Urology
Learn about solutions that help you increase your productivity and simplify your workflow from the most experienced supplier of innovative single-use endoscopes in the world.
Repair Rate and Associated Costs of Reusable Flexible Ureteroscopes
A systematic review and meta-analysis1
This systematic review and meta-analysis aimed to estimate the repair rate of reusable flexible ureteroscopes and the average repair cost per ureteroscopy.
Key findings
- First study of its kind to estimate the average rate and cost of breakage for ureteroscopes
- Results showed that ureteroscopes need to be repaired once in every 15 procedures on average
- With an average repair cost of 6808 USD, this corresponds to 441 USD per procedure
How safe is your cystoscope reprocessing?
Urgent recall in US raises doubts
A large manufacturer has issued an urgent cystoscope recall notice in the US. It included instructions to discontinue High Level Disinfectant and Liquid Chemical Sterilisation reprocessing of its reusable scopes. The recall was followed up by an FDA letter to HCPs. Customers without access to an appropriate reprocessing alternative are being asked to discontinue the use of the affected endoscopes.
Time to consider single-use?
The Ambu aScope 4 Cysto single-use endoscope offers a solution to this issue. It completely eliminates the need for reprocessing and makes a new, sterile cystoscope available at all times for every patient.
Get all the details on the recall, an overview of the practices and shortcomings of reprocessing as it is done today, and learn about the benefits of single-use cystoscopes.
Single-use efficiency, next level imaging
Ambu® aScope™ 5 Cysto HD combines superior HD image quality with the simplicity and efficiency of a sterile single-use cystoscope solution.
Learn about the benefits, design and technical specs. Download datasheets and brochures, and find out how you can try the product.
Testimonials
Dr. Wasim Mahmalji talks about how the aScope 4 Cysto single-use concept has streamlined workflow and helped solve cystoscopy capacity issues at Hereford County Hospital.
Professor Helen O’Connell, AO Urological Surgeon in East Melbourne, discusses the advantages of aScope 4 Cysto compared to the reusable cystoscopes she has used in the past.
Clinical performance of Ambu® aScope™ 4 Cysto
How do urologists rate the Ambu single-use cystoscope?
This white paper conveys the results of urologist evaluations of aScope 4 Cysto after performing cystoscopies.
The white paper:
- Is based on feedback from 380 urologists in Europe, Australia and Hong Kong
- Summarises urologists’ perceptions of image quality, manoeuvrability, navigation and overall performance
- Indicates a high level of satisfaction among urologists worldwide
Interested in how urologists in the US rate aScope 4 Cysto?
Results indicate market-readiness for single-use cystoscopes
Urologists and procurement managers worldwide willing to adopt
A total of 415 urologists and procurement managers in France, Germany, Italy, Japan, Spain, the UK, and the US indicated that they were willing to convert to single-use cystoscopes for almost half of their procedures.
Survey respondents showed willingness to convert to single-use cystoscopes for 44.5% of their cystoscopy procedures.
What are the main drivers for single-use adoption?
Statistical analysis of the survey responses indicated that respondents who anticipated a significantly higher conversion rate tended to be those who currently experience issues that single-use cystoscopes would address.
Market drivers – single-use benefits include:
- Continuous availability
- Sterility
- Cost-transparency
See the detailed results
The original research paper entitled, Market Readiness for Single-Use Cystoscopes According to Urologists and Procurement Managers Worldwide, was published in Research and Reports in Urology (2021: 13).
Clinical evidence
Comprehensive overview of the latest peer-reviewed studies
Get an overview of key findings relevant to single-use cystoscopy, with links to the full studies, in the areas of:
- Clinical performance
- Health economics
- Workflow optimisation
- Organisational impact
- Environmental impact
- Patient preferences
- Contamination
Interested in a summary of the evidence dossier?
One-page overview with references summarising important scientific evidence related to single-use cystoscopes.
Clinical evidence: Single-use cystoscopy
Comprehensive overview of peer-reviewed studies
Get an overview of key findings relevant to single-use cystoscopy, with links to the studies, in the areas of:
- Clinical performance
- Health economics
- Workflow optimisation
- Organisational impact
- Environmental impact
- Patient preferences
- Contamination
Clinical evidence: Single-use ureteroscopy
Comprehensive overview of peer-reviewed studies
Get an overview of key findings relevant to single-use ureteroscopy, with links to the studies, in the areas of:
- Health economics
- Elimination of costly repairs
- Clinical outcomes
- Length of hospital stay
- Operative time
About Ambu solutions for urology
Ambu is the world's largest supplier of single-use endoscopy solutions. Our solutions for urology offer:
- Consistent quality because you get a brand-new endoscope for every procedure
- A solution that is always available and easy to transport
- A way to eliminate the need for reprocessing, costly repairs and the risk of cross-contamination
Facts and numbers
Evidence
Can your facility gain better control of costs per procedure?
Learn how switching from reusable to single-use cystoscopes can give you greater cost-transparency.
Get your free budget impact analysis
FDA news release on infections associated with reusable urological endoscopes
The U.S. Food and Drug Administration (FDA) is investigating numerous medical device reports (MDRs) describing patient infections and other possible contamination issues possibly associated with reprocessed urological endoscopes.
Procedures
See short videos in which urologists perform procedures with the single-use aScope 4 Cysto endoscope.
Stent removal
Dr. Palese performs a cystoscopy with stent pull
Botox procedure
Dr. Kennelly performs a botulinum toxin injection
Catheter placement procedure
Dr. Vourganti performs a difficult catheter placement
Bladder Cancer Surveillance
Dr. Bechis performas a Bladder Cancer Surveillance
Scientific conference posters
These non-peer reviewed posters, created by Ambu and distributed at EUGA 2020, offer a quick overview of urologists concerns when it comes to reusable cystoscopes, and how they feel about the single-use alternative.
The first three posters above are based on a survey conducted among 105 urologists divided evenly in the UK, Germany and France. Poster 4 surveyed 53 Japanese urologists. They were a part of the program at EUGA 2020 and UAA 2020.
Resources from around the web
References
Rindorf, D. K., Tailly, T., Kamphuis, G. M., Larsen, S., Somani, B. K., Traxer, O., & Koo, K. (2022). Repair Rate and Associated Costs of Reusable Flexible Ureteroscopes: A Systematic Review and Meta-analysis. European urology open science, 37, 64–72. https://doi.org/10.1016/j.euros.2021.12.013
Baboudjian et al. Life Cycle Assessment of Reusable and Disposable Cystoscopes: A Path to Greener Urological Procedures, European Urology Focus, 2022, https://www.eu-focus.europeanurology.com/article/S2405-4569(22)00291-7/fulltext
Rindorf D, Larsen S, Ockert L, Jung H, Dahl C. Market Readiness for Single-Use Cystoscopes According to Urologists and Procurement Managers Worldwide. Res Rep Urol. 2021;13:221-226 https://doi.org/10.2147/RRU.S309602
