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

Autor: Symeonidis, Evangelos N., Symeonidis, Asterios, Anastasiadis, Anastasios, Kaltsas, Aris, Tsampoukas, Georgios, Mykoniatis, Ioannis, Memmos, Dimitrios, Toutziaris, Chrysovalantis, Dimitriadis, Fotios, Vakalopoulos, Ioannis, Dimitriadis, Georgios
Předmět:
Zdroj: Central European Journal of Urology (2080-4806); 2024, Vol. 77 Issue 2, p334-338, 5p
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 reintroduced 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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index