#0561

Usefulness of virtual reality application in pediatric urology

V. M¹, A. Anbarasu², H. Tharanenthran³, R. Srinivasan³

¹Sri Ramachandra Institute of Higher Education and Research (SRIHER), Department of Urology and Renal Transplantation, Chennai, India
²Sri Ramachandra Institute of Higher Education and Research (SRIHER), Department of General Surgery, Chennai, India
³Sri Ramachandra Institute of Higher Education and Research (SRIHER), Department of Paediatric Urology, Chennai, India

Introduction:

Virtual reality (VR) reconstruction allows immersive experience and enables visualization of vascular/ complex anatomy. In this prospective study we analyzed usefulness of VR in pediatric urology.

Material and methods:

All patients who underwent VR reconstruction in our department over the last one year (2023-24) were included. Contrast enhanced CT scan/ MRI images were obtained at 1mm thickness. A VR model and a 3D environment were created (Immersive view5.0; Immersive Touch Inc. 910). The usefulness was assessed by three independent physicians on a Likert scale (1-5) on the following headings: anatomical delineation, haptic tools, pre-surgical planning, student teaching and patient counseling. Inter class correlation (ICC) analysis was performed using SPSS.

Results:

Among 275 patients managed, 20 cases underwent VR reconstruction in view of the complex anatomy/ combination of anomalies. The diagnoses were bilateral Wilms Tumor 1; pelvic kidney UPJO 1; horse shoe kidney 1; malrotated UPJO 1, duplication anomalies 8, recto urethral fistula 1; exstrophy variants 3, complex urolithiasis 2, bladder diverticulum 1 and renal trauma with urinoma 1. Among the study population 18/20 underwent surgical treatment; two were managed conservatively (renal trauma-1; pseudo exstrophy -1). The mean usefulness score was: anatomical delineation 3.9, haptic tools 3.1, surgical planning 3.6, student training 4.1 and patient counseling 4.2. ICC for indivudal measures was 0.893 (95% CI 0.792-0.952; p<0.001)