Comparison of pre- and post-surgical images of reusable and single use flexible ureteroscopes: a qualitative analysis.

disposable equipment ureteroscopes ureteroscopy urolithiasis

Journal

Central European journal of urology
ISSN: 2080-4806
Titre abrégé: Cent European J Urol
Pays: Poland
ID NLM: 101587101

Informations de publication

Date de publication:
2021
Historique:
received: 08 02 2021
revised: 05 07 2021
accepted: 10 07 2021
entrez: 3 11 2021
pubmed: 4 11 2021
medline: 4 11 2021
Statut: ppublish

Résumé

Given the fragility of reusable ureterorenoscopes, many single use instruments have appeared on the market. Unfortunately, reuse of these scopes occurs in undeveloped countries in order to cut costs. This raises safety concerns for the patient.The aim of this article was to macroscopically evaluate the changes that single use flexible ureterorenoscopes (su-fURS) suffer after a retrograde intrarenal surgery (RIRS), and to compare them to reusable fURS. Pre and post-operative images of the instruments used in 23 RIRS were obtained. All the cases had renal calculi of the inferior calix between 10-15 mm, and all of them were treated with Holmium laser. The ureterorenoscopes used were: Storz After su-fURS usage, significant damage was observed, especially on the distal tip. Deflection was not compromised. Reusable fURS did not sustain any damage after their use. fURS are delicate equipment, especially if they are of single use. The considerable damage sustained by single use scopes could mean that reuse of these instruments is dangerous and should be avoided.

Identifiants

pubmed: 34729238
doi: 10.5173/ceju.2021.0032.R2
pii: 0032.R2
pmc: PMC8552943
doi:

Types de publication

Journal Article

Langues

eng

Pagination

459-463

Informations de copyright

Copyright by Polish Urological Association.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

Eur Urol Focus. 2019 Nov;5(6):1105-1111
pubmed: 29534873
Int Braz J Urol. 2019 Jul-Aug;45(4):658-670
pubmed: 31397987
Urology. 2005 Nov;66(5):958-63
pubmed: 16286103
World J Urol. 2018 Dec;36(12):2059-2063
pubmed: 29869701
Curr Opin Urol. 2017 Mar;27(2):176-181
pubmed: 28027075
J Urol. 2017 Mar;197(3 Pt 1):730-735
pubmed: 27693449
Urol Clin North Am. 2019 May;46(2):165-174
pubmed: 30961850
J Endourol. 2019 Feb;33(2):71-78
pubmed: 30612446
J Endourol. 2017 Oct;31(10):1090-1095
pubmed: 28835120
BJU Int. 2018 May;121 Suppl 3:55-61
pubmed: 29656467
J Endourol. 2017 May;31(5):468-475
pubmed: 28287823
J Endourol. 2016 Dec;30(12):1269-1274
pubmed: 27733053
Urolithiasis. 2018 Feb;46(1):47-58
pubmed: 29222575
Curr Opin Urol. 2020 Mar;30(2):113-119
pubmed: 31815748

Auteurs

Alfredo Domenech (A)

Department of Urology, Clínica RedSalud Vitacura, Santiago, Chile.
Department of Urology, Univesidad de los Andes, Santiago, Chile.

Cristian Alliende (C)

Department of Urology, Univesidad de los Andes, Santiago, Chile.

Bruno Vivaldi (B)

Department of Urology, Clínica RedSalud Vitacura, Santiago, Chile.
Department of Urology, Univesidad de los Andes, Santiago, Chile.

Pablo Pizzi (P)

Department of Urology, Clínica RedSalud Vitacura, Santiago, Chile.

Classifications MeSH