Lower Cost Way of Retrograde Intrarenal Surgery

Authors : Aydemir Asdemir, Abuzer Öztürk, İsmail Emre Ergin, Hüseyin Saygın, Esat Korgalı

Pages : 39-46

Doi:10.54233/endourolbull-1598975

View : 54 | Download : 51

Publication Date : 2025-05-30

Article Type : Research Paper

Abstract :Objective: The aim of this study is to compare the results of operations with re-use flexible ureterorenoscope (URS) (FLEX X2, Karl Storz ) and single-use digital URS (RP-U-C12, Redpine) and find lower cost way of retrograde intrarenal surgery (RIRS) without compromising their clinical performance. Material and Methods: One re-use URS and one single-use digital URS were investigated with respect to operation numbers, times, laser and fluoroscopy times in operations and their effectiveness in the operations. All operations were achieved by same surgeon who has completed RIRS learning curve. Two small groups of patients (n = 63 for each group) was taken because it can be reached by one re-use URS. Results: The clinical application of the single-use URS is of equal quality compared to re-use one. In our study one case with FLEX X2 costs 399 euros, one case with RP-U-C12 costs 51.5 euros (only ureterorenoscope and its sterilization costs). This shows us single-use URS is lower cost way of retrograde intrarenal surgery. Conclusion: Now for our country one FLEX X2 costs as same as 41 RP-U-C12. But if you use RP-U-C12 as re-use flexible URS as we do, for one case with FLEX X2 costs nearly 8 times with RP-U-C12 costs. This shows us that RP-U-C12 has much lower cost. Our clinical evaluation showed markedly high performance for the single-use ureterorenoscope, which is comparable to the one of multi-used instruments.
Keywords : flexible ureterorenoscope, kostefektivite, re-use

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