MP65-19 REUSABLE DIGITAL FLEXIBLE URETEROSCOPE VS. A SINGLE-USE FLEXIBLE URETEROSCOPE IN THE TREATMENT OF UROLITHIASIS: AN EDGE CONSORTIUM PROSPECTIVE RANDOMIZED CLINICAL TRIAL
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چکیده
You have accessJournal of UrologyStone Disease: Surgical Therapy V (MP65)1 Sep 2021MP65-19 REUSABLE DIGITAL FLEXIBLE URETEROSCOPE VS. A SINGLE-USE IN THE TREATMENT OF UROLITHIASIS: AN EDGE CONSORTIUM PROSPECTIVE RANDOMIZED CLINICAL TRIAL Bodo E. Knudsen, , Tasha Posid, Alicia Scimeca, Michael Sourial, K.F. Victor Wong, Ryan F. Paterson, Karen L. Stern, Jonathan P. Moore, Mitchell R. Humphreys, and Ben H. Chew KnudsenBodo Knudsen More articles by this author PosidTasha Posid ScimecaAlicia Scimeca SourialMichael Sourial WongK.F. Wong PatersonRyan Paterson SternKaren Stern MooreJonathan Moore HumphreysMitchell Humphreys ChewBen View All Author Informationhttps://doi.org/10.1097/JU.0000000000002105.19AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Flexible ureteroscopes are routinely used treat kidney stones. Both single-use reusable models available. The high cost purchase repair has led the development options. This trial compared a digital flexible ureteroscope (LithoVue, Boston Scientific) state-of-the art (Flex-Xc, Storz) in multicenter, prospective randomized from Group. METHODS: Patients were across 3 sites either single use (n=53) or (n=49) (brand new at each site only for study cases). Ureteroscopies performed using standardized technique patients with renal stone burdens ranging 5-20 mm. was until it damaged point that major required. Primary outcomes stone-free rate 6-10 weeks post-procedure secondary included length surgery, laser time, basketing deflection scope beginning end case, rating scale handling. RESULTS: mean age 57.9 years (±13.2), 53.3% male, 73% Caucasian, 77.6% non-Hispanic Latino. Upward downward significantly better both (p<0.007) case (p<0.001, Table 1) LithoVue. Performance comparable between scopes all other intraoperative measures (Table 1). However, handling as rated surgeon favored maneuverability (p=0.004), visualization (p<0.001), ability target on overall (p<0.001). There no difference free 4-10 days weeks). failed required total 5 repairs during (2 OSU Mayo, 1 UBC) averaged 6.6 uses before repair. CONCLUSIONS: LithoVue had angles pre- post-operatively when Flex-Xc. Surgeons preferred visualization, although produced similar rates. breakage is concerning equivalent patient outcomes. Source Funding: Scientific © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1127-e1127 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...
منابع مشابه
LithoVue™: A new single-use digital flexible ureteroscope
Over the last 20 years new technologies have emerged in urology, while there has been an increase in the incidence of kidney stone disease with growing use of flexible ureteroscopy [1]. In 2004 Gyrus ACMI introduced the first totally digital flexible ureteroscopic system, the DUR-D Invisio platform [2]. This was a watershed moment as all the major companies began producing digital flexible uret...
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PURPOSE To evaluate LithoVue, the new single-use digital flexible ureteroscope, in a human cadaveric model and compare it with a nondisposable fiber optic and digital flexible ureteroscopes. MATERIALS AND METHODS LithoVue, a conventional fiber optic, and digital flexible ureteroscopes were each tested in four renal units of recently deceased female cadavers by three surgeons. The following pa...
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INTRODUCTION Recent advances in endoscope design have placed the charged coupled device chip on the tip of the endoscope. The image is instantly digitalized and converted into an electrical signal for transmission. Digital technology was first introduced into flexible cystoscopes/nephroscopes and subsequently into rigid and flexible ureteroscopes. Herein, we assess the image characteristics and...
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Introduction: Flexible ureteroscopy (fURS) is an endoscopic procedure for the minimally invasive treatment of ureteral and renal calculi. Due to improvements in technique and ureteroscopic instrumentation over the past two decades, complications associated with URS are infrequent. However, in the event of an unexpected device malfunction or failure, the operating surgeon must employ prompt, res...
متن کاملPercutaneous Ureteral Incision With a Small-Caliber Flexible Ureteroscope
OBJECTIVES We reviewed the results of percutaneous ureteral incisions for ureteroenteroanastomotic stricture using the holmium laser. METHODS We performed this procedure through a 6.9-F flexible ureteroscope on 3 ureters in 3 patients. Balloon dilation was not necessary prior to insertion of the ureteroscope. The stricture was incised with the holmium laser with a 200-microm fiber through the...
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ژورنال
عنوان ژورنال: The Journal of Urology
سال: 2021
ISSN: ['0022-5347', '1527-3792']
DOI: https://doi.org/10.1097/ju.0000000000002105.19