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Disposable versus Reusable Ureteroscopes: A Prospective Multicenter Randomized Comparison.

Giorgio Bozzini¹, Beatrice Filippi², Sulieman Alriyalat³

¹Urology Department, ASST Valle Olona, Busto Arsizio, Varese, Italy.

Research and Reports in Urology

|February 19, 2021

Summary

Disposable flexible ureteroscopes are safer for Retrograde Intrarenal Surgery (RIRS) with similar stone-free rates and costs compared to reusable ones. Disposable scopes significantly reduce post-operative complications and infection risks in RIRS procedures.

Keywords:

RIRS disposable ureteroscope infection reusable ureteroscope

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Vessel-sparing Excision and Primary Anastomosis

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Published on: January 7, 2019

Area of Science:

Urology
Minimally Invasive Surgery
Medical Device Technology

Background:

Retrograde Intrarenal Surgery (RIRS) is a common procedure for kidney stones.
Flexible ureteroscopes are crucial tools in RIRS, with both reusable and disposable options available.
Comparing the efficacy and safety of reusable versus disposable flexible ureteroscopes is essential for optimizing patient outcomes.

Observation:

A multicenter randomized clinical trial compared reusable and disposable flexible ureteroscopes in 180 patients undergoing RIRS.
Stone-free rates (SFRs) and procedure costs were comparable between the two groups.
Disposable ureteroscopes demonstrated significantly lower post-operative complication and infection rates.

Findings:

Patients undergoing RIRS with disposable ureteroscopes experienced fewer hospitalizations and shorter antibiotic therapy durations.
The overall complication rate was significantly lower with disposable scopes (3.3%) compared to reusable ones (8.8%).
Disposable ureteroscopes showed a marked reduction in post-operative infections, with no cases of urosepsis or positive blood cultures, unlike the reusable group.

Implications:

Disposable flexible ureteroscopes offer a safer alternative for RIRS, reducing patient morbidity.
The findings support the adoption of disposable ureteroscopes to enhance patient safety in RIRS.
Further research could explore long-term cost-effectiveness and environmental impact.