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[Current trends in flexible ureteroscopy: an update].

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Flexible ureteroscopy (fURS) offers excellent safety and performance for urolithiasis treatment. Disposable ureteroscopes enhance workflow, but future innovations like automated lithotripsy are needed to truly advance endoscopic stone treatment.

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Area of Science:

  • Urology
  • Endourology
  • Medical Device Technology

Background:

  • Flexible ureteroscopy (fURS) is a widely adopted technique for treating urolithiasis.
  • Current fURS procedures demonstrate high clinical efficacy and safety profiles.
  • The advent of disposable ureteroscopes has impacted the field of endoscopic stone management.

Purpose of the Study:

  • To evaluate the impact of disposable ureteroscopes on urological workflows.
  • To identify areas for technological advancement in flexible ureteroscopy.
  • To explore potential disruptive innovations for endoscopic stone treatment.

Main Methods:

  • Review of current literature on flexible ureteroscopy and disposable ureteroscope technology.
  • Analysis of workflow advantages associated with disposable ureteroscopes.
  • Discussion of emerging technologies in endoscopic stone treatment.

Main Results:

  • Disposable ureteroscopes improve theatre workflow through elimination of sterilization and reduced repair costs.
  • Disposable devices may minimize bacterial transfer within working channels.
  • Significant technological advancements, such as automated laser lithotripsy and real-time intrarenal pressure/temperature control, are not yet in clinical routine.

Conclusions:

  • Disposable ureteroscopes offer workflow benefits but are not a "game changer" in terms of core technology.
  • Future innovations hold the potential to significantly advance flexible ureteroscopy and endoscopic stone treatment.
  • Continued research and development are crucial for the next generation of fURS technology.