WiScope® single use digital flexible ureteroscope versus reusable flexible ureteroscope for management of renal stones: a prospective randomized study
Objectives To compare the clinical performance and surgical outcomes of the new digital single use flexible ureteroscope (WiScope ® ) with a reusable digital flexible ureteroscope. Patient and methods Our prospective study includes patients with renal stones less than 2 cm who underwent retrograde f...
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| Veröffentlicht in: | World journal of urology 2022-09, Vol.40 (9), p.2323-2330 |
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| creator | Ali, Ahmed I. Eldakhakhny, Amr Abdelfadel, Abdelsalam Rohiem, Mahmoud F. Elbadry, Mohamed Hassan, Ali |
| description | Objectives
To compare the clinical performance and surgical outcomes of the new digital single use flexible ureteroscope (WiScope
®
) with a reusable digital flexible ureteroscope.
Patient and methods
Our prospective study includes patients with renal stones less than 2 cm who underwent retrograde flexible ureteroscopy and laser lithotripsy. Patients were randomized into two groups: group A included patients who underwent laser lithotripsy using WiScope
®
Single use digital flexible ureteroscope and group B included patients who underwent laser lithotripsy using reusable flexible ureteroscope. Image quality, deflection, ease of insertion, maneuverability, and overall performance were assessed using either a visual analog or Likert scale. Operative outcomes and complications were collected and analyzed in both groups.
Results
A total of 242 patients were included in our study. There were 121 patients in the WiScope
®
group and 121 patients in reusable ureteroscope group. The WiScope
®
had higher maneuverability (9.3 ± 0.7 vs. 7.2 ± 0.8,
P
|
| doi_str_mv | 10.1007/s00345-022-04095-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2695291648</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2708085000</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-9da0998853f3c4630ba5ca9c1292b69fde34f6681320e44a23dbc2eaabc8bb123</originalsourceid><addsrcrecordid>eNp9kcuKFTEQhoMoznj0BVxIwI2b1krSSSfuZPAGAy5UXIZ0uvqQoS_HVPcwc17Et_AhfDJzPOMFEVcJqa_-SvEx9lDAUwHQPCMAVesKpKygBqer_S12KmqlKttIc_uP-wm7R3QBIBoD-i47Udo6LYQ5ZV8-pfdx3uG3r5zStB2Qr4S8S9u0hIH3A16l9vCYccE80wHll5hpJZ5xpXAo_pvq58zHMIUtjjgtfO5Lw1QyaZknpOc88F1BdxiXdIk8h6mbx7THrgBrd32f3enDQPjg5tywj69efjh7U52_e_327MV5FVWjl8p1AZyzVqtexdooaIOOwUUhnWyN6ztUdW-MFUoC1nWQqmujxBDaaNtWSLVhT4655TOfV6TFj4kiDkOYcF7JS-O0dMLUtqCP_0Iv5jWXlQrVgAWroQjZMHmkYtmOMvZ-l9MY8rUX4A_a_FGbL9r8D21-X5oe3USv7Yjdr5afngqgjgCV0rTF_Hv2f2K_A05FqBc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2708085000</pqid></control><display><type>article</type><title>WiScope® single use digital flexible ureteroscope versus reusable flexible ureteroscope for management of renal stones: a prospective randomized study</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Ali, Ahmed I. ; Eldakhakhny, Amr ; Abdelfadel, Abdelsalam ; Rohiem, Mahmoud F. ; Elbadry, Mohamed ; Hassan, Ali</creator><creatorcontrib>Ali, Ahmed I. ; Eldakhakhny, Amr ; Abdelfadel, Abdelsalam ; Rohiem, Mahmoud F. ; Elbadry, Mohamed ; Hassan, Ali</creatorcontrib><description>Objectives
To compare the clinical performance and surgical outcomes of the new digital single use flexible ureteroscope (WiScope
®
) with a reusable digital flexible ureteroscope.
Patient and methods
Our prospective study includes patients with renal stones less than 2 cm who underwent retrograde flexible ureteroscopy and laser lithotripsy. Patients were randomized into two groups: group A included patients who underwent laser lithotripsy using WiScope
®
Single use digital flexible ureteroscope and group B included patients who underwent laser lithotripsy using reusable flexible ureteroscope. Image quality, deflection, ease of insertion, maneuverability, and overall performance were assessed using either a visual analog or Likert scale. Operative outcomes and complications were collected and analyzed in both groups.
Results
A total of 242 patients were included in our study. There were 121 patients in the WiScope
®
group and 121 patients in reusable ureteroscope group. The WiScope
®
had higher maneuverability (9.3 ± 0.7 vs. 7.2 ± 0.8,
P
< 0.001) and less limb fatigue but had lower image quality when compared to reusable digital flexible ureteroscope (7.6 ± 0.9 vs. 9.2 ± 0.6,
P
< 0.001). There were no differences in operative time, complication rates and rates of relook ureteroscopy.
Conclusions
The WiScope
®
single use flexible ureteroscope has comparable outcomes to the reusable flexible ureteroscope with regard to maneuverability, limb fatigue, and deflection. However, it has a lower image quality.</description><identifier>ISSN: 1433-8726</identifier><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-022-04095-z</identifier><identifier>PMID: 35895116</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Calculi ; Equipment Design ; Fatigue ; Humans ; Kidney Calculi - surgery ; Lasers ; Lithotripsy ; Medicine ; Medicine & Public Health ; Nephrolithiasis ; Nephrology ; Oncology ; Original Article ; Patients ; Prospective Studies ; Ureteroscopes ; Ureteroscopy - methods ; Urology</subject><ispartof>World journal of urology, 2022-09, Vol.40 (9), p.2323-2330</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-9da0998853f3c4630ba5ca9c1292b69fde34f6681320e44a23dbc2eaabc8bb123</citedby><cites>FETCH-LOGICAL-c375t-9da0998853f3c4630ba5ca9c1292b69fde34f6681320e44a23dbc2eaabc8bb123</cites><orcidid>0000-0002-5073-7444</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-022-04095-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-022-04095-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35895116$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ali, Ahmed I.</creatorcontrib><creatorcontrib>Eldakhakhny, Amr</creatorcontrib><creatorcontrib>Abdelfadel, Abdelsalam</creatorcontrib><creatorcontrib>Rohiem, Mahmoud F.</creatorcontrib><creatorcontrib>Elbadry, Mohamed</creatorcontrib><creatorcontrib>Hassan, Ali</creatorcontrib><title>WiScope® single use digital flexible ureteroscope versus reusable flexible ureteroscope for management of renal stones: a prospective randomized study</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Objectives
To compare the clinical performance and surgical outcomes of the new digital single use flexible ureteroscope (WiScope
®
) with a reusable digital flexible ureteroscope.
Patient and methods
Our prospective study includes patients with renal stones less than 2 cm who underwent retrograde flexible ureteroscopy and laser lithotripsy. Patients were randomized into two groups: group A included patients who underwent laser lithotripsy using WiScope
®
Single use digital flexible ureteroscope and group B included patients who underwent laser lithotripsy using reusable flexible ureteroscope. Image quality, deflection, ease of insertion, maneuverability, and overall performance were assessed using either a visual analog or Likert scale. Operative outcomes and complications were collected and analyzed in both groups.
Results
A total of 242 patients were included in our study. There were 121 patients in the WiScope
®
group and 121 patients in reusable ureteroscope group. The WiScope
®
had higher maneuverability (9.3 ± 0.7 vs. 7.2 ± 0.8,
P
< 0.001) and less limb fatigue but had lower image quality when compared to reusable digital flexible ureteroscope (7.6 ± 0.9 vs. 9.2 ± 0.6,
P
< 0.001). There were no differences in operative time, complication rates and rates of relook ureteroscopy.
Conclusions
The WiScope
®
single use flexible ureteroscope has comparable outcomes to the reusable flexible ureteroscope with regard to maneuverability, limb fatigue, and deflection. However, it has a lower image quality.</description><subject>Calculi</subject><subject>Equipment Design</subject><subject>Fatigue</subject><subject>Humans</subject><subject>Kidney Calculi - surgery</subject><subject>Lasers</subject><subject>Lithotripsy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nephrolithiasis</subject><subject>Nephrology</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Ureteroscopes</subject><subject>Ureteroscopy - methods</subject><subject>Urology</subject><issn>1433-8726</issn><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kcuKFTEQhoMoznj0BVxIwI2b1krSSSfuZPAGAy5UXIZ0uvqQoS_HVPcwc17Et_AhfDJzPOMFEVcJqa_-SvEx9lDAUwHQPCMAVesKpKygBqer_S12KmqlKttIc_uP-wm7R3QBIBoD-i47Udo6LYQ5ZV8-pfdx3uG3r5zStB2Qr4S8S9u0hIH3A16l9vCYccE80wHll5hpJZ5xpXAo_pvq58zHMIUtjjgtfO5Lw1QyaZknpOc88F1BdxiXdIk8h6mbx7THrgBrd32f3enDQPjg5tywj69efjh7U52_e_327MV5FVWjl8p1AZyzVqtexdooaIOOwUUhnWyN6ztUdW-MFUoC1nWQqmujxBDaaNtWSLVhT4655TOfV6TFj4kiDkOYcF7JS-O0dMLUtqCP_0Iv5jWXlQrVgAWroQjZMHmkYtmOMvZ-l9MY8rUX4A_a_FGbL9r8D21-X5oe3USv7Yjdr5afngqgjgCV0rTF_Hv2f2K_A05FqBc</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Ali, Ahmed I.</creator><creator>Eldakhakhny, Amr</creator><creator>Abdelfadel, Abdelsalam</creator><creator>Rohiem, Mahmoud F.</creator><creator>Elbadry, Mohamed</creator><creator>Hassan, Ali</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5073-7444</orcidid></search><sort><creationdate>20220901</creationdate><title>WiScope® single use digital flexible ureteroscope versus reusable flexible ureteroscope for management of renal stones: a prospective randomized study</title><author>Ali, Ahmed I. ; Eldakhakhny, Amr ; Abdelfadel, Abdelsalam ; Rohiem, Mahmoud F. ; Elbadry, Mohamed ; Hassan, Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-9da0998853f3c4630ba5ca9c1292b69fde34f6681320e44a23dbc2eaabc8bb123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Calculi</topic><topic>Equipment Design</topic><topic>Fatigue</topic><topic>Humans</topic><topic>Kidney Calculi - surgery</topic><topic>Lasers</topic><topic>Lithotripsy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nephrolithiasis</topic><topic>Nephrology</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Ureteroscopes</topic><topic>Ureteroscopy - methods</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ali, Ahmed I.</creatorcontrib><creatorcontrib>Eldakhakhny, Amr</creatorcontrib><creatorcontrib>Abdelfadel, Abdelsalam</creatorcontrib><creatorcontrib>Rohiem, Mahmoud F.</creatorcontrib><creatorcontrib>Elbadry, Mohamed</creatorcontrib><creatorcontrib>Hassan, Ali</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ali, Ahmed I.</au><au>Eldakhakhny, Amr</au><au>Abdelfadel, Abdelsalam</au><au>Rohiem, Mahmoud F.</au><au>Elbadry, Mohamed</au><au>Hassan, Ali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>WiScope® single use digital flexible ureteroscope versus reusable flexible ureteroscope for management of renal stones: a prospective randomized study</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2022-09-01</date><risdate>2022</risdate><volume>40</volume><issue>9</issue><spage>2323</spage><epage>2330</epage><pages>2323-2330</pages><issn>1433-8726</issn><issn>0724-4983</issn><eissn>1433-8726</eissn><abstract>Objectives
To compare the clinical performance and surgical outcomes of the new digital single use flexible ureteroscope (WiScope
®
) with a reusable digital flexible ureteroscope.
Patient and methods
Our prospective study includes patients with renal stones less than 2 cm who underwent retrograde flexible ureteroscopy and laser lithotripsy. Patients were randomized into two groups: group A included patients who underwent laser lithotripsy using WiScope
®
Single use digital flexible ureteroscope and group B included patients who underwent laser lithotripsy using reusable flexible ureteroscope. Image quality, deflection, ease of insertion, maneuverability, and overall performance were assessed using either a visual analog or Likert scale. Operative outcomes and complications were collected and analyzed in both groups.
Results
A total of 242 patients were included in our study. There were 121 patients in the WiScope
®
group and 121 patients in reusable ureteroscope group. The WiScope
®
had higher maneuverability (9.3 ± 0.7 vs. 7.2 ± 0.8,
P
< 0.001) and less limb fatigue but had lower image quality when compared to reusable digital flexible ureteroscope (7.6 ± 0.9 vs. 9.2 ± 0.6,
P
< 0.001). There were no differences in operative time, complication rates and rates of relook ureteroscopy.
Conclusions
The WiScope
®
single use flexible ureteroscope has comparable outcomes to the reusable flexible ureteroscope with regard to maneuverability, limb fatigue, and deflection. However, it has a lower image quality.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35895116</pmid><doi>10.1007/s00345-022-04095-z</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5073-7444</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1433-8726 |
| ispartof | World journal of urology, 2022-09, Vol.40 (9), p.2323-2330 |
| issn | 1433-8726 0724-4983 1433-8726 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2695291648 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Calculi Equipment Design Fatigue Humans Kidney Calculi - surgery Lasers Lithotripsy Medicine Medicine & Public Health Nephrolithiasis Nephrology Oncology Original Article Patients Prospective Studies Ureteroscopes Ureteroscopy - methods Urology |
| title | WiScope® single use digital flexible ureteroscope versus reusable flexible ureteroscope for management of renal stones: a prospective randomized study |
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