Single use flexible ureteroscopes: Current status and future directions.

Autor: Juliebø-Jones P; Department of Urology Haukeland University Hospital Bergen Norway.; Department of Clinical Medicine University of Bergen Bergen Norway.; EAU YAU Urolithiasis group Armhem Netherlands., Ventimiglia E; EAU YAU Urolithiasis group Armhem Netherlands.; Department of Urology IRCCS Ospedale San Raffaele Milan Italy., Somani BK; Department of Urology University Hospital Southampton UK., Æsøy MS; Department of Urology Haukeland University Hospital Bergen Norway., Gjengstø P; Department of Urology Haukeland University Hospital Bergen Norway., Beisland C; Department of Urology Haukeland University Hospital Bergen Norway.; Department of Clinical Medicine University of Bergen Bergen Norway., Ulvik Ø; Department of Urology Haukeland University Hospital Bergen Norway.; Department of Clinical Medicine University of Bergen Bergen Norway.
Jazyk: angličtina
Zdroj: BJUI compass [BJUI Compass] 2023 Jul 05; Vol. 4 (6), pp. 613-621. Date of Electronic Publication: 2023 Jul 05 (Print Publication: 2023).
DOI: 10.1002/bco2.265
Abstrakt: Introduction: Single use ureteroscopes are a technological innovation that have become available in the past decade and gained increased popularity. To this end, there are now an increasing number of both benchside and clinical studies reporting outcomes associated with their use. Our aim was to deliver a narrative review in order to provide an overview of this new technology.
Methods: A narrative review was performed to gain overview of the history of the technology's development, equipment specifications and to highlight potential advantages and disadvantages.
Results: Findings from preclinical studies highlight potenial advantages in terms of the design of single use ureteroscopes such as the lower weight and more recent modifications such as pressure control. However, concerns regarding plastic waste and environmental impact still remain unanswered. Clinical studies reveal them to have a non inferior status for outcomes such as stone free rate. However, the volume of evidence, especially in terms of randomised trials remains limited. From a cost perspective, study conclusions are still conflicting and centres are recommended to perform their own micro cost analyses.
Conclusions: Most clinical outcomes for single use ureteroscopes currently match those achieved by reusable ureteroscopes but the data pool is still limited. Areas of continued debate include their environmental impact and cost efficiency.
Competing Interests: Øyvind Ulvik has acted as a consultant for Olympus. The other authors have nil to declare.
(© 2023 The Authors. BJUI Compass published by John Wiley & Sons Ltd on behalf of BJU International Company.)
Databáze: MEDLINE
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