PD01-04 THE SPLASH ZONE - EFFICACY OF URETEROSCOPIC ADAPTERS IN CONTAINING HAZARDOUS LEAK

Abstract

You have accessJournal of UrologyCME1 Apr 2023PD01-04 THE SPLASH ZONE - EFFICACY OF URETEROSCOPIC ADAPTERS IN CONTAINING HAZARDOUS LEAK Sami Mostafa, Vishnuvardhan Ganesan, William Fuell, Emily Turnquist, Deepak Agarwal, and Michael Borofsky Sami MostafaSami Mostafa More articles by this author , Vishnuvardhan GanesanVishnuvardhan Ganesan More articles by this author , William FuellWilliam Fuell More articles by this author , Emily TurnquistEmily Turnquist More articles by this author , Deepak AgarwalDeepak Agarwal More articles by this author , and Michael BorofskyMichael Borofsky More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003218.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: There are a variety of ureteroscope adapters available to facilitate instrument passage while maintaining pressurized irrigation and preventing fluid loss. The potential for leakage from an adapter during a procedure is an occupational hazard for surgeons and OR assistants. We sought to evaluate the leakage potential of various ureteroscopic adapters. METHODS: Six different ureteroscopic adapters were assessed while performing ureteroscopy through a tissue-realistic kidney and ureter model at various levels of pressurized saline (gravity, 150 mmHg, 250 mmHg, Single Action Pumping System (SAPS) (Boston Scientific)). Adapters were first tested out of their initial package and then again after being punctured with an introducer and once more after insertion of a 1.5 Fr Stone Basket. Adjustable valves were opened and set to the most minimal degree to accommodate the basket. Leaking was classified as a drip (non-projectile leakage), a spray (small volume projectile leak), or a splash (large volume projectile leak). Hazardous spray was defined as any projectile leakage. UV fluorescent stain was instilled in the irrigation and utilized to measure the maximal spray distance from the surgeon. RESULTS: Leakage results are presented in Table 1. Only one valve demonstrated no leak under any simulated circumstance (Medtronic Piton). The Gyrus ABP adapter had the highest potential for splash even doing so at gravity. Maximal spray distance was 14.4 feet. Figure 1 demonstrates the effect on operators. CONCLUSIONS: Ureteroscope adapter leakage can be variable among adapters, surgeons should be aware of the hazardous potential for exposure. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e63 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sami Mostafa More articles by this author Vishnuvardhan Ganesan More articles by this author William Fuell More articles by this author Emily Turnquist More articles by this author Deepak Agarwal More articles by this author Michael Borofsky More articles by this author Expand All Advertisement PDF downloadLoading ...