Comprehensive Costs Associated with Fiberoptic and Digital Flexible Ureteroscopes at a High Volume Teaching Hospital

Borofsky, Michael S.; Dauw, Casey A.; York, Nadya; Hoovler, Christine; Lingeman, James E.

doi:10.1016/j.urpr.2016.06.007

Cited by 5 publications

(2 citation statements)

References 18 publications

(25 reference statements)

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“…Owing to the continued technological advancements and improving surgeon experience, the durability of flexible ureteroscopes have improved. Due to the huge repair costs, durability becomes a critical component before investing heavily in reusable flexible ureteroscopes [ 4 , 5 , 12 ]. Borofsky and colleagues demonstrated that the majority of expenditure associated with owning a FURS was due to the repair of scopes (71%) [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Due to the huge repair costs, durability becomes a critical component before investing heavily in reusable flexible ureteroscopes [ 4 , 5 , 12 ]. Borofsky and colleagues demonstrated that the majority of expenditure associated with owning a FURS was due to the repair of scopes (71%) [ 4 ]. Carey and colleagues pointed out that one instrument repair would further reduce its longevity, and therefore replacing it with a new scope would be cost effective [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

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Durability of current generation flexible ureteroscopes: the experience from a high-volume centre

2022

Cent european J Urol

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Introduction The aim of this article was to evaluate the durability of current generation fibreoptic flexible ureteroscopes (FURS), analyse factors that influence durability, identify reasons for premature damage of FURS and offer suggestions to expand its life span. Material and methods A total of 952 retrograde intrarenal surgeries (RIRS) done for upper tract calculi using 8 fibreoptic FURS, namely three Storz Flex X2, one Flex X2S, two Olympus URF- P6, two Olympus URF- P7, between March 2013 and December 2018, were reviewed retrospectively. All procedures were done by two consultants, in a single referral centre. Data relating to stone characteristics and flexible ureteroscopy procedure were retrieved from hospital database. The primary end point was damage of FURS requiring first repair. Results The average stone burden was 14.59 ±3.37 mm (range 3–22 mm). Ureteral access sheath was used in 95.4% of cases, 36.7% of the cases were pre-stented. Mean ureteroscope durability was 119 procedures and mean ureteroscopy time was 71.99 hours of use before first repair. Prolonged laser usage time and increased usage of accessories had significant negative impact on longevity of FURS (p = 0.002, p = 0.036 respectively). Inadvertent laser fibre misfire and extreme torque caused premature FURS damage, at the end of 35 and 12 procedures respectively. Conclusions Current generation fibreoptic flexible ureteroscopes have a mean durability of 119 procedures. Anticipation of torque, knowledge of the common reasons for damage and meticulous handling is essential to maximise the durability of FURS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Durability of current generation flexible ureteroscopes: the experience from a high-volume centre

2022

Cent european J Urol

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URS: een kostbare aangelegenheid?

Hendriks

2022

Tijdschr Urol

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SamenvattingDe kosten van de gezondheidszorg stijgen. Bewustwording van daadwerkelijke kosten (in plaats van gemiddelde DBC-prijzen) is van groot belang om kosten te beteugelen. Hiertoe hebben wij voor 72 ureterorenoscopie (URS) procedures de gegevens over proceduretijd, materiaal, aanwezig personeel op OK, opname en follow-up prospectief geregistreerd. De totale kosten van een URS bedroegen gemiddeld € 2.819. De grootste kostenpost bestond uit chirurgische kosten (€ 2.075; 67,0%), gevolgd door opnamekosten (€ 514; 22,8%) en follow-upkosten (€ 230; 10,2%). Bij acht procedures bleek de steen gepasseerd ten tijde van de operatie en bleek de preoperatieve CT-scan ouder dan één maand. De kosten van deze procedures hadden voorkomen kunnen worden door een extra preoperatieve CT-scan te maken. Het verrichten van deze CT-scan zou een besparing kunnen opleveren van gemiddeld € 62 euro per procedure. De werkelijke kosten van een URS in dit cohort waren € 2.819, met als grootste kostenpost chirurgische kosten (€ 2.075). Het waarborgen van recente preoperatieve beeldvorming zou onnodige operaties en kosten kunnen besparen.

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