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Title: Single-use flexible ureteropyeloscopy: a systematic review
Austin Authors: Davis, NF;Quinlan, MR;Browne, C;Bhatt, NR;Manecksha, Rustom P;D’Arcy, FT;Lawrentschuk, Nathan;Bolton, Damien M 
Affiliation: Department of Urology, Austin Health, Heidelberg, Victoria, Australia
Department of Urology, Tallaght Hospital, Dublin, Ireland
Trinity College Dublin, Dublin, Ireland
Department of Urology, University Hospital Galway, Galway, Ireland
Issue Date: Apr-2018
Date: 2017-11-29
Publication information: World Journal of Urology 2018; 36(4): 529-536
Abstract: PURPOSE: Data assessing the effectiveness of single-use flexible ureteropyeloscopy (FURS) are limited. This study evaluates and compares single-use FURS with conventional reusable FURS. METHODS: A systematic search using electronic databases (Pubmed and Embase) was performed for studies evaluating single-use FURS in the setting of urinary tract stone disease. Outcome measures included a comparative evaluation of their mechanical, optical and clinical outcomes. RESULTS: Eleven studies on 466 patients met inclusion criteria. In vitro comparative data were available on three single-use flexible ureteropyeloscopes (LithoVue™, Polyscope™ and SemiFlex™) and clinical data were available on two (LithoVue™ and Polyscope™). The overall stone-free rate and complication rate associated with single-use FURS was 87 ± 15% and 9.3 ± 9%, respectively. There were no significant differences in procedure duration, stone size, stone clearance and complication rates when single-use FURS and reusable FURS were compared (duration: 73 ± 27 versus 74 ± 13 min, p = 0.99; stone size: 1.36 ± 0.2 versus 1.34 ± 0.18 cm, p = 0.93; stone-free rate: 77.8 ± 18 versus 68.5 ± 33%, p = 0.76; complication rate 15.3 ± 10.6 versus 15 ± 1.6%, p = 0.3). CONCLUSIONS: Single-use FURS demonstrates comparable efficacy with reusable FURS in treating renal calculi. Further studies on clinical efficacy and cost are needed to determine whether single-use FURS will reliably replace its reusable counterpart.
DOI: 10.1007/s00345-017-2131-4
ORCID: 0000-0001-8553-5618
Journal: World Journal of Urology
PubMed URL:
Type: Journal Article
Subjects: Disposable flexible ureteroscope
Flexible pyeloscopy
Flexible ureteropyeloscopy
Flexible ureteroscopy
Single-use flexible pyeloscopy
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