Public Health

Fast Tracking Time Savings with Single-Use Cystoscopes

"Single-use cystoscopes are a promising option for office-based urological practices. They save time, are effective and score well with urologists."

Single-use cystoscopes save a “significant” amount of time compared with their reusable counterparts and provide equivalent clinician satisfaction, according to a new study

The study, recently published in the Journal of Endourology, compared single-use cystoscopes with reusable cystoscopes for ureteral stent removal during a multicenter randomized trial.

On average, the time it took from preparation for the procedure to either disposal or processing prep was about 10 minutes for the single-use cystoscope and 18 minutes for the reusable scope, signaling a time-saving advantage for the single-use device, the authors wrote.

102 Patients Studied

Researchers conducted the study from April 27, 2021, to July 15, 2022.  The study enlisted a group of urologists from three centers to compare the performance of the Ambu aScope 4 Cysto to a standard flexible reusable cystoscope for ureteral stent removal.

The researchers collected information for each case using specific criteria:

  • Time to obtain a reusable or single-use cystoscope
  • Time to prep cystoscope (handling)
  • Time to make connections to monitors/fluids/tower
  • Time elapsed from visualization of a stent to successful image capture.

There were 102 patients in the study.  They were randomly assigned to one of two groups to undergo either a single-use or a reusable cystoscope procedure for stent removal.  The success rate was high for both groups: 98 percent (50 out of 51) for single-use procedures and 100 percent (51 out of 51) for reusable procedures.

In one case, the urologist to pass graspers through the single-use cystoscope and needed to switch to a reusable device, researchers said.

User Satisfaction Surveyed

Following the procedures, urologists assessed their experiences with the cystoscope via a survey with a 5-point Likert scale.  On the scale, 1 meant "very difficult" while 5 meant "very easy."

The survey considered simplicity of insertion, maneuverability within the bladder, perceived image quality and acceptability of the single-use cystoscope as an instrument option for stent removals among the procedure’s facets. The median score for all categories for the Ambu aScope 4 Cysto was 4/5, indicating it was “noninferior” to a reusable cystoscope.

Single-use cystoscopes, the authors wrote, are a promising option for office-based urological practices. They save time, are effective and score well with urologists, though “institution-specific costs and workflows” should be analyzed further.

Related Articles

How to Beat The Reprocessing Clock 

More Urology Articles
Why You Don't Know What Burnout Is 'Until It Hits You in the Face'
Public Health
Medicine’s culture of perfection leaves physicians susceptible to burnout and depression, a urologic oncology surgeon and life coach says on the Speaking of Urology podcast.
Why Problems with Reprocessing Ureteroscopes ‘Haven’t Gone Away’
Prevention Challenges
In a new webinar, Cori Ofstead tallies the new medical device reports on flexible ureteroscopes filed with the FDA since last spring and suggests quality management programs worth implementing for reprocessing.
More From Single-Use Endoscopy
How to Stop the Cycle of ‘Reactive Repairs’ on Endoscopes

Prevention Challenges

They are costly, add stress for staff and put patients at risk.

Study Evaluates Single-Use Gastroscope Feasibility in Evaluating, Treating Upper GI Bleeding

Emerging Technologies

Single-use duodenoscopes are already common for ERCP, but what about gastroscopes and EGD?

Is HLD Enough for Semicritical Devices?

Preventing Infection

Even more so than critical devices, semicritical ones have been associated with the highest risk of patient infection.