Opinion Paper

A low-cost simulation model for priapism detumescence training

Sachin Garach, Hanlie Dreyer, Ahmed Adam, Abdullah Laher
Journal of the Colleges of Medicine of South Africa | Vol 3, No 1 | a223 | DOI: https://doi.org/10.4102/jcmsa.v3i1.223 | © 2025 Sachin Garach, Hanlie Dreyer, Ahmed Adam, Abdullah Laher | This work is licensed under CC Attribution 4.0
Submitted: 07 May 2025 | Published: 30 July 2025

About the author(s)

Sachin Garach, Department of Emergency Medicine, Tambo Memorial Hospital, University of the Witwatersrand, Johannesburg, South Africa
Hanlie Dreyer, Department of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Ahmed Adam, Division of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Abdullah Laher, Department of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

Abstract

Ischaemic priapism is a urological emergency requiring prompt intervention to prevent complications such as erectile dysfunction. Because of its low incidence, opportunities for hands-on training are limited, particularly in resource-constrained settings. To address this gap, we developed a low-cost, anatomically realistic simulation model to train emergency medicine and urology trainees in needle aspiration techniques. Constructed from readily available materials, the model replicates the anatomical and hepatic characteristics of priapism and was successfully integrated into a structured training programme for emergency medicine registrars. Although not formally evaluated, trainee feedback indicated improved procedural skill and confidence. The constructed reusable trainer offers an accessible and effective educational tool to enhance clinical preparedness, especially in low-resource environments. Further studies are needed to evaluate its impact on training outcomes.


Keywords

ischaemic priapism; simulation training; needle aspiration; low-cost simulation model; detumescence; emergency medicine education; urological emergencies

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