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Original article
Design and assessment of a penile fracture simulation model
Diseño y evaluación de un modelo de simulación de fractura de pene
A.A. Kozana, M. Loganb, A. Parnhamc, M. Liewd, B. Barrasse, S. Venugopalf, C.S. Biyanig,
Corresponding author
shekharbiyani@hotmail.com

Corresponding author.
, J. Taylorh
a Department of Urology, Hull University Teaching Hospital, Castle Hill Hospital, Cottingham, United Kingdom
b Leeds Teaching Hospitals NHS Trust, Department of Medical Education, Leeds, United Kingdom
c Department of Urology, The Christie NHS Foundation Trust, Manchester, United Kingdom
d Department of Urology, Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust, Wigan, United Kingdom
e Luton & Dunstable University Hospital, Bedfordshire Hospitals NHS Foundation Trust, Department of Urology, Luton, United Kingdom
f Department of Urology, Liverpool University Hospitals NHS Trust, Liverpool, United Kingdom
g Department of Urology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom
h Department of Urology, Forth Valley Royal Hospital, Larbert, Scotland, United Kingdom
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    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Dise&#241;o y evaluaci&#243;n de un modelo de simulaci&#243;n de fractura de pene"
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          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A&#46; Initial cut on the penile skin&#46; B&#46; Site of fracture with clots underneath&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Penile fracture is a urological emergency&#46; It occurs when the tunica albuginea of the rigid penis ruptures&#44; usually during vigorous sexual intercourse&#46; It can also occur during masturbation&#44; rolling over or falling onto the erect penis and a number of other scenarios&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The tunica albuginea is 2&#8239;mm thick in the flaccid state and becomes 0&#46;25&#8239;mm thin when the penis is erect making it vulnerable to injury&#46; The diagnosis is often clinical and can be made by history and physical examination&#46; However&#44; imaging&#44; especially Magnetic resonance imaging &#40;MRI&#41; has its role mainly in equivocal cases&#46; There is usually a sudden &#8216;snap&#8217; described&#44; followed by pain&#44; detumescence and swelling&#47;bruising of the penis&#44; occasionally resembling an aubergine&#46; If the Buck fascia is intact&#44; these changes are limited to the penile shaft&#44; whereas if it is breached the haematoma will extend to the suprapubic area&#44; scrotum&#44; and perineum&#46; Patient allowing&#44; a palpable defect can be felt over the site of the tear&#46; If there is urethral involvement&#44; blood at the urethral meatus can be present or haematuria &#40;visible or non-visible&#41; and sometimes retention of urine&#46; A retrograde urethrogram can be performed may be useful in such cases&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Treatment usually consists of surgical exploration and repair&#46; There has been a trend away from conservative management as prompt surgical correction results in fewer postoperative complications and lower rates of penile curvature&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">At present&#44; there are no satisfactory training models for penile fracture repair in order to develop the required skills in a controlled environment&#46; We propose a novel penile fracture simulation model for teaching in a safe and risk-free setting&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Methods</span><p id="par0020" class="elsevierStylePara elsevierViewall">A validated circumcision model<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> &#40;Limbs and Things&#44; Bristol&#44; UK&#41; was used to create a new penile fracture simulation model&#46; Synthetic foreskin for circumcision was divided into two halves&#46; A &#8220;simulated fracture&#8221; was created using a transverse slit on one half of the foreskin &#40;called &#8220;tunica&#8221;&#41; and was applied over the penile model&#46; A red jelly tablet was placed underneath the cut&#59; this was to simulate the &#8220;clot&#8221;&#46; A second full-length foreskin was applied to cover the defect&#46; Construction of the model is shown in <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The model was assessed by participants and expert faculty &#40;andrologists and urologist with special interest in andrology&#41; at the UK Urology Simulation Boot Camp&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> This annual event is a week-long&#44; fully hands-on interactive simulation course for newly appointed urology residents in the UK&#46; The focus is on one-to-one training and employs a variety of simulation methods and practical modules&#44; including non-technical skills&#46; During one module&#44; 40&#8239;min were dedicated to the penile fracture repair station&#46; A questionnaire was designed after consultation with expert faculty &#40;supplementary file&#41;&#46; We assessed the model usefulness for training&#44; overall appearance of the model and of the penile fracture in particular &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#44; the realism in localisation of fracture and the ability of the model to represent realistic simulation&#46; Data was collected using a 5-point Likert scale and was analysed using Microsoft Excel and IBM SPSS Statistics V25&#46; The intra-class correlation was calculated using a &#8216;One-way random model&#8217;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><p id="par0030" class="elsevierStylePara elsevierViewall">Twenty-two urology trainees &#40;n&#8239;&#61;&#8239;22&#41; and four experts completed the evaluation&#46; Half of the residents &#40;n&#8239;&#61;&#8239;11&#41; did not see a case of penile fracture beforehand and 45&#37; reported seeing less than 5 cases&#46; Sixty-percent &#40;n&#8239;&#61;&#8239;13&#41; have not managed the case themselves&#46; Experts strongly agreed &#40;75&#37;&#41; that the model is useful for training with trainees similarly agreeing in 59&#37; of cases&#46; The intra-class correlation coefficient amongst experts was 0&#46;889 showing very high agreement&#46; The overall appearance of the model was considered excellent by 40&#37; of trainees whilst 55&#37; found it good &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; Half of trainers also agreed the overall appearance was good&#46; Experts felt the appearance of penile fracture was good &#40;75&#37;&#41; but agreed in the same proportion a neutral position with regards to realism in localisation of the fracture site&#46; Eighteen percent of trainees found the simulator to be excellent in realism in localisation of fracture whilst 64&#37; thought it was good&#46; The ability of the model to represent realistic simulation was considered excellent by 23&#37; of trainees and good by 64&#37; &#40;n&#8239;&#61;&#8239;14&#41; thus establishing face validity&#46; Also&#44; 64&#37; of residents felt their confidence increased after simulation&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">Concerning qualitative data&#44; the free text comments were balanced&#44; with positive reviews but also points for improvement&#46; For example&#44; &#8216;excellent model for training&#8217;&#44; &#8216;very useful&#8217;&#44; &#8216;difficult to appreciate the layers&#44; mainly around urethra&#8217;&#44; &#8216;more realistic-lateral placement of clots&#8217;&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discussion</span><p id="par0040" class="elsevierStylePara elsevierViewall">The incidence of penile fracture is 1 in 100&#8239;000 men&#44;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> making it a rare urological emergency and so clinical exposure&#44; especially in the first years of practice might be limited&#46; To our knowledge there is no published simulation model to teach this particular skill&#46; We have developed a novel bench model using a previously validated circumcision simulator&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">The modern management of penile fracture favours early repair as opposed to a conservative approach&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;7&#44;8</span></a> Both the American Urological Association and the European Association of Urology recommend prompt surgical exploration and repair&#46; Conservative management has immediate &#40;penile abscess&#44; missed urethral injury&#44; persistent haematoma&#44; penile curvature&#41; and late complications &#40;fibrosis&#44; angulation - in 35&#37; and erectile dysfunction- up to 62&#37; of cases&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;10</span></a> Even with surgical repair there is a risk of curvature &#40;2&#46;8&#37;&#41; and erectile dysfunction &#40;1&#46;9&#37;&#41;&#44; albeit smaller&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> As such having a simulation model to train and practice this skill is particularly useful&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">As penile fracture is a rare event&#44; our data shows the limited experience trainees will have at the beginning of their training with the majority having never seen such a case&#46; The simulation model we propose was found to be useful and realistic for teaching penile fracture repair&#46; The set-up of the model is simple&#44; quick&#44; and relatively cheap provided that the circumcision model &#40;&#163;175&#41; is already purchased&#46; A pack of five synthetic circumcision skins costs &#163;55&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> The limitations&#44; we acknowledge&#44; are mainly in fine discrimination of penile fascial layers&#44; urethral dissection and&#47;or mobilisation&#44; and lack of blood supply&#46; Initially&#44; the position of the &#8220;simulated fracture site&#8221; created a bit of confusion as it was more dorsally placed&#46; This was mainly due to the lack of knowledge among the nonmedical technical staff&#46; In addition&#44; because of the shape of the penile base model a ventrolateral lesion causes damage to model during rough handling&#46; We are looking to add an extra-layer to improve anatomical dissection and external validation of the model&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Conclusion</span><p id="par0055" class="elsevierStylePara elsevierViewall">The new bench model we have developed provides a good simulation method for penile fracture repair and has demonstrated face validity&#46; The proposed model appears to be a promising tool for teaching junior residents the basic principles of surgical management of penile fracture&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conflict of interests</span><p id="par0060" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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            1 => "Fractura de pene"
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    "resumen" => array:2 [
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">To design and assess a novel penile fracture simulation model for teaching penile fracture repair&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We used a validated circumcision simulator to create a model&#46; Foreskin for a circumcision was divided into two halves&#46; A transverse slit &#40;&#8220;simulated fracture&#8221;&#41; was created on one part of the first half of the foreskin &#40;mimicking &#8220;tunica&#8221;&#41; and was applied over the penile model&#46; A red jelly tablet &#40;&#8220;clot&#8221;&#41; was placed underneath the cut&#46; A second full-length of foreskin was applied over it to cover the defect&#46; The model was assessed by participants and expert faculty at the Urology Simulation Boot Camp&#46; Evaluation was performed using a 5-point Likert Scale questionnaire&#46; Data was analysed using Microsoft Excel and IBM SPSS Statistics V25&#46; The intra-class correlation was calculated using a &#8220;One-way random model&#8221;&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Twenty-two urology trainees and four experts participated in the evaluation&#46; The majority of trainees strongly agreed &#40;59&#37;&#44; n&#8239;&#61;&#8239;13&#41; the model is useful for training with experts similarly agreeing in 75&#37; of cases&#46; The appearance of penile fracture was considered good by both trainees &#40;68&#37;&#44; n&#8239;&#61;&#8239;14&#41; and faculty &#40;75&#37;&#41;&#46; Overall&#44; the ability of the model to represent a realistic simulation of the task was considered excellent by 23&#37; of participants and good by 64&#37;&#46; Personal confidence after simulation in managing a similar situation was considered high among trainees&#46; The main difficulties reported were related to fascial planes and urethra&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">This is the first simulation model for penile fracture repair and has demonstrated face validity at a national urology bootcamp&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Dise&#241;ar y evaluar un nuevo modelo de simulaci&#243;n de fractura de pene para la ense&#241;anza de su reparaci&#243;n&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Hemos utilizado un simulador de circuncisi&#243;n validado para crear un nuevo modelo&#46; El prepucio para circuncisi&#243;n se dividi&#243; en 2 mitades&#46; Se cre&#243; un corte transversal &#40;&#171;simulaci&#243;n de fractura&#187;&#41; en una parte de la primera mitad del prepucio &#40;imitando la &#171;t&#250;nica&#187;&#41; y se coloc&#243; sobre el modelo de pene&#46; Se coloc&#243; una pastilla de gelatina roja &#40;&#171;co&#225;gulo&#187;&#41; debajo del corte&#46; Se aplic&#243; un segundo trozo para completar el prepucio por encima y cubrir el defecto&#46; El modelo fue evaluado por los participantes y docentes expertos del boot camp de simulaci&#243;n de urolog&#237;a&#46; La evaluaci&#243;n se realiz&#243; mediante un cuestionario con escala de Likert de 5 puntos&#46; Los datos se analizaron mediante Microsoft Excel e IBM SPSS Statistics V25&#46; La correlaci&#243;n intraclase se calcul&#243; mediante &#171;un modelo aleatorio unidireccional&#187;&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Veintid&#243;s estudiantes de urolog&#237;a y 4 expertos participaron en la evaluaci&#243;n&#46; La mayor&#237;a de los aprendices estuvieron muy de acuerdo &#40;59&#37;&#44; n&#8239;&#61;&#8239;13&#41; en la utilidad del modelo para la formaci&#243;n&#44; y los expertos tambi&#233;n estuvieron de acuerdo en el 75&#37; de los casos&#46; Tanto alumnos &#40;68&#37;&#44; n&#8239;&#61;&#8239;14&#41; como docentes &#40;75&#37;&#41; consideraron correcta la apariencia de la fractura del pene&#46; En general&#44; la capacidad del modelo para representar una simulaci&#243;n realista de la tarea fue considerada excelente por el 23&#37; de los participantes y buena por el 64&#37;&#46; Tras la simulaci&#243;n los alumnos afirmaron tener una mayor confianza en el manejo de este tipo de casos&#46; Las principales dificultades se&#241;aladas estaban relacionadas con los planos fasciales y la uretra&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusi&#243;n</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Este es el primer modelo de simulaci&#243;n para la reparaci&#243;n de fracturas de pene y ha demostrado su validez en un boot camp de urolog&#237;a nacional&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Kozan AA&#44; Logan M&#44; Parnham A&#44; Liew M&#44; Barrass B&#44; Venugopal S&#44; et al&#46; Dise&#241;o y evaluaci&#243;n de un modelo de simulaci&#243;n de fractura de pene&#46; Actas Urol Esp&#46; 2021&#59;45&#58;582&#8211;586&#46;</p>"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Construction of the model&#46; A&#46; Circumcision model with full-length foreskin&#44; half-length foreskin with &#8220;simulated fracture&#8221; made by a cut and small piece of clot from an ectopic pregnancy model&#46; B&#46; Lubrication of the penile model&#46; C&#46; Application of the half-length foreskin with the &#8220;simulated fracture&#8221;&#46; D&#46; Placement of the &#8220;clot&#8221; underneath the &#8220;fracture&#8221;&#46; E&#46; &#8220;clot&#8221; visible through the fracture&#46; F&#46; Further lubrication of the model&#46; G&#46; Application of the full-length foreskin to cover the fracture&#46; H&#46; Placement of a rubber band at the corona&#46; I&#46; Bulge on the left side of the penile shaft mimicking bulge from a penile fracture&#46; J&#46; Final model&#46;</p>"
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Neutral&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Good&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Excellent&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Overall appearance of model</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;55&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;40&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Appearance of penile fracture</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;68&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;18&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Realism in localisation of fracture site</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;64&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;18&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ability to represent realistic simulation</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;64&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;23&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Usefulness for training&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Strongly disagree&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Disagree&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Neutral&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Agree&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Strongly agree&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;36&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;59&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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                0 => "xTab2739188.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Trainees feedback on the model &#40;n&#8239;&#61;&#8239;22&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:11 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Campbell&#8211;Walsh urology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46;J&#46; Wein"
                            1 => "L&#46;R&#46; Kavoussi"
                            2 => "A&#46;C&#46; Novick"
                            3 => "A&#46;W&#46; Partin"
                            4 => "CA Peters"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "edicion" => "Tenth Edition"
                        "fecha" => "2011"
                        "editorial" => "Elsevier"
                        "editorialLocalizacion" => "Philadelphia&#44; United States of America"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Oxford handbook of urology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Reynard"
                            1 => "S&#46; Brewster"
                            2 => "S&#46; Biers"
                            3 => "N&#46; Neal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "edicion" => "Fourth Edition"
                        "fecha" => "2019"
                        "editorial" => "C&#38;C Offset Printing Co&#46; Ltd&#44; Oxford University Press"
                        "editorialLocalizacion" => "China"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Can it wait&#63; A systematic review of immediate vs&#46; delayed surgical repair of penile fractures"
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                          "etal" => false
                          "autores" => array:5 [
                            0 => "N&#46;C&#46; Wong"
                            1 => "S&#46; Dason"
                            2 => "R&#46;K&#46; Bansal"
                            3 => "T&#46;O&#46; Davies"
                            4 => "L&#46;H&#46; Braga"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Can Urol Assoc J"
                        "fecha" => "2017"
                        "volumen" => "11"
                        "paginaInicial" => "53"
                        "paginaFinal" => "60"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rotura de cuerpos cavernosos y de uretra durante la actividad sexual &#91;Breakage of cavernous bodies and urethra during the sexual intercourse&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Las Heras Alonso"
                            1 => "R&#46; Puig Gir&#243;"
                            2 => "H&#46; Las Heras Alonso"
                            3 => "J&#46; Guajardo Guajardo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Urol Esp"
                        "fecha" => "2010"
                        "volumen" => "34"
                        "paginaInicial" => "394"
                        "paginaFinal" => "395"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20470705"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validation of a reusable model for simulation training of adult circumcision"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46; Parnham"
                            1 => "N&#46; Campain"
                            2 => "C&#46;S&#46; Biyani"
                            3 => "A&#46; Muneer"
                            4 => "S&#46; Venn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Bull R Coll Surg Engl"
                        "fecha" => "2015"
                        "volumen" => "97"
                        "paginaInicial" => "383"
                        "paginaFinal" => "385"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The success and evolution of a urological &#8220;Boot Camp&#8221; for newly appointed UK Urology Registrars&#58; Incorporating Simulation&#44; Nontechnical Skills and Assessment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Young"
                            1 => "M&#46; Kailavasan"
                            2 => "J&#46; Taylor"
                            3 => "P&#46; Cornford"
                            4 => "A&#46; Colquhoun"
                            5 => "M&#46; Rochester"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jsurg.2019.04.005"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Surg Educ"
                        "fecha" => "2019"
                        "volumen" => "76"
                        "paginaInicial" => "1425"
                        "paginaFinal" => "1432"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31036524"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiology of penile fractures in United States Emergency Departments&#58; access to care disparities may lead to suboptimal outcomes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46; Rodriguez"
                            1 => "K&#46; Li"
                            2 => "M&#46; Apoj"
                            3 => "R&#46; Munarriz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jsxm.2018.12.009"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Sex Med"
                        "fecha" => "2019"
                        "volumen" => "16"
                        "paginaInicial" => "248"
                        "paginaFinal" => "256"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30770071"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Traumatic rupture of the corpus cavernosum&#58; surgical management and clinical outcomes&#46; A 30 years review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;G&#46; Rivas"
                            1 => "J&#46;M&#46; Dorrego"
                            2 => "M&#46;M&#46; Hern&#225;ndez"
                            3 => "P&#46;F&#46; Portella"
                            4 => "S&#46;P&#46; Gonz&#225;lez"
                            5 => "J&#46;A&#46; Valle"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.5173/ceju.2014.01.art20"
                      "Revista" => array:6 [
                        "tituloSerie" => "Cent European J Urol"
                        "fecha" => "2014"
                        "volumen" => "67"
                        "paginaInicial" => "88"
                        "paginaFinal" => "92"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24982791"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "European Association of Urology &#40;EAU&#41;&#44; EAU Guidelines on Urological Trauma 2020&#46; Available from&#58; <a target="_blank" href="https://uroweb.org/wp-content/uploads/EAU-Guidelines-on-Urological-Trauma-2020.pdf">https&#58;&#47;&#47;uroweb&#46;org&#47;wp-content&#47;uploads&#47;EAU-Guidelines-on-Urological-Trauma-2020&#46;pdf</a>&#46; &#91;Accessed June 2020&#93;&#46;"
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              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urotrauma&#58; AUA guideline &#40;Amended in 2017 and 2020&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;F&#46; Morey"
                            1 => "S&#46; Brandes"
                            2 => "DDIII Dugi"
                            3 => "J&#46;H&#46; Armstrong"
                            4 => "B&#46;N&#46; Breyer"
                            5 => "J&#46;A&#46; Broghammer"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1016/j.juro.2014.05.004"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Urol"
                        "fecha" => "2014"
                        "volumen" => "192"
                        "paginaInicial" => "327"
                        "paginaFinal" => "335"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24857651"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0055"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Available at&#58; <a target="_blank" href="https://limbsandthings.com/uk/products/60393/60393-circumcision-foreskins-pack-of-5-dark/?cat=procedures&amp;subcat=circumcision">https&#58;&#47;&#47;limbsandthings&#46;com&#47;uk&#47;products&#47;60393&#47;60393-circumcision-foreskins-pack-of-5-dark&#47;&#63;cat&#61;procedures&#8834;cat&#61;circumcision</a>&#46; &#91;Accessed June 2020&#93;&#46;"
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