Gloves model for laparoscopic pyeloplasty training. Bhattu A.S.,Akhilesh Kumar,Baishya R.K.,Ganpule A.P.,Mishra S.K.,Muthu V.,Sabnis R.B.,Desai M.R. Introduction: Although laparoscopic pyeloplasty is considered to be the gold standard, it is not widely practiced because of technical difficulties of intracorporeal suturing Objective: To create a model for laparoscopic pyeloplasty for urology trainees. Materials and Methods: A simple latex surgical glove is taken. The little finger and a portion of the palm area is marked and cut. A Foley’s catheter is introduced through the tip of the little finger of glove and Foley balloon is inflated. It simulated ureter and dilated pelvis. It is then fixed over foam and placed in a 3 D Med Endotrainer. Laparoscopic pyeloplasty was performed using Andersons Hyne,s technique. 25 trainees who no exposure to laparoscopic pyeloplasty were trained by using this model since June 2009 to June 2010. They were assessed with respected to time of the completion of the task and qualities of anastomosis. They were trained in this model till they were confident of doing the procedure in human being .A questionnaire was given regarding utility of glove model to every trainee. Result: 23 out of 25 training (92%) could finish the task on first attempt. Other two trainees could finish it in second attempt. 20 trainees after three attempts, 3 trainees after four attempt and two trainees after 5th attempts, in this model felt confident of doing this procedure in human being. Mean time to complete the procedure was 45 ± 10 minutes which subsequently decreased to 23±5 min .Trainees found that glove model is helpful for orientation and anastomosis .However it did not give any tissue feeling and there was no dissection of pelvi ureteric junction. Conclusion: This model demonstrates satisfying fidelity and practicality. It could be easily be made, cost is very less and it increases the confidence level of trainees.