PD42-05 FIRST CLINICAL EVALUATION OF A NEW SINGLE USE FLEXIBLE CYSTOSCOPE DEDICATED TO DOUBLE-J STENT REMOVAL (ISIRIS™): A EUROPEAN PROSPECTIVE MULTICENTER STUDY

Abstract

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology II1 Apr 2017PD42-05 FIRST CLINICAL EVALUATION OF A NEW SINGLE USE FLEXIBLE CYSTOSCOPE DEDICATED TO DOUBLE-J STENT REMOVAL (ISIRIS™): A EUROPEAN PROSPECTIVE MULTICENTER STUDY Steeve Doizi, Guido Kamphuis, Guido Giusti, Jose Luis Palmero, Jake Patterson, Silvia Proietti, Michael Straub, Jean de la Rosette, and Olivier Traxer Steeve DoiziSteeve Doizi More articles by this author , Guido KamphuisGuido Kamphuis More articles by this author , Guido GiustiGuido Giusti More articles by this author , Jose Luis PalmeroJose Luis Palmero More articles by this author , Jake PattersonJake Patterson More articles by this author , Silvia ProiettiSilvia Proietti More articles by this author , Michael StraubMichael Straub More articles by this author , Jean de la RosetteJean de la Rosette More articles by this author , and Olivier TraxerOlivier Traxer More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1897AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We evaluated a new single use digital flexible cystoscope with an integrated grasper designed for double-J stent removal, Isiris® addressing success rate, image quality, deflection, maneuverability and grasper functionality. METHODS In September 2015 a prospective cohort study was conducted in six tertiary European reference centers. All consecutive patients included underwent double-J stent removal with Isiris® (Figure 1) and were 18 years or older. Success rate was defined by complete stent removal. Image quality, deflection, maneuverability and grasper functionality were rated with a Likert scale. RESULTS A total of 83 procedures were performed. 82% of procedures were performed in the endoscopy room while the others were in the operating room since a consecutive endourological intervention was planned. The median duration of stent implantation was 28 days [14; 60], Table 1. In five patients, stent removal was not possible. Four patients had an incrusted double-J stent and in one patient the stent migrated into the ureter. After unsuccessful attempts of stent removal with conventional flexible cystoscope and grasper, the five patients had to be scheduled for an ureterorenoscopy procedure to remove the stent. In the other 78 patients all double-J stents were removed successfully. Image quality, deflection, maneuverability and grasper functionality were rated as “very good” in 72.3%, 78.3%, 72.3% and 73.5% respectively, Table 2. CONCLUSIONS This multicenter clinical evaluation of Isiris® displayed good image quality, active deflection, maneuverability and grasper functionality. Further evaluation of stent removal outcomes, cost analysis and microbiology will help to delineate the possible place of Isiris® in the current practice. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e813-e814 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Steeve Doizi More articles by this author Guido Kamphuis More articles by this author Guido Giusti More articles by this author Jose Luis Palmero More articles by this author Jake Patterson More articles by this author Silvia Proietti More articles by this author Michael Straub More articles by this author Jean de la Rosette More articles by this author Olivier Traxer More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...