3D printing technology and its role in urological training

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TOPIC PAPER

3D printing technology and its role in urological training Brandon Smith1   · Prokar Dasgupta1  Received: 11 July 2019 / Accepted: 20 October 2019 © Springer-Verlag GmbH Germany, part of Springer Nature 2019

Abstract Purpose  Surgical simulation and 3D printing have both been gaining traction exclusively over the past decade, and now have started to appear simultaneously in current research. The opinion that surgical simulation should be part of surgery curricula is becoming ever more apparent. In this review, we highlight and briefly examine the 3D printing workflow, and each facet of the current body of literature using this technology in the augmentation of surgical training, in addition to the challenges currently faced. Methods  A broad literature search was conducted pertaining to the utilisation of 3D printing in urology, aiming to sample the majority of use-cases of this fairly novel technology. The 3D printing workflow, current use-cases of 3D printing as applied to urological training, and challenges faced have been described. Results  A respectable number of surgical use-cases utilising 3D printing technology in their development were identified, including but not limited to percutaneous nephrolithotomy, partial nephrectomy, renal transplantation, laparoscopic pyeloplasty, prostate brachytherapy, transurethral resection of bladder tumours, urethrovesical anastomosis simulation devices, in addition to laparoscopic trainers and robotic surgery phantoms. Conclusion  Over the last decade, urology has taken this cutting-edge technology in its stride; flaunting its efficacy in the augmentation of a number of procedural training applications. The number of use cases for this technology is only expected to rise as its virtues are demonstrated, the ease of use and availability of 3D printing units advances, and costs abated. Keywords  Simulation · 3D printing · Innovation · Training

Introduction Three-dimensional (3D) printing refers to an innovative manufacturing method, affording the capability of rapidly converting digital 3D objects to a physical and tactile model. 3D printing, also known as additive manufacturing (AM) or rapid prototyping (RP), differs from traditional ‘subtractive’ methods of manufacturing, in which raw material is removed via cutting or milling tools. Instead, 3D printing is an umbrella term for numerous manufacturing methodologies based around the core principle of fabricating an object through a precise layer-by-layer basis, and depending on the application, may use a broad assortment of materials each with differing properties.

* Prokar Dasgupta [email protected] 1



King’s College London, MRC Centre for Transplantation, London, UK

Surgical simulation and 3D printing have both been gaining traction exclusively over the past decade, and now have started to appear simultaneously in current research. The opinion that surgical simulation should be part of surgery curricula is becoming ever more apparent [1–4]. Factors such as a trainee’s reduced working hours, and