Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16979
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.
URI: https://ahro.austin.org.au/austinjspui/handle/1/16979
DOI: 10.1007/s00345-017-2131-4
ORCID: 0000-0001-8553-5618
0000-0002-5145-6783
Journal: World Journal of Urology
PubMed URL: https://pubmed.ncbi.nlm.nih.gov/29177820
Type: Journal Article
Subjects: Disposable flexible ureteroscope
Flexible pyeloscopy
Flexible ureteropyeloscopy
Flexible ureteroscopy
Single-use flexible pyeloscopy
Appears in Collections:Journal articles

Show full item record

Page view(s)

28
checked on Jun 25, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.