims: </strong>The study has been conducted to analyze the outcome of Dorsal onlay urethroplasty using buccal mucosal graft (BMG) and vaginal wall graft (VWG) for FUS.</p><p><strong>Settings and design: </strong>It was a retrospective, single-centric cohort study. The study has been conducted for 2 years and 2 months, i.e., from July 2021 to September 2023.</p><p><strong>Subjects and methods: </strong>The study included 20 female patients with urethral stricture who had urethroplasty. The participants were further classified into two groups respectively. One of the groups included 10 participants with cases of BMG urethroplasty and another 10 were cases of VWG urethroplasty.</p><p><strong>Statistical analysis: </strong>The Statistical Package for the Social Sciences (SPSS) version 24 program was used to analyze the data. Both continuous and categorical variables were present in the data. Descriptive Statistics were expressed as mean ± standard deviation or <i>n</i> (%) or <i>n</i>.</p><p><strong>Results: </strong>The BMG group had a substantially lower postvoid residual (PVR) of 10 ± 4.2 mL than the VWG group, which had a PVR of 15 ± 6.4 mL with a <i>P</i> = 0.04. The operating time was 110 ± 10.8 in the BMG urethroplasty group and 90 ± 8.2 in the VWG group with a <i>P</i> < 0.001. VWG urethroplasty group. No statistically significant differences were observed in terms of AUA symptom score and Q_max.</p><p><strong>Conclusion: </strong>The study concluded that FUS reconstruction can offer a good, long-lasting response. Moreover, between both the preferred techniques of BMG and VWG urethroplasty, which is safe and effective, patients with postmenopausal atrophy or vaginal pathology may benefit more from BMG.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"17 3","pages":"156-160"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of pulse modulation settings for optimal pop-dusting efficiency using the Quanta Litho 150 laser: An <i>in vitro</i> study.","authors":"Victor Sandoval, Stephen Hassig, Mitchell Hoestermann, Connor Bittlingmaier, Regan Merkin, George K Siodis, Thomas Osinski, Nitin Sharma, Rajat Kumar Jain, Scott Quarrier","doi":"10.4103/ua.ua_6_25","DOIUrl":"https://doi.org/10.4103/ua.ua_6_25","url":null,"abstract":"<p><strong>Purpose: </strong>The novel Quanta Litho 150 W (Samarate, Italy) was recently introduced and incorporates new pulsed modulation settings. We sought to analyze ablation rate and efficiency in short pulse (SP), virtual basket (VB), and vapor tunnel (VT) pulsed modulations, in an <i>in vitro</i> pop-dusting simulation across different settings at a fixed power of 30 Watts (W) and fixed periods of time.</p><p><strong>Materials and methods: </strong>Seven millimeter BegoStone phantoms were subjected to lithotripsy in a simulated calyx using Holmium: yttrium:aluminum garnet Quanta System 150 W. 30 W was applied at different settings across three pulse modulation modes: SP, VB, and VT. Ablation rate and efficiency were and compared between the three groups.</p><p><strong>Results: </strong>Maximum ablation efficiency for the VB and VT groups was achieved at VB 2J x 15 Hz and VT at 2.5 J x 12 Hz. Ablation efficiency decreased with higher Joules. VB at 1.5 J x 20 Hz and SP at 2.5 J x 12 Hz were the only settings to obtain 85% ablation at 5 min.</p><p><strong>Conclusions: </strong><i>In vitro</i> laser lithotripsy using a BegoStone phantom, VB at 2J x15 Hz and VT at 2.5 J x 12 Hz were the most efficient setting for pop-dusting with the Quanta Litho 150. The highest efficiency (mg/min) was achieved with VB at 2 J x 15 Hz and VT at 2.5 J x 12 Hz at 1:15 min.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"17 2","pages":"120-126"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balloon dilatation for failed pyeloplasty is it a valid alternate option in pediatric age group: A comparative retrospective study.","authors":"Naif Alqarni, Fahad Alyami, Abdullah Alrumaih, Faisal Joueidi, Mohammad Alshayie, Mohammad A Alrefaei, Abdulrahman A Alsarari, Nayef Latta, Hamza M Kossai Enabi, Areej Alfattani, Areej Alsuwaida","doi":"10.4103/ua.ua_94_24","DOIUrl":"https://doi.org/10.4103/ua.ua_94_24","url":null,"abstract":"<p><strong>Introduction: </strong>In pediatric patients, the preferred intervention following a failed pyeloplasty is a surgical challenge. Balloon dilatation is a minimally invasive option with low complication rates. However, redo-pyeloplasty provides workable and effective outcomes but is more technically demanding. The study demonstrates our experience with redo-pyeloplasty for previously failed pyeloplasty compared to balloon dilatation.</p><p><strong>Methodology: </strong>A total of 298 patients underwent pyeloplasty between 2013 and 2022. Out of these 19 patients (6%), aged 11 months to 12 years (median age 7 years) had failed pyeloplasty; 11 patients underwent redo-pyeloplasty (robotic in 63.6%[7] and laparoscopic in 36.4% [4]), and eight patients were treated with balloon dilatation. Ultrasound and renogram were performed to evaluate the patient's outcomes. Success was defined as improving hydronephrosis in 6 weeks, 3 months, 6 months, and 1-year follow-up without an obstructed curve in renogram. The aim is to evaluate and assess the success rate and outcomes of redo-pyeloplasty compared to antegrade/retrograde balloon dilatation in pediatric patients with a previously failed pyeloplasty.</p><p><strong>Results: </strong>All patients who underwent redo pyeloplasty had successful outcomes (100%). However, of patients who underwent balloon dilatation, only 1 (12.5%) patient had a successful outcome, and seven patients (87%) did not show improvement. Patients' age, gender, and laterality of ureteropelvic junction obstruction were insignificant among both groups.</p><p><strong>Conclusion: </strong>We demonstrated that balloon dilatation has a meager success rate in managing failed pyeloplasty cases. Redo-pyeloplasty procedures, either robotic or laparoscopic, have the potential to offer superior results.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"17 2","pages":"108-111"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to reduce intraoperative preparation and docking time to minimal in a team with a robotic naïve surgical experience?","authors":"Panagiotis Kallidonis, Vasileios Tatanis, Arman Tsaturyan, Angelis Peteinaris, Solon Faitatziadis, Gabriel Faria-Costa, Kristiana Gkeka, Theodoros Spinos, Theofanis Vrettos, Abdurrahman Al-Aown, Jens-Uwe Stolzenbur, Evangelos Liatsikos","doi":"10.4103/ua.ua_7_25","DOIUrl":"https://doi.org/10.4103/ua.ua_7_25","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of preoperative training in an experimental setting on the preparation and docking of the avatera robotic system.</p><p><strong>Materials and methods: </strong>Two different surgical groups (consisting of two nurses, one assistant, and one operating surgeon) attended an initial training on robot draping and docking procedures. Group 1 was involved in 10 robotic-assisted operations while Group 2 was trained in the dry lab using an artificial insufflated abdominal model (10 sessions). The decrease in time needed for docking and draping was evaluated. After the completion of the initial training, each group performed docking and draping procedures in five surgeries (including robotic-assisted radical prostatectomy and pyeloplasty) and the recorded times were compared.</p><p><strong>Results: </strong>In Group 1, the docking and draping time were diminished during the initial training program from 17 to 7 min and from 12 to 5 min, respectively. In Group 2, the docking time was decreased from 9 to 6 min and the draping time from 8 to 5 min. Both types of training (during real-life OR program vs. dry laboratory setting inclusive an insufflated abdominal model) resulted in nearly the same positive training effect for Group 1 and Group 2, respectively.</p><p><strong>Conclusions: </strong>Conducing a training of patient preparation and docking in the dry laboratory using an insufflated abdominal model facilitates experience acquisition in a safe and calm environment. The training method of Group 2 might help to avoid the potentially longer anesthesia times for patients during the early learning curve of Group 1.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"17 2","pages":"127-131"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}