Alexander Beulens

76 Chapter 3 Post-intervention The results in Table 4 shows no significant differences in the number of participants that achieved the threshold scores for the vesicourethral anastomosis simulation exercise. None of the partici-pants reached all criteria set by Harrison et. al.13 The highest number of achieved threshold scores were found in the right-handed instrument (72,8%), number of unnecessary needle piercing points (80%), and path length of the right-handed instrument (58,6%) . After the intervention some partic-ipants were able to reach the minimum scores according to criteria in the wound separation but rates were similar for all intervention groups (10%). None of the participants achieved the total time threshold scores. Figure 6: Box and whisker plot representing the metrics which showed significant differences when comparing the results of the pre-intervention to the post-intervention simulation scores for each intervention group. A-C) wound separation in all intervention groups (p=0,001, 0,009 and 0,002), D-F) clutch usage (p=0,003), number of times the tissue was grasped (p=0,015) and number of movements of the right instrument (p=0,011) in the non-intervention group, G-I) number of injuries to the bladder neck (p=0,017), number of injuries to the urethra (p=0,016) and number of unnecessary needle piercing points (0,017) in the proctor guided group. b c a d e f g h i