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Conversion to Disposable Cystoscopes Decreased Post-procedure Encounters and Infections Compared to Reusable

Laura E Geldmaker1, Bryce A Baird1, Timothy D Lyon1

  • 1Department of Urology, Mayo Clinic, Jacksonville, Florida.

Urology Practice
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PubMed
Summary
This summary is machine-generated.

Disposable cystoscopes led to fewer post-procedure issues and infections compared to reusable scopes. This study highlights the benefits of disposable cystoscopes for patient safety and reducing healthcare encounters.

Keywords:
cystoscopydisposable equipmenturinary tract infections

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Area of Science:

  • Urology
  • Medical Devices
  • Infection Control

Background:

  • Office cystoscopy is a common urological procedure.
  • The choice between disposable and reusable cystoscopes may impact patient outcomes.
  • Minimizing post-procedure complications is crucial for patient care.

Purpose of the Study:

  • To compare post-procedure 30-day encounters and infections between disposable and reusable cystoscopes.
  • To evaluate the safety and efficacy of different cystoscope types in an outpatient setting.

Main Methods:

  • Retrospective review of 1,000 office cystoscopies (June-Sept 2020 with reusable, Feb-May 2021 with disposable).
  • Primary outcome: 30-day post-procedural encounters (calls, messages, ED visits, hospitalizations, appointments).
  • Secondary outcome: Culture-proven urinary tract infection within 30 days.

Main Results:

  • Reusable cystoscopes were linked to significantly more 30-day encounters (7.1% vs 2.2%) and positive urine cultures (3.4% vs 0.2%).
  • Hospitalizations attributable to cystoscopy were higher with reusable scopes (0.2% vs 0%).
  • Demographics were similar between the disposable and reusable cystoscope groups.

Conclusions:

  • Disposable cystoscopes are associated with fewer post-procedure complications and infections.
  • The use of disposable cystoscopes may improve patient outcomes and reduce healthcare utilization after office cystoscopy.