VirtaMed TURPSim – TURP Simulator

This module contains different basic tasks to acquire all skills necessary to safely perform a complete TURP procedure.

The module also provides a training curriculum relying on self practice until reaching the desired proficiency level.

Learning objectives:

• Gain experience in identifying the anatomical landmarks
• Develop knowledge in cystoscopy

• Handle the loop electrode, adjust to the fulcrum effect and 30° angled scope
• Acquire depth perception and hand-eye coordination
• Understand the BPH pathologic prostate
• Acquire safe resection techniques and become proficient in using a resectoscope
• Control bleeding and efficiently manage complications during the procedure

The VirtaMed TURPSim features a set of 12 different virtual patients in varying levels of difficulty.

Cases include small to large prostates with hypertrophies of both lateral and median lobes, presenting challenges such as difficult access and heavy bleeding.

Learning objectives:

• Establish clear viewing conditions
• Identify anatomical landmarks and obtain a clear 3D mental image of the anatomy
• Efficiently observe pathology
• Safely handle resectoscope and loop electrode
• Perform resection of the different lobes
• Coagulate bleeding sources
• Perform a safety inspection at the end of the procedure

Perforation of the capsule is one of the most serious complications that can occur during TURP procedures.

The resection map clearly shows if a cut went too deep into the capsule (orange) or if there is more prostatic tissue to be resected (blue). Green tissue means that there should not be resected anymore.