The grasper-integrated disposable flexible cystoscope is comparable to the reusable, flexible cystoscope for the detection of bladder cancer

Autor:	Abdulrahman J. AlAyoub, Mohamed F. Alotaibi, Tarek M. Alsibai, Khaled I. Alothman, Raouf M. Seyam, Noor Nabi Junejo, Alaa A. Mokhtar, Osamah M. Al-Qassab, Mhd H.D.A. Aldeiry, Ahmad O. Zino, Mahmoud Shahbaz, Turki Al-Hussain, Waleed Altaweel, Sultan S. Alkhateeb, Hasan S. Hulwi, Omar M. Zeitouni, Hassan M. Alzahrani
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	0301 basic medicine Adult Male medicine.medical_specialty Adolescent Bladder Science Cystoscope Urology Cystoscopes Malignancy Article 03 medical and health sciences 0302 clinical medicine medicine Humans Aged Aged 80 and over Multidisciplinary Bladder cancer medicine.diagnostic_test business.industry Flexible cystoscope Cystoscopy Equipment Design Middle Aged medicine.disease Cystoscopies 030104 developmental biology Urinary Bladder Neoplasms Medicine Smoking status Female business 030217 neurology & neurosurgery
Zdroj:	Scientific Reports, Vol 10, Iss 1, Pp 1-9 (2020) Scientific Reports
ISSN:	2045-2322
Popis:	Flexible cystoscopy under local anaesthesia is standard for the surveillance of bladder cancer. Frequently, several reusable cystoscopes fail to reprocess. With the new grasper incorporated single-use cystoscope for retrieval of ureteric stents, we explored the feasibility of using it off-label for diagnosis and the detection of bladder cancer. Consecutive diagnostic flexible cystoscopies between Mar 2016 and Nov 2018 were reviewed comparing the reusable versus the disposable cystoscopes. A total of 390 patients underwent 1211 cystoscopies. Median age was 61.5 years (SD 14.2, 18.8–91.4), males 331 (84.9%) and females 59 (15.1%). Indication for cystoscopy was prior malignancy in 1183 procedures (97.7%), haematuria 19 (1.6%) or bladder mass 7 (0.6%). There were 608 reusable and 603 disposable cystoscopies. There was no significant difference between groups at baseline in age, sex, BMI, smoking status, or prior tumor risk category. There was no significant difference in positive findings (123/608, 20.2% vs 111/603, 18.4%, p = 0.425) or cancer detection rates (95/608, 15.6% vs 88/603, 14.4%, p 0.574) among the two groups, respectively. We conclude that the disposable grasper integrated cystoscope is comparable to reusable cystoscope in the detection of bladder cancer.
Databáze:	OpenAIRE
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