Presented by: Fernando J. Kim MD, MPH
Denver Health Medical Center

Introduction

Previous studies have shown that Single-use flexible cystoscopy (SUFC) is both efficient and cost-effective compared to reusable cystoscopes. This study aimed to evaluate the effectiveness of a novel single-use cystoscope, UroViu, (Figure 1) in emergent cases at a safety net hospital and providers (urologists-in-training) satisfaction.

Materials

This study was conducted at a single center and involved the evaluation of UroViu SUFC between November 2022 and May 2023. The study assessed the time required to assemble the device, provider satisfaction, and successful completion of tasks. UroViu only requires a handheld processor/display, sterile saline, and tubing for its operation.

Results

,

A total of 60 SUFC procedures were performed, with 28 cystoscopies in the emergency department (ED) and 32 in the inpatient ward for acute urinary retention (AUR) in male patients. The current workflow for these interventions necessitates the availability of flexible sterile reusable scopes and corresponding video towers. The average setup time for the current system (difficult Foley cart) has been reported as 66+7 minutes. In contrast, UroViu demonstrated portability, easy assembly, and high-quality visualization of the surgical field. All devices were assembled in less than one minute. Provider satisfaction surveys conducted after the procedures revealed an average rating of 3 stars (1=poor, 2=moderate, 3=excellent), with successful placement of Foley catheters in all patients with the exception of 3 patients that required intervention in the OR.

Conclusion

UroViu proved to be easy to assemble, fast, and successful in managing AUR in male patients. By disrupting the norm and offering a cost-effective solution with quicker assembly times for emergent and elective procedures, UroViu eliminates the need for a video tower or sterilization process. One key advantage of the UroViu cystoscope is its user-friendliness, which improves efficiency and patient satisfaction. Additionally, its disposable nature enhances patient safety compared to reusable devices.

Funding

none

Lead Authors

Kyle Szymanski, MD
Denver Health

Co-Authors

Sharon White, MD
Denver Health Medical Center

Connie Wolf, MD
Denver Health

Ian McComb,
Denver Health