MP06-17 CONVERSION TO DISPOSABLE CYSTOSCOPES DECREASED POST-PROCEDURE ENCOUNTERS AND INFECTIONS COMPARED TO REUSABLE CYSTOSCOPES

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP06-17 CONVERSION TO DISPOSABLE CYSTOSCOPES DECREASED POST-PROCEDURE ENCOUNTERS AND INFECTIONS COMPARED TO REUSABLE CYSTOSCOPES Laura Geldmaker, Bryce Baird, Steven Petrou, Eric Regele, Daniela Haehn, Ethan Wajswol, Nikunj Gajarawala, Colleen Ball, Gregory Broderick, Timothy Lyon, and David Thiel Laura GeldmakerLaura Geldmaker More articles by this author , Bryce BairdBryce Baird More articles by this author , Steven PetrouSteven Petrou More articles by this author , Eric RegeleEric Regele More articles by this author , Daniela HaehnDaniela Haehn More articles by this author , Ethan WajswolEthan Wajswol More articles by this author , Nikunj GajarawalaNikunj Gajarawala More articles by this author , Colleen BallColleen Ball More articles by this author , Gregory BroderickGregory Broderick More articles by this author , Timothy LyonTimothy Lyon More articles by this author , and David ThielDavid Thiel More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003217.17AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Given the current challenges in the sterile processing of surgical equipment, our Urology practice converted to single-use cystoscopes. Our objective was to evaluate differences in post-procedure encounters and infections following cystoscopies using disposable and reusable cystoscopes. METHODS: Cystoscopies performed from June 2020 through August 2020 and February 2021 through April 2021 were retrospectively reviewed. The 2020 cystoscopies were performed with reusable cystoscopes and the 2021 cystoscopies were performed with disposable cystoscopes (Ambu Inc., Columbia, MD, USA). Our primary analysis compared post-procedural encounters and infections for reusable and disposable cystoscopes. Encounters were defined as all phone calls, Emergency department visits, or clinic appointments related to post-procedural complications such as pain, hematuria, or fever within 30 days of the cystoscopy. RESULTS: 1,051 cystoscopies were included in our four-month retrospective analysis. 533 cystoscopies utilized disposable cystoscopes and 518 utilized reusable cystoscopes. In the disposable scope group, 380 (71.3%) patients were male and 153 (28.7%) were female. In the reusable scope group, 356 (68.7%) patients were male and 162 (31.3%) were female. Overall median age was 71 years for both groups [range: 20-97 (disposable), 23-98 (reusable)]. The most common indication for cystoscopy in both groups was suspicion of bladder cancer [disposable: 152 (28.5%) and reusable: 144 (27.8%)]. The reusable cystoscope group had a higher percent of encounters [87 (16.8%) vs. 12 (2.3%), p<0.001], urine cultures [83 (16.0%) vs. 4 (0.8%), p<0.001], positive urine cultures [23 (4.4%) vs. 2 (0.4%), p<0.001], and hospitalizations [3 (0.6%) vs. 1 (0.2%), p=0.367] when compared to the disposable scope group. CONCLUSIONS: The use of disposable cystoscopes decreased the number of post-procedure encounters, ordered urine cultures, positive urine cultures, and hospitalizations. Source of Funding: N/A © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e60 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Laura Geldmaker More articles by this author Bryce Baird More articles by this author Steven Petrou More articles by this author Eric Regele More articles by this author Daniela Haehn More articles by this author Ethan Wajswol More articles by this author Nikunj Gajarawala More articles by this author Colleen Ball More articles by this author Gregory Broderick More articles by this author Timothy Lyon More articles by this author David Thiel More articles by this author Expand All Advertisement PDF downloadLoading ...