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DOI 10.1007/s00192-006-0276-6
ORIGINAL ARTICLE
Received: 9 October 2006 / Accepted: 12 November 2006 / Published online: 12 January 2007
# International Urogynecology Journal 2007
1004
Fig. 1 a Cap in the resting position with prolapse down to the hymen
prolapse points Ba and Bp identical with Aa and Ap (each of them: 0). b
Everted cap simulating stage 4 prolapse, posterior view (point Ap 3 cm
outside the hymenal ring)
Experience
The difficulties to simulate the flexible vaginal cuff lead to
this cap device. All trainees were able to simulate the model
of the vagina to different prolapse stages up to complete
eversion. The flexible and changeable arrangement of this
vagina model helped to understand especially the variability
of point Ba or Bp. A side effect was the humor presentation
of the funny Santa Claus cap, which made the training
session an enjoyable experience for all involved (see
Fig. 3).
The feedback of the participants showed a high level
of satisfaction about this kind of workshop. Eighty-two
participants of the annual training meeting of the
Austrian Urogynecologic Society had to evaluate the
Conclusion
The hands-on training with this moveable and flexible
tool is a very effective way of visualizing the POP-Q
system. The most important training effect was the
possibility for each trainee to transpose the grid with
this flexible vagina model into a three-dimensional
prolapse and to take the relevant measurements recording
them in the POPQ grid. In addition, the training tool can
be made very easily and moved quickly to any place
needed. The funny version of the cap model made
teaching this difficult issue comfortable and promoted
learning in a relaxed environment [6, 7]. Our simple and
innovative device can be used as a teaching tool for
residents and specialists.
1005
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