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Urologic Endoscopic Procedure: Cystoscopic Examination

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...

Ureters

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The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...

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Single use and disposable flexible ureteroscopes.

Esteban Emiliani¹, Olivier Traxer

¹aFundacion Puigvert, Department of Urology, Universidad Autonoma de Barcelona, Spain and Hôpital Tenon, Department of Urology, Université Pierre et Marie Curie, Paris VI, France bHôpital Tenon, Department of Urology, Université Pierre et Marie Curie, Paris VI, France.

Current Opinion in Urology

|December 28, 2016

Summary

This summary is machine-generated.

Disposable flexible ureteroscopes offer solutions for limitations of reusable scopes in treating kidney stones and tumors. While promising, further research is needed to confirm their benefits and clinical utility.

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Area of Science:

Urology
Medical Devices
Surgical Technology

Background:

Flexible ureteroscopy is a primary treatment for urolithiasis and upper tract urothelial tumors.
Reusable flexible ureteroscopes have limitations including availability, sterilization, and repair costs.
Disposable ureteroscopes have been developed to address these issues.

Purpose of the Study:

To review the development and current status of disposable flexible ureteroscopes.
To compare the features and performance of disposable scopes with reusable ones.
To assess the need for further research on disposable ureteroscope efficacy.

Main Methods:

Review of existing literature on flexible ureteroscope technology.
Analysis of reported features of seven developed disposable devices.
Evaluation of studies comparing disposable and reusable ureteroscope performance.

Main Results:

Seven disposable flexible ureteroscope devices have been developed.
Three devices aim to match reusable scope features; only one has been thoroughly studied.
Performance metrics like size, deflection, image quality, and handling are key comparison points.

Conclusions:

Not all disposable ureteroscopes have been adequately studied or compared to standard reusable scopes.
Some disposable devices show promise, but more research is essential to validate their benefits.
Further studies are required to establish the clinical advantages and widespread adoption of disposable flexible ureteroscopes.