Early Outcomes of the Reprocessing and Reuse of Disposable Flexible Ureteroscope for Renal Stone Management: A Single-Center Study in Nepal

Adhikari, Mahesh Bahadur and Sah, Anil Kumar and Maharjan, Bipin and Kayastha, Jessica and Malla, Samridha (2021) Early Outcomes of the Reprocessing and Reuse of Disposable Flexible Ureteroscope for Renal Stone Management: A Single-Center Study in Nepal. Asian Journal of Research and Reports in Urology, 4 (4). pp. 6-13.

[thumbnail of 16-Article Text-30-1-10-20220902.pdf] Text
16-Article Text-30-1-10-20220902.pdf - Published Version

Download (199kB)

Abstract

Introduction: The use of disposable flexible ureteroscopy for the management of renal stone has become an established procedure since last few years however discarding the instrument after single use possess a financial burden to the patient in resource limited countries. Therefore, it’s an attempt to assess the cost effectiveness and the safety profile of the procedure by reprocessing and reusing the disposable flexible Ureteroscope.

Methods: It was a hospital-based prospective observational cross-sectional study. LithoVue, Single Use Flexible Ureteroscope from Boston Scientific device was used for the procedure. Operative time, level of intra-operative performance alteration and fluoroscopic guided stone clearance were assessed. Early postoperative complications, durability of each scope, postoperative ultrasonographic stone clearance were also assessed. The cause of immature scope damage was also identified.

Results: Thirty-eight disposable flexible ureteroscope were used for 186 procedures of mean age of 42.67 ± 14.88 years. The mean size and average CT scan hardness of the stones were 14.65 ± 9.82mm and 1017 ± 340HU respectively. The number of disposable flexible ureteroscope and the patient ratio was found to be 1:5. The mean operative time was 44.26 ± 25.16 minutes. The immature damage of the scope was seen in 9 scopes. Five patients (2.76%) developed urinary tract infection. Sonography after 6 weeks following the procedure showed that 11 patients (6%) had Clinically Significant Residual Fragment (>5mm) whereas 32 patients (17%) had Clinically Insignificant Residual Fragment (< 5mm).

Conclusion: Reprocessing and reuse of disposable flexible ureteroscope is safe and cost-effective procedure with minimal probability of cross-infection and immature scope damage if reprocessing of the device is well supervised.

Item Type: Article
Subjects: Grantha Library > Medical Science
Depositing User: Unnamed user with email support@granthalibrary.com
Date Deposited: 08 Mar 2023 12:40
Last Modified: 11 Jul 2024 09:33
URI: http://asian.universityeprint.com/id/eprint/202

Actions (login required)

View Item
View Item