• Vol. 42 No. 1, 18–23
  • 15 January 2013

Get “Real” with Hysteroscopy Using the Pig Bladder: A “Uterine” Model for Hysteroscopy Training



Introduction: This study aimed to develop a realistic and lifelike uterine model for the training of hysteroscopy skills.

Materials and Methods: A lifelike “uterine” model was constructed using female pig bladder. The pig bladder was enclosed within a malleable mould, with both ureters blocked by pins. Both rigid and flexible hysteroscopes were used in this study.

Results: Basic diagnostic hysteroscopy can be performed in the usual fashion using this lifelike model. The cost of each learning station is minimal. Pig bladder accurately simulates the human uterus with its realistic tactile feel, and conditions in the surgical environment, including obscuration of vision by debris, uterine “folds”, realistic “ostia”, incomplete shearing of tissue, “uterine” perforation, etc.

Conclusion: This lowcost novel model provides realistic tissue resistance and yields an almost anatomically accurate hysteroscopic training tool, thereby allowing trainees to effectively acquire both diagnostic and therapeutic hysteroscopic skills.

Hysteroscopy is an important surgical component of any training programme in gynaecology. Traditionally, surgical training in hysteroscopy occurred in the operating room where trainees first observe their senior performing the procedure, and then take on increasing roles in surgical cases under direct supervision. Often, hysteroscopic skills
are acquired via a “see one, do one, teach one” basis, with increasing refinement and mastery of the technique as one performs more of such procedures.

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