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Urology

Ambu offers single-use endoscopy solutions for urology that help you increase your productivity and simplify your workflow. We will build on our offering with more quality single-use endoscopy solutions for urology in the near future.

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

 

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Environmental impact of single-use vs. reusable cystoscopes

Study compares complete life cycle2

Key points 

  • Transitioning from reusable to single-use can reduce environmental footprint 
  • Reprocessing of reusable cystoscopes, alone, had greater impact than whole lifespan of aScope 4 Cysto 
  • Due to lack of manufacturer data for parts of the lifespan other than reprocessing, the environmental impact of reusable cystoscopes was considered close to zero

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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.

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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.

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).

Read the publication

 

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

 

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DOWNLOAD ONE-PAGER SUMMARIES

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 

 

DOWNLOAD DOSSIER 

DOWNLOAD ONE-PAGER SUMMARIES 

Environmental impact

Life cycle assessment
A study in European Urology concluded: “Disinfection reprocessing of reusable cystoscopes was found to have a significantly larger environmental footprint and impact than the whole lifespan of the single-use aScopeTM 4 Cysto” 

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Single-use cystoscopes:
100% plastic neutral in Europe and Latin America
A partnership with Plastic Bank® will prevent over 100 tons of plastic from entering the ocean. The quantity corresponds to the amount of plastic used in all of the Ambu single-use aScope products in EMEA and Latin America throughout the year.
Learn more

Evidence

Clinical efficiency
Independent research from Duke University in the US found that with single-use cystoscopes, outpatient clinics could increase their number of consults by 12 to 21 per day. With single-use, 22 minutes were saved in total in categories such as preparation, transportation, sterilization and cleaning time.

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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

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. 

EUGA
Survey results:
Market readiness
European urologists showed an interest in converting from conventional reusable to single-use cystoscopes. 
See poster

EUGA
Survey results:
Cross-contamination
Almost half of the 105 urologists surveyed were concerned about patient cross-contamination linked to reusable cystoscopes. 
See poster

EUGA
Survey results:
Bottlenecks 
89 of the 105 urologists involved reported having to wait for cystoscopes to become available, and the majority also reported a deterioration of image quality and/or manoeuvrability.
See poster

UAA
Reusable cystoscope issue in Japan
Most of the 53 Japanese urologists surveyed had experienced issues with reprocessing, and almost one third had experienced availability issues.
See poster

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.

ISPOR
Poster: Cystoscopy device-associated adverse events
Thematisation analysis: Most common adverse events related to patient infection and positive microbiological tests
See poster

Products

Explore our single-use urology solutions.

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Articles on singleuseendoscopy.com

Resources from around the web

Evidence-based content for GU oncology & urology
UroToday

Analysis of key advances in techniques, treatments & practice management
Urology Times

Best practices and know-how from urological associations
EAU
AUA
UAA

References

  1. 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

  2. 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

  3. 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

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