Category: Female Urology

VS5-9 - A Single Use Disposable Diagnostic Digital Cystoscope – Initial Clinical Experience

Fri, Sep 21
2:00 PM - 4:00 PM

Introduction & Objective :

The single-use endoscopic devices have been gaining popularity in recent years. To our knowledge only one single-use disposable, digital cystoscope is under final development before being commercially available. The newly designed cystoscope is portable with own source of light, touch-screen and recording features, therefore it should be possible to use it in any office or at patients’ home.


Methods :

The aim of this study was to compare single use, disposable, digital cystoscope with rigid and flexible cystoscopy.


We enrolled 51 patients (41 female and 10 male), average age 63,82 years (range 18-90) and performed cystoscopy with single-use 12Fr, disposable cystoscopes. IRB approval has been obtained and informed written consent was taken before every procedure. Before and 30 minutes after each cystoscopy urine dip-stick test was carried out. Three urologists at two sites performed cystoscopies. Each urologist ranked the device after each completed procedure from 0 to 5 points (maximum) in several aspects concerning assembly, reaching bladder, illumination, image quality, flexibility of the cannula and fluid flow. The subjects were asked to rate their pain on a visual scale, which ranged from 0 (no hurt) to 10 (worst pain ever). Patients compared single-use cystoscopy to previously done rigid or flexible cystoscopy or if they never have had a cystoscope to their expectations towards the procedure. Follow-up phone has been performed 5 days after the procedure to asses any additional pain, dysuria or adverse effects


Concerning the technique, the cystoscope was introduced into the bladder and movie was recorded with evaluation of every wall, bladder neck and urethra.


Results :

Using the new single-use disposable cystoscope we showed that this technique is easy to use and can efficiently visualize the female bladder. The ease to assembly was rated 4.69 (out of 5), the illumination 4.61, the fluid flow 4.8, the scope flexibility 4.69, the access to female bladder 4.78 vs 3.5 in men, the bladder visualization 4.61 in female and 3.3 in men. 


 


Conclusions : As shown in the movie, the single use disposable cystoscope is a good alternative for regular cystoscopy. It is very easy to perform in female patients and offers good visualization of the bladder, bladder neck and urethra.

Adam Ostrowski

urologist in training, PhD student
Collegium Medicum in Bydgoszcz, Department of General and Oncologic Urology
Bydgoszcz, Kujawsko-Pomorskie, Poland

My name is Adam Ostrowski. I am a urologist in-training in Poland, Bydgoszcz, working in the University Hospital no 1 in Bydgoszcz. I've finished Medical University of Gdańsk in 2011. I've started in 2016 my PhD studies. I had many presentations on Conferences including 2018 EAU Copenhagen, 2018 AUA San Francisco, 2013, 2016, 2017 Central European Meeting, over 10 presentations at major Polish Urological Association of Urology and many others.

Filip Kowalski

Collegium Medicum in Bydgoszcz, Department of General and Oncologic Urology
Bydgoszcz, Kujawsko-Pomorskie, Poland

Magdalena Banas

Collegium Medicum in Bydgoszcz, Department of General and Oncologic Urology
Bydgoszcz, Kujawsko-Pomorskie, Poland

Bela Denes

UroViu Corporation
Redwood, California

Vijay Goli

Las Vegas Urology
Las Vegas, California

Tomasz Drewa

Collegium Medicum in Bydgoszcz, Department of General and Oncologic Urology
Bydgoszcz, Kujawsko-Pomorskie, Poland