The grasper-integrated disposable flexible cystoscope is comparable to the reusable, flexible cystoscope for the detection of bladder cancer
Abstract Flexible cystoscopy under local anaesthesia is standard for the surveillance of bladder cancer. Frequently, several reusable cystoscopes fail to reprocess. With the new grasper incorporated single-use cystoscope for retrieval of ureteric stents, we explored the feasibility of using it off-l...
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Nature Portfolio
2020
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oai:doaj.org-article:d38b6c2171fe41589e8d79eda228240c2021-12-02T16:43:38ZThe grasper-integrated disposable flexible cystoscope is comparable to the reusable, flexible cystoscope for the detection of bladder cancer10.1038/s41598-020-70424-02045-2322https://doaj.org/article/d38b6c2171fe41589e8d79eda228240c2020-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-70424-0https://doaj.org/toc/2045-2322Abstract Flexible cystoscopy under local anaesthesia is standard for the surveillance of bladder cancer. Frequently, several reusable cystoscopes fail to reprocess. With the new grasper incorporated single-use cystoscope for retrieval of ureteric stents, we explored the feasibility of using it off-label for diagnosis and the detection of bladder cancer. Consecutive diagnostic flexible cystoscopies between Mar 2016 and Nov 2018 were reviewed comparing the reusable versus the disposable cystoscopes. A total of 390 patients underwent 1211 cystoscopies. Median age was 61.5 years (SD 14.2, 18.8–91.4), males 331 (84.9%) and females 59 (15.1%). Indication for cystoscopy was prior malignancy in 1183 procedures (97.7%), haematuria 19 (1.6%) or bladder mass 7 (0.6%). There were 608 reusable and 603 disposable cystoscopies. There was no significant difference between groups at baseline in age, sex, BMI, smoking status, or prior tumor risk category. There was no significant difference in positive findings (123/608, 20.2% vs 111/603, 18.4%, p = 0.425) or cancer detection rates (95/608, 15.6% vs 88/603, 14.4%, p 0.574) among the two groups, respectively. We conclude that the disposable grasper integrated cystoscope is comparable to reusable cystoscope in the detection of bladder cancer.Raouf M. SeyamOmar M. ZeitouniTarek M. AlsibaiAbdulrahman J. AlAyoubOsamah M. Al-QassabMhd A. AlDeiryAhmad O. ZinoHasan S. HulwiAlaa A. MokhtarMahmoud ShahbazNoor N. JunejoMohamed F. AlotaibiHassan M. AlzahraniKhaled I. AlothmanSultan S. AlkhateebTurki O. Al-HussainWaleed M. AltaweelNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-9 (2020) |
| institution |
DOAJ |
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DOAJ |
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EN |
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Medicine R Science Q |
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Medicine R Science Q Raouf M. Seyam Omar M. Zeitouni Tarek M. Alsibai Abdulrahman J. AlAyoub Osamah M. Al-Qassab Mhd A. AlDeiry Ahmad O. Zino Hasan S. Hulwi Alaa A. Mokhtar Mahmoud Shahbaz Noor N. Junejo Mohamed F. Alotaibi Hassan M. Alzahrani Khaled I. Alothman Sultan S. Alkhateeb Turki O. Al-Hussain Waleed M. Altaweel The grasper-integrated disposable flexible cystoscope is comparable to the reusable, flexible cystoscope for the detection of bladder cancer |
| description |
Abstract Flexible cystoscopy under local anaesthesia is standard for the surveillance of bladder cancer. Frequently, several reusable cystoscopes fail to reprocess. With the new grasper incorporated single-use cystoscope for retrieval of ureteric stents, we explored the feasibility of using it off-label for diagnosis and the detection of bladder cancer. Consecutive diagnostic flexible cystoscopies between Mar 2016 and Nov 2018 were reviewed comparing the reusable versus the disposable cystoscopes. A total of 390 patients underwent 1211 cystoscopies. Median age was 61.5 years (SD 14.2, 18.8–91.4), males 331 (84.9%) and females 59 (15.1%). Indication for cystoscopy was prior malignancy in 1183 procedures (97.7%), haematuria 19 (1.6%) or bladder mass 7 (0.6%). There were 608 reusable and 603 disposable cystoscopies. There was no significant difference between groups at baseline in age, sex, BMI, smoking status, or prior tumor risk category. There was no significant difference in positive findings (123/608, 20.2% vs 111/603, 18.4%, p = 0.425) or cancer detection rates (95/608, 15.6% vs 88/603, 14.4%, p 0.574) among the two groups, respectively. We conclude that the disposable grasper integrated cystoscope is comparable to reusable cystoscope in the detection of bladder cancer. |
| format |
article |
| author |
Raouf M. Seyam Omar M. Zeitouni Tarek M. Alsibai Abdulrahman J. AlAyoub Osamah M. Al-Qassab Mhd A. AlDeiry Ahmad O. Zino Hasan S. Hulwi Alaa A. Mokhtar Mahmoud Shahbaz Noor N. Junejo Mohamed F. Alotaibi Hassan M. Alzahrani Khaled I. Alothman Sultan S. Alkhateeb Turki O. Al-Hussain Waleed M. Altaweel |
| author_facet |
Raouf M. Seyam Omar M. Zeitouni Tarek M. Alsibai Abdulrahman J. AlAyoub Osamah M. Al-Qassab Mhd A. AlDeiry Ahmad O. Zino Hasan S. Hulwi Alaa A. Mokhtar Mahmoud Shahbaz Noor N. Junejo Mohamed F. Alotaibi Hassan M. Alzahrani Khaled I. Alothman Sultan S. Alkhateeb Turki O. Al-Hussain Waleed M. Altaweel |
| author_sort |
Raouf M. Seyam |
| title |
The grasper-integrated disposable flexible cystoscope is comparable to the reusable, flexible cystoscope for the detection of bladder cancer |
| title_short |
The grasper-integrated disposable flexible cystoscope is comparable to the reusable, flexible cystoscope for the detection of bladder cancer |
| title_full |
The grasper-integrated disposable flexible cystoscope is comparable to the reusable, flexible cystoscope for the detection of bladder cancer |
| title_fullStr |
The grasper-integrated disposable flexible cystoscope is comparable to the reusable, flexible cystoscope for the detection of bladder cancer |
| title_full_unstemmed |
The grasper-integrated disposable flexible cystoscope is comparable to the reusable, flexible cystoscope for the detection of bladder cancer |
| title_sort |
grasper-integrated disposable flexible cystoscope is comparable to the reusable, flexible cystoscope for the detection of bladder cancer |
| publisher |
Nature Portfolio |
| publishDate |
2020 |
| url |
https://doaj.org/article/d38b6c2171fe41589e8d79eda228240c |
| work_keys_str_mv |
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