The Single Wire Ureteral Access Sheath, Both Safe and Economical
Introduction. Novel disposable products for ureteroscopy are often inherently more expensive than conventional ones. For example, the Cook Flexor© Parallel™ (Flexor) access sheath is designed for ease and efficiency of gaining upper tract access with a solitary wire. We analyze the cost combinations...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2016/6267953 |
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| author | Joan C. Delto George Wayne Ajaydeep Sidhu Rafael Yanes Akshay Bhandari Alan M. Nieder |
| author_facet | Joan C. Delto George Wayne Ajaydeep Sidhu Rafael Yanes Akshay Bhandari Alan M. Nieder |
| author_sort | Joan C. Delto |
| collection | DOAJ |
| description | Introduction. Novel disposable products for ureteroscopy are often inherently more expensive than conventional ones. For example, the Cook Flexor© Parallel™ (Flexor) access sheath is designed for ease and efficiency of gaining upper tract access with a solitary wire. We analyze the cost combinations, efficiency, and safety of disposable products utilized for upper tract access, including the Flexor and standard ureteral access sheath. Methods. We performed a retrospective review from January 2014 to October 2014 of patients undergoing URS for nephrolithiasis, who were prestented for various reasons (e.g., infection). Common combinations most utilized at our institution include “Classic,” “Flexor,” and “Standard.” Total costs per technique were calculated. Patient characteristics, operative parameters, and outcomes were compared among the groups. Results. The most commonly used technique involved a standard ureteral sheath and was the most expensive ($294). The second most utilized and least expensive combination involved the Flexor, saving up to $80 per case (27%). All access sheaths were placed successfully and without complications. There were no significant differences in operative time, blood loss, or complications. Conclusions. In prestented patients within this study, the Flexor combination was the most economical. Although the savings appear modest, long-term impact on costs can be substantial. |
| format | Article |
| id | doaj-art-7ff5a6ad23324cd3af436d893c3bff0a |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-7ff5a6ad23324cd3af436d893c3bff0a2025-08-20T03:35:19ZengWileyAdvances in Urology1687-63691687-63772016-01-01201610.1155/2016/62679536267953The Single Wire Ureteral Access Sheath, Both Safe and EconomicalJoan C. Delto0George Wayne1Ajaydeep Sidhu2Rafael Yanes3Akshay Bhandari4Alan M. Nieder5Columbia University Division of Urology, Mount Sinai Medical Center, 4302 Alton Road, Suite 540, Miami Beach, FL 33140, USAColumbia University Division of Urology, Mount Sinai Medical Center, 4302 Alton Road, Suite 540, Miami Beach, FL 33140, USAColumbia University Division of Urology, Mount Sinai Medical Center, 4302 Alton Road, Suite 540, Miami Beach, FL 33140, USAColumbia University Division of Urology, Mount Sinai Medical Center, 4302 Alton Road, Suite 540, Miami Beach, FL 33140, USAColumbia University Division of Urology, Mount Sinai Medical Center, 4302 Alton Road, Suite 540, Miami Beach, FL 33140, USAColumbia University Division of Urology, Mount Sinai Medical Center, 4302 Alton Road, Suite 540, Miami Beach, FL 33140, USAIntroduction. Novel disposable products for ureteroscopy are often inherently more expensive than conventional ones. For example, the Cook Flexor© Parallel™ (Flexor) access sheath is designed for ease and efficiency of gaining upper tract access with a solitary wire. We analyze the cost combinations, efficiency, and safety of disposable products utilized for upper tract access, including the Flexor and standard ureteral access sheath. Methods. We performed a retrospective review from January 2014 to October 2014 of patients undergoing URS for nephrolithiasis, who were prestented for various reasons (e.g., infection). Common combinations most utilized at our institution include “Classic,” “Flexor,” and “Standard.” Total costs per technique were calculated. Patient characteristics, operative parameters, and outcomes were compared among the groups. Results. The most commonly used technique involved a standard ureteral sheath and was the most expensive ($294). The second most utilized and least expensive combination involved the Flexor, saving up to $80 per case (27%). All access sheaths were placed successfully and without complications. There were no significant differences in operative time, blood loss, or complications. Conclusions. In prestented patients within this study, the Flexor combination was the most economical. Although the savings appear modest, long-term impact on costs can be substantial.http://dx.doi.org/10.1155/2016/6267953 |
| spellingShingle | Joan C. Delto George Wayne Ajaydeep Sidhu Rafael Yanes Akshay Bhandari Alan M. Nieder The Single Wire Ureteral Access Sheath, Both Safe and Economical Advances in Urology |
| title | The Single Wire Ureteral Access Sheath, Both Safe and Economical |
| title_full | The Single Wire Ureteral Access Sheath, Both Safe and Economical |
| title_fullStr | The Single Wire Ureteral Access Sheath, Both Safe and Economical |
| title_full_unstemmed | The Single Wire Ureteral Access Sheath, Both Safe and Economical |
| title_short | The Single Wire Ureteral Access Sheath, Both Safe and Economical |
| title_sort | single wire ureteral access sheath both safe and economical |
| url | http://dx.doi.org/10.1155/2016/6267953 |
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