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Research Library · Independent literature review

Urology: How often does VR change the surgical plan?

7 Urology studies in the library address this question.

Urology: How often the plan changesBar chart. Urology: How often the plan changes. Randomized trials 2, Comparative or prospective studies 2, Retrospective studies 1, Case reports & technical 2.RESEARCH LIBRARY · INDEPENDENT LITERATURE REVIEWUrology: How often the plan changes7 studies in the library, by study designRandomized trials2Comparative or prospecti…2Retrospective studies1Case reports & technical2Positive findingMixedDescriptiveNo significant differenceRealize Medical Research Library · 631 studies · updated 2026-10-03

What the studies report

  • Positive finding
    “Preoperative visualization of the iVR model resulted in a changed calyx of entry in 30% of cases.”

    Cumpanas 2025 · Randomized controlled trial · n: 175 patients

  • Positive finding
    “In 32% of intervention cases, the surgeons modified their operative plan based on the model.”

    Shirk 2022 · Randomized controlled trial · n: 92 patients

  • Positive finding
    “Six surgical approaches were changed based on the 3D VR images.”

    McDonald 2021 · Prospective case series · n: 15 patients

  • Positive finding
    “iVR altered the surgical approach in 10 (40%) cases.”

    Parkhomenko 2019 · Prospective cohort with matched controls · n: 25 patients

How strong is the evidence?

Of 7 studies with a finding on this question: 6 report a positive finding, 1 descriptive. These reflect what each study's authors report.

Study designs: 2 randomized trials, 2 comparative or prospective studies, 1 retrospective study and 2 case reports, case series and technical reports.

Randomized trials: 2 trials on this question; 2 reported a positive finding.

All 7 studies

Preoperative Immersive Virtual Reality Applied to Percutaneous Nephrolithotomy: A Prospective Randomized Clinical Study of Surgical Planning and Clinical Outcomes #

Cumpanas AD et al. · The Journal of urology · 2025

Urology · Randomized controlled trial · n: 175 patients

Positive finding
“Preoperative visualization of the iVR model resulted in a changed calyx of entry in 30% of cases.”

30%

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Effect of 3-Dimensional, Virtual Reality Models for Surgical Planning of Robotic Prostatectomy on Trifecta Outcomes: A Randomized Clinical Trial #

Shirk JD et al. · The Journal of urology · 2022

Urology · Randomized controlled trial · n: 92 patients

Positive finding
“In 32% of intervention cases, the surgeons modified their operative plan based on the model.”

32%

DOIPubMedFree full text

Application of Three-Dimensional Virtual Reality Models to Improve the Pre-Surgical Plan for Robotic Partial Nephrectomy #

McDonald M, D Shirk J · JSLS · 2021

Urology · Prospective case series · n: 15 patients

Positive finding
“Six surgical approaches were changed based on the 3D VR images.”

DOIPubMedFree full text

Pilot Assessment of Immersive Virtual Reality Renal Models as an Educational and Preoperative Planning Tool for Percutaneous Nephrolithotomy #

Parkhomenko E et al. · Journal of endourology · 2019

Urology · Prospective cohort with matched controls · n: 25 patients

Positive finding
“iVR altered the surgical approach in 10 (40%) cases.”

10 (40%)

DOIPubMed

Virtual Reality Head-Mounted Display (HMD) and Preoperative Patient-Specific Simulation: Impact on Decision-Making in Pediatric Urology: Preliminary Data #

Lanfranchi G et al. · Diagnostics (Basel, Switzerland) · 2024

Urology · Retrospective case series · n: 6 patients

Positive finding
“The high depth perception and precision in the orientation of the arteries and veins to the parenchyma changed the intraoperative decision-making process in five patients.”

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Three-dimensional Printing and Augmented Reality: Enhanced Precision for Robotic Assisted Partial Nephrectomy #

Wake N et al. · Urology · 2018

Urology · Case report (video) · n: 1 patient

Positive finding
“The application of 3D printed and AR models is safe and feasible and can influence surgical decisions.”

DOIPubMed

3D Virtual Reality Models Created from MRI data for Pre-operative Evaluation of Renal Cancer #

Wake N et al. · Proc. Intl. Soc. Mag. Reson. Med. 25 (ISMRM 2017), abstract 4948 · 2017

Urology · Conference abstract

Descriptive
“These models may alter the surgical plan, and could promote both nephron-sparing surgery and preservation of healthy parenchyma, as surgeons gain a better visualization of the size and location of a tumor in relation to normal tissue and vital structures.”

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Summarises published research on VR/AR surgical planning across all platforms. Not product labelling. For Elucis indications see /elucis.

Intended for healthcare professionals.

Summaries and quotes describe each study's methods and the findings its authors report. They are not claims by Realize Medical and may contain errors: please read the original paper. Inclusion is not an endorsement of any product or use.