Extended Reality-Assisted Surgery as a Surgical Training Tool: Pilot Study Presenting First HoloLens-Assisted Complex Penile Revision Surgery

Jose Quesada-Olarte; Rafael E Carrion Jr; Raul Fernandez-Crespo; Gerad D Henry; Jay Simhan; Anand Shridharani; Rafael E Carrion; Tariq S Hakky

doi:10.1016/j.jsxm.2022.07.010

Extended Reality-Assisted Surgery as a Surgical Training Tool: Pilot Study Presenting First HoloLens-Assisted Complex Penile Revision Surgery

J Sex Med. 2022 Oct;19(10):1580-1586. doi: 10.1016/j.jsxm.2022.07.010. Epub 2022 Sep 8.

Authors

Jose Quesada-Olarte¹, Rafael E Carrion Jr², Raul Fernandez-Crespo³, Gerad D Henry⁴, Jay Simhan⁵, Anand Shridharani⁶, Rafael E Carrion⁷, Tariq S Hakky⁸

Affiliations

¹ University of South Florida, Tampa, FL, USA. Electronic address: jquesadaolarte@usf.edu.
² University of South Florida, Tampa, FL, USA.
³ University of South Florida, Tampa, FL, USA; Department of Urology, University of South Florida, Tampa, FL, USA.
⁴ Willis-Knigthon Health System, Shreveport-Bossier city, LA, USA.
⁵ Einstein Health Network, Temple University, Philadelphia, PA, USA.
⁶ University of Tennessee at Chattanooga, Chattanooga, TN, USA.
⁷ University of South Florida, Tampa, FL, USA; Department of Urology, University of South Florida, Tampa, FL, USA; University of South Florida-Chairman at Department of Urology, Tampa, FL, USA.
⁸ Atlanta Cosmetic Urology, Atlanta, GA, USA.

PMID: 36088277
DOI: 10.1016/j.jsxm.2022.07.010

Abstract

Background: Extended reality-assisted urologic surgery (XRAS) is a novel technology that superimposes a computer-generated image on the physician's field to integrate common elements of the surgical process in more advanced detail. An extended reality (XR) interface is generated using optical head-mounted display (OHMD) devices.

Aim: To present the first case of HoloLens-assisted complex penile revision surgery.

Methods: We describe our pilot study of HoloLens-assisted penile revision surgery and present a thorough review of the literature regarding XRAS technology and innovative OHMD devices.

Outcomes: The ability of XRAS technology to superimpose a computer-generated image of the patient and integrate common elements of the surgical planning process with long-distance experts.

Results: XRAS is a feasible technology for application in complex penile surgical planning processes.

Clinical translation: XRAS and OHMD devices are novel technologies applicable to urological surgical training and planning.

Strengths and limitations: Evidence suggests that the potential use of OHMD devices is safe and beneficial for surgeons. We intend to pioneer HoloLens technology in the surgical planning process of a malfunctioning penile implant due to herniation of the cylinder. This novel technology has not been used in prosthetic surgery, and current data about XRAS are limited.

Conclusion: OHMD devices are effective in the operative setting. Herein, we successfully demonstrated the integration of Microsoft HoloLens 2 into a penile surgical planning process for the first time. Further development and studies for this technology are necessary to better characterize the XRAS as a training and surgical planning tool. Quesada-Olarte J, Carrion RE, Fernandez-Crespo R, et al. Extended Reality-Assisted Surgery as a Surgical Training Tool: Pilot Study Presenting First HoloLens-Assisted Complex Penile Revision Surgery. J Sex Med 2022;19:1580-1586.

Keywords: Augmented Reality Assisted Urologic Surgery; Extended Reality; Optical Head-Mounted Displays; Penile Prosthesis; Surgical Planning.

Publication types

Case Reports
Review
Research Support, Non-U.S. Gov't

MeSH terms

Humans
Male
Penile Prosthesis*
Penis / surgery
Pilot Projects
Reoperation