title: An inexpensive yet realistic model for teaching vasectomy.
abstract: OBJECTIVE
  Teaching the no-scalpel vasectomy is important, since vasectomy is a safe, simple, and cost-effective method of contraception. This minimally invasive vasectomy technique involves delivering the vas through the skin with specialized tools. This technique is associated with fewer complications than the traditional incisional vasectomy (1). One of the most challenging steps is the delivery of the vas through a small puncture in the scrotal skin, and there is a need for a realistic and inexpensive scrotal model for beginning learners to practice this step.
  
  
  METHODS
  After careful observation using several scrotal models while teaching residents and senior trainees, we developed a simplified scrotal model that uses only three components-bicycle inner tube, latex tubing, and a Penrose drain.
  
  
  RESULTS
  This model is remarkably realistic and allows learners to practice a challenging step in the no-scalpel vasectomy. The low cost and simple construction of the model allows wide dissemination of training in this important technique.
  
  
  CONCLUSIONS
  We propose a simple, inexpensive model that will enable learners to master the hand movements involved in delivering the vas through the skin while mitigating the risks of learning on patients.
authors.affiliation: University of California, San Diego - School of Medicine, San Diego, California, United States.
authors.forename: Taylor M
authors.initials: TM
authors.lastname: Coe
authors.affiliation: Department of Family Medicine, UCSD School of Medicine, La Jolla, California, United States.
authors.forename: John
authors.initials: J
authors.lastname: Curington
mesh_terms: D004501:Education, Medical / Q000191:economics / Q000379:methods; D006801:Humans; D008297:Male; D008953:Models, Anatomic; D015203:Reproducibility of Results; D012611:Scrotum / Q000601:surgery*; D013663:Teaching / Q000191:economics / Q000379:methods; D014649:Vas Deferens / Q000601:surgery; D014659:Vasectomy / Q000193:education* / Q000379:methods*