Improving flexible ureterorenoscope durability up to 100 procedures

Journal of Endourology
Lorenzo DefidioAnup Patel

Abstract

Controversy exists in the literature regarding flexible ureterorenoscopy (F-URS) durability, with a variable expected number of uses from a new F-URS. In this study, a tertiary center experience with the use of two consecutive F-URS is reported and suggestions as to how to improve durability further are made. All F-URS performed in the same tertiary care center between July 2009 and February 2011, with two new instruments Flex-X, were reviewed retrospectively. All renal pathology were included. Ureteral cases were excluded. A 9.5F semirigid ureteroscope was always used at the start for a ureteral optical predilation and to explore the upper urinary tract for possible lithotripsy/laser ablation/biopsy. The F-URS was introduced sequentially to explore the remaining calices. Data pertaining to the procedure were collected. The method of sterilization was complete immersion with Cidex®. The instruments were substituted after 113 and 102 procedures, respectively. The first F-URS was used for a total operative time of 79 hours and 10 minutes while the second one was used for 71 hours and 25 minutes (mean 75 hours and 15 min). Procedure duration was 15 to 175 minutes (mean 58 min). The flexible instruments were used for a mean of 42 m...Continue Reading

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Citations

Dec 11, 2013·Urolithiasis·Cenk GurbuzTurhan Caskurlu
Aug 2, 2014·International Journal of Urology : Official Journal of the Japanese Urological Association·Petrisor GeavleteBogdan Geavlete
Feb 18, 2015·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·J LasselinF Saint
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Dec 22, 2017·Lasers in Surgery and Medicine·Maximilian EiselRonald Sroka
Aug 10, 2019·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Giovanni S MarchiniEduardo Mazzucchi
Jan 30, 2020·Journal of Endourology·Kadir Ömür GünserenAslan Demir
Apr 3, 2020·Current Urology Reports·Daniel RobersonJustin Ziemba
Dec 30, 2016·Chinese Medical Sciences Journal = Chung-kuo I Hsüeh K'o Hsüeh Tsa Chih·Jin WenHan-Zhong Li
Nov 27, 2020·Current Opinion in Urology·Ugo Giovanni FalagarioLuigi Cormio

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Methods Mentioned

BETA
biopsy

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