Breakage and detachment of the rigid cystoscope's distal tip: an unusual case of urological instrument malfunction.

Autor:	Symeonidis EN; 1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, 'G. Gennimatas' General Hospital, Thessaloniki, Greece., Symeonidis A; 1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, 'G. Gennimatas' General Hospital, Thessaloniki, Greece., Anastasiadis A; 1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, 'G. Gennimatas' General Hospital, Thessaloniki, Greece., Kaltsas A; 3 Department of Urology, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece., Tsampoukas G; Department of Urology, Homerton University Hospital, NHS, London, United Kingdom., Mykoniatis I; 1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, 'G. Gennimatas' General Hospital, Thessaloniki, Greece., Memmos D; 1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, 'G. Gennimatas' General Hospital, Thessaloniki, Greece., Toutziaris C; 1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, 'G. Gennimatas' General Hospital, Thessaloniki, Greece., Dimitriadis F; 1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, 'G. Gennimatas' General Hospital, Thessaloniki, Greece., Vakalopoulos I; 1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, 'G. Gennimatas' General Hospital, Thessaloniki, Greece., Dimitriadis G; 1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, 'G. Gennimatas' General Hospital, Thessaloniki, Greece.
Jazyk:	angličtina
Zdroj:	Central European journal of urology [Cent European J Urol] 2024; Vol. 77 (2), pp. 334-338. Date of Electronic Publication: 2024 Mar 31.
DOI:	10.5173/ceju.2024.20
Abstrakt:	Herein, we describe an unusual case of cystoscope damage during a planned laser cystolithotripsy in a 65-year-old male with a previous history of radical prostatectomy for prostate cancer and subsequent serial urethral dilations for bladder neck contracture. Upon crossing the penile urethra without exerting significant pressure, we noticed the cystoscope's distal metallic tip detachment. Therefore, we re-introduced another 22Fr cystoscope and removed the broken part with alligator forceps. Fortunately, no urethral injury or associated complications were noticed on gently re-entering the bladder. Hence, we managed to complete the endoscopic laser cystolithotripsy shortly thereafter. Review of the relevant literature revealed three similar cases. All related to the same manufacturer. Urologists should not lose sight of the fact that such an unexpected instance may tremendously impact the procedure's success, requiring vigilance and adherence to safety protocols. Competing Interests: The authors declare no conflicts of interest. (Copyright by Polish Urological Association.)
Databáze:	MEDLINE
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