WiScope® single use digital flexible ureteroscope versus reusable flexible ureteroscope for management of renal stones: a prospective randomized study

Ali, Ahmed; Eldakhakhny, Amr; Abdelfadel, Abdelsalam; Rohiem, Mahmoud F; Elbadry, Mohamed; Argani, Hassan

doi:10.1007/s00345-022-04095-z

Cited by 5 publications

(14 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Six studies reported the effect of the 2 procedures on postoperative infection. [7,14,15,17,19,20] Significant heterogeneity was not found in the research ( P = .19, I 2 = 32%). A fixed effect model was applied for analysis (RR: 0.41, 95% CI: [0.23, 0.72], P = .002; Fig.…”

Section: Resultsmentioning

confidence: 85%

“…In addition, we reviewed references of included studies but did not obtain related studies. Finally, the meta-analysis included 9 RCTs, [7,[14][15][16][17][18][19][20][21] with a total of 1293 patients who were treated either su-FURS (n = 651) or ru-FURS (n = 642). Details on the selection of included studies are shown in Figure 1.…”

Section: Study and Patient Characteristicsmentioning

confidence: 99%

“…Seven studies reported the effect of the 2 procedures on operative time. [7,14,[16][17][18][19][20] The results showed significant heterogeneity (P < .001, I 2 = 97%). The sensitivity analysis found that the Wang H-2021 [18] study was highly heterogeneous, and we reexamined the study and found no significant flaw to remove the study, so the random effects model was applied for analysis (MD: −5.04, 95% CI: [−17.58, 7.51], P = .43; Fig.…”

Section: Operative Timementioning

confidence: 99%

See 2 more Smart Citations

Single-use flexible ureteroscope provides an alternative treatment for upper urinary calculi: A systematic review and meta-analysis

Zhang,

Xu,

Liang

2023

Medicine

View full text Add to dashboard Cite

Objective: This study aimed to evaluate the efficacy and safety of single-use flexible ureteroscope and reusable flexible ureteroscope for upper urinary calculi. Methods: We conducted a meta-analysis that had a comprehensive search in PubMed, Embase, Cochrane Library, Web of Science, and WanFang databases from 2000/01/01 to 2023/06/01 for available randomized controlled trials. “Ureteroscopes,” “Flexible Ureteroscope,” “Single-use,” and “Upper Urinary Calculi” were used as the major keywords for the search. Review Manager 5.0 and STATA 12.0 were used for calculation and statistical analysis. Results: A total of 9 randomized controlled trials comprising 1293 participants were included in our meta-analysis. Single use-FURS had better results in stone-free rate (relative risk: 1.08, 95% confidence interval: [1.02, 1.15], P = .02) and postoperative infection (relative risk: 0.41, 95% confidence interval: [0.23, 0.72], P = .002). Operative time, hemoglobin decline, postoperative serum creatinine, postoperative hospital stay, and overall complication after surgery showed no significant differences between the 2 procedures (P > .05). Conclusion: Single-use flexible ureteroscope provides a valuable alternative to reusable flexible ureteroscope in upper urinary calculi with its better visual field performance and manipulation, opening a new technological revolution for kidney stone treatment.

show abstract

Section: Resultsmentioning

confidence: 85%

Section: Study and Patient Characteristicsmentioning

confidence: 99%

Section: Operative Timementioning

confidence: 99%

See 1 more Smart Citation

Single-use flexible ureteroscope provides an alternative treatment for upper urinary calculi: A systematic review and meta-analysis

Zhang,

Xu,

Liang

2023

Medicine

View full text Add to dashboard Cite

show abstract

“…Such ergonomic improvements are welcomed given that 39% of endourologists have been reported to experience orthopaedic problems in their hand and/or wrist 21 . Randomised trial reported by Ali et al found that SU ureteroscope (WiScope®) resulted in significantly less limb fatigue 28 . Initial models required purchase of proprietary monitor and processor.…”

Section: Equipment Specificationsmentioning

confidence: 99%

“…A secondary analysis evaluating patients with lower pole stones <20 mm ( n = 49) found that outcomes were comparable for all the same variables with the exception of SFR, which favoured the SU group (85% vs. 58.33%, p < 0.05). More recently, Ali et al recorded results from a randomised study of 242 patients 28 . The main finding was significantly higher manoeuvrability with the SU ureteroscope (WiScope) and less limb fatigability but at the cost of lower image quality compared to the Flex‐Xc 28 .…”

Section: Equipment Specificationsmentioning

confidence: 99%

Single use flexible ureteroscopes: Current status and future directions

et al. 2023

View full text Add to dashboard Cite

IntroductionSingle use ureteroscopes are a technological innovation that have become available in the past decade and gained increased popularity. To this end, there are now an increasing number of both benchside and clinical studies reporting outcomes associated with their use. Our aim was to deliver a narrative review in order to provide an overview of this new technology.MethodsA narrative review was performed to gain overview of the history of the technology's development, equipment specifications and to highlight potential advantages and disadvantages.ResultsFindings from preclinical studies highlight potenial advantages in terms of the design of single use ureteroscopes such as the lower weight and more recent modifications such as pressure control. However, concerns regarding plastic waste and environmental impact still remain unanswered. Clinical studies reveal them to have a non inferior status for outcomes such as stone free rate. However, the volume of evidence, especially in terms of randomised trials remains limited. From a cost perspective, study conclusions are still conflicting and centres are recommended to perform their own micro cost analyses.ConclusionsMost clinical outcomes for single use ureteroscopes currently match those achieved by reusable ureteroscopes but the data pool is still limited. Areas of continued debate include their environmental impact and cost efficiency.

show abstract

Application of 11/13Fr suctioning ureteral access sheath and 8.55Fr single-use digital flexible ureteroscope in one-stage flexible ureteroscopic lithotripsy: an initial experience of 900 cases

Huang,

Wang

et al. 2024

Urolithiasis

View full text Add to dashboard Cite

WiScope® single use digital flexible ureteroscope versus reusable flexible ureteroscope for management of renal stones: a prospective randomized study

Cited by 5 publications

References 33 publications

Single-use flexible ureteroscope provides an alternative treatment for upper urinary calculi: A systematic review and meta-analysis

Single-use flexible ureteroscope provides an alternative treatment for upper urinary calculi: A systematic review and meta-analysis

Single use flexible ureteroscopes: Current status and future directions

Application of 11/13Fr suctioning ureteral access sheath and 8.55Fr single-use digital flexible ureteroscope in one-stage flexible ureteroscopic lithotripsy: an initial experience of 900 cases

Contact Info

Product

Resources

About