{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T20:25:58Z","timestamp":1783974358377,"version":"3.55.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      There is an absence of data on the environmental impact of single-use flexible cystoscopes. We wanted to review the existing literature about carbon footprint of flexible cystoscopy and analyze the environmental impact of the Isiris\n                      <jats:sup>\u00ae<\/jats:sup>\n                      (Coloplast\n                      <jats:sup>\u00a9<\/jats:sup>\n                      ) single-use flexible cystoscope compared to reusable flexible cystoscopes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>First, a systematic review on single-use and reusable cystoscope carbon footprint was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Second, carbon footprints of Isiris single-use flexible cystoscope and reusable cystoscope were analyzed and compared. Life cycle of the single-use flexible cystoscope was divided in three steps: manufacturing, sterilization, and disposal. For the reusable cystoscope, several steps were considered to estimate the carbon footprint over the life cycle: manufacturing, washing\/sterilization, repackaging, repair, and disposal. For each step, the carbon footprint values were collected and adapted from previous comparable published data on flexible ureteroscope.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The systematic literature review evidenced total carbon emissions within a range of 2.06 to 2.41\u2009kg carbon dioxide (CO\n                      <jats:sub>2<\/jats:sub>\n                      ) per each use of single-use flexible cystoscope compared to a wide range of 0.53 to 4.23\u2009kg CO\n                      <jats:sub>2<\/jats:sub>\n                      per each case of reusable flexible cystoscope. The carbon footprint comparative analysis between Isiris single-use flexible cystoscope and reusable cystoscope concluded in favor of the single-use cystoscope. Based on our calculation, the total carbon emissions for a reusable flexible cystoscope could be refined to an estimated range of 2.40 to 3.99\u2009kg CO\n                      <jats:sub>2<\/jats:sub>\n                      per case, depending on the endoscopic activity of the unit, and to 1.76\u2009kg CO\n                      <jats:sub>2<\/jats:sub>\n                      per case for Isiris single-use cystoscope.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The results and our systematic literature review demonstrated disparate results depending on the calculation method used for carbon footprint analysis. However, the results tend rather toward a lower environmental impact of single-use devices. In comparison to a reusable flexible cystoscope, Isiris compared favorably in terms of carbon footprint.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2023.0274","type":"journal-article","created":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T00:02:40Z","timestamp":1704672160000},"page":"386-394","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Environmental Impact of Flexible Cystoscopy: A Comparative Analysis Between Carbon Footprint of Isiris\n                    <sup>\u00ae<\/sup>\n                    Single-Use Cystoscope and Reusable Flexible Cystoscope and a Systematic Review of Literature"],"prefix":"10.1177","volume":"38","author":[{"given":"Victoria","family":"Jahrreiss","sequence":"first","affiliation":[{"name":"Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria."},{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom."},{"name":"EAU Section on Urolithiasis (EULIS)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Sarrot","sequence":"additional","affiliation":[{"name":"Medical Affairs Department, Coloplast, Le Plessis-Robinson, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niall F.","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Urology, Beaumont Hospital and Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6248-6478","authenticated-orcid":false,"given":"Bhaskar","family":"Somani","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom."},{"name":"EAU Section on Urolithiasis (EULIS)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,1]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(20)30121-2"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2022.12.006"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1055\/a-0759-1629"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15949"},{"issue":"3","key":"e_1_3_4_6_2","first-page":"342","article-title":"Comparison of ureteric stent removal procedures using reusable and single-use flexible cystoscopes following ureteroscopy and lasertripsy: A micro cost analysis","volume":"73","author":"Pietropaolo A","year":"2020","unstructured":"Pietropaolo A, , Hughes T, , Tear L, , Somani BK. Comparison of ureteric stent removal procedures using reusable and single-use flexible cystoscopes following ureteroscopy and lasertripsy: A micro cost analysis. Cent European J Urol, 2020; 73(3):342\u2013348.","journal-title":"Cent European J Urol"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2018.0001"},{"key":"e_1_3_4_9_2","unstructured":"Stutz M . Carbon Footprint of a Typical Business Laptop From Dell. 2010. Available from: https:\/\/i.dell.com\/sites\/content\/corporate\/corp-comm\/en\/Documents\/dell-laptop-carbon-foot print-whitepaper.pdf [Last accessed: May 2023]."},{"key":"e_1_3_4_10_2","unstructured":"Jurg. Plastic bags and plastic bottles\u2014CO2 emissions during their lifetime. Time for change; 2009. 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