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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Flexible Ureteroscopy: Global User Experience Using Disposable Devices.

Zain Kasmani1, Manoj Ravindraanandan2, Wasim Mahmalji2

  • 1Urology, Gloucestershire Hospitals NHS Trust, Cheltenham, GBR.

Cureus
|November 8, 2023
PubMed
Summary
This summary is machine-generated.

Urologists prefer single-use flexible ureteroscopes for their performance but find the cost prohibitive. A combination of scope types is likely to persist, balancing budget and availability.

Keywords:
environmental sustainabilityflexible ureteroscoperenal stonessingle-use flexible ureteroscopetechnology development

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Area of Science:

  • Urology
  • Medical Devices
  • Nephrology

Background:

  • Flexible ureteroscopy is a key treatment for renal stones.
  • Ureteroscopes are available as reusable or single-use disposable devices.
  • Single-use scopes offer cost-saving benefits in maintenance and disposal but raise environmental concerns.

Purpose of the Study:

  • To assess urologists' global experiences and opinions on single-use flexible ureteroscopes.
  • To identify perceived advantages and disadvantages of disposable ureteroscopes.

Main Methods:

  • A global, multicentre online survey was distributed to urologists.
  • The nine-question survey gathered data on user experience, general opinion, and cost perceptions.
  • Responses were collected over three days and analyzed using descriptive statistics.

Main Results:

  • 69 urologists responded, primarily from the UK (75%) and consultants (64%).
  • Two-thirds had used single-use scopes, with 95% reporting positive experiences (excellent vision, less maintenance).
  • High cost was cited as the main barrier to adoption, with an estimated average cost of £991 for reusable scopes.

Conclusions:

  • Urologists generally favor single-use scopes, finding them comparable or superior to reusable ones.
  • The initial cost of disposable scopes presents a significant barrier for widespread adoption.
  • Environmental impact remains an unknown factor; a hybrid approach using both scope types is anticipated.