Outpatient Surgery Magazine - Subscribers

Backbreaker - Outpatient Surgery Magazine - April 2019

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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1 2 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A P R I L 2 0 1 9 T here aren't many versions available in the U.S. right now, but single-use, disposable cystoscopes and ureteroscopes are beginning to make an impact in outpatient surgery. You'll need to perform your own cost-benefit analysis to determine if one-and-done urology scopes are right for your facility. Consider this when you're doing the math, however: Single-use scopes don't need to be repaired, maintained or reprocessed, and by their very nature, it's impossible for their performance to degrade over time. And from an infection control perspective, you completely eliminate the risk of using a reprocessed scope you might think is sterile or dis- infected, but actually isn't. Another factor to consider in a cost-benefit analysis: Because reprocessing is entirely removed from the equation, the ease of simply opening a new package for each procedure can make the exam process more efficient and presents the possibility that you can schedule more cases on a given day. The American Urological Association's Journal of Urology pub- lished a Mayo Clinic study in March 2017, "The Economic Implications of a Reusable Flexible Digital Ureteroscope: A Cost- Benefit Analysis" (osmag.net/FqvCC3), that compared real-world use of single-use and reusable flexible ureteroscopes over a 12- month trial. The authors concluded that "a disposable ureteroscope may be cost beneficial at centers with a lower case volume per year. However, institutions with a high volume of cases may find reusable ureteroscopes cost beneficial." A cost-benefit analysis published in May 2018 by the BJU International journal, "Single-use disposable digital flexible uretero- scopes: an ex vivo assessment and cost analysis" (osmag.net/5YQzzH), Single-Use Urology Scopes Are one-and-done cystoscopes and ureteroscopes right for you? Thinking of Buying … Joe Paone | Senior Associate Editor

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