1575 IS FLEXIBLE URETERORENOSCOPY COST-EFFECTIVE? - ANALYSIS AFTER 630 INTERVENTIONS

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You have accessJournal of UrologyStone Disease: SWL, Ureteroscopic or Percutaneous Stone Removal II1 Apr 20101575 IS FLEXIBLE URETERORENOSCOPY COST-EFFECTIVE? - ANALYSIS AFTER 630 INTERVENTIONS Peter Liske, Philipp Ober, Yannick Aguilar, Volker Zimmermanns, and Sven Lahme Peter LiskePeter Liske More articles by this author , Philipp OberPhilipp Ober More articles by this author , Yannick AguilarYannick Aguilar More articles by this author , Volker ZimmermannsVolker Zimmermanns More articles by this author , and Sven LahmeSven Lahme More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1341AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Flexible ureterorenoscopy plays an important role in the treatment of upper urinary tract diseases. Due to the use and technical wear of flexible scopes every procedure causes additional costs. Frequency and costs of repair were analysed. METHODS 630 consecutive flexible ureterorenoscopic procedures were evaluated. In all cases an ureteral access sheath was used. In 514 cases renal pelvic or calyceal stones were treated. In 275 cases holmium laserlithotrypsy (230μm fibre) was used. In total the procedures were performed by 12 flexible ureteroscopes (Viper, Richard Wolf Company, Knittlingen, Germany). RESULTS In total 29 repairs were necessary in 12 instruments. Total costs of repair were euro 96.037,51. The mean costs per procedure were euro 152,44. The average durability of each instrument was 21.9 procedures. Repair of flexible scopes was necessary due to alteration of the working channel, the wires for deflection, alteration of the scope′s surface and break of optical fibres. Damages were caused by use of holmium laser during operation, sterilisation process and transportation. CONCLUSIONS Flexible ureterorenoscopy is associated with additional costs due to the fragility of instruments. These costs of repair are acceptable as they only account for a minor part of the reimbursement. Because of the shorter treatment time, lower retreatment rate and higher stone free rate than shockwave lithotripsy it is cost-effective to use flexible ureterorenoscopy in endourological stone treatment. Pforzheim, Germany© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e608-e609 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Peter Liske More articles by this author Philipp Ober More articles by this author Yannick Aguilar More articles by this author Volker Zimmermanns More articles by this author Sven Lahme More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...