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WCE 2018: Single-Use Grasper Integrated Flexible Cystoscope for Stent Removal: Micro-Costing Analysis Based Comparison

Paris, France (UroToday.com) For this study Dr. Michael Souriel performed a cost analysis on the use of a recently commercially available single-use flexible cystoscope with integrated grasper (Isiris, Coloplast). He compared the cost of using this device for patient stent removal in an outpatient setting versus using a standard reusable cystoscope and stent grabber. 


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Data was collected from 1775 stent removal procedures over the period of one year from February 2016 to February 2017. Data collected included purchase price, repair fees, sterilization costs, and labor costs. 

Dr. Souriel and team found that per-use cost for stent removal procedures using a reusable cystoscope and stent grasper was $161.85. Interestingly, the per-use purchasing price for the Isiris device is $200.

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Data was collected from 1775 stent removal procedures over the period of one year from February 2016 to February 2017. Data collected included purchase price, repair fees, sterilization costs, and labor costs. 

Dr. Souriel and team found that per-use cost for stent removal procedures using a reusable cystoscope and stent grasper was $161.85. Interestingly, the per-use purchasing price for the Isiris device is $200.

Dr. Souriel concluded that based on his analysis, the per-use costs appear to favor the reusable cystoscope for stent removal only after 704 stent pulls. He added that centers with low volumes of stent pulls may find the single-use system more cost-beneficial than the reusable cystoscope. 

Presented By: Michael Souriel 

Written by: Renai Yoon, Department of Urology, University of California-Irvine medical writer for UroToday at the 36th World Congress of Endourology (WCE) and SWL - September 20-23, 2018 Paris, France