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The search terms \u201cGrasper Integrated Flexible Cystoscope,\u201d and \u201cIsiris,\u201d within the following databases: PubMed, Scopus, Cochrane Library, Web of Science and EMBASE were searched.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In this review, a cumulative total experience (10 publications) included 970 \u201cSUGIFC\u201d procedures (755 patients). However, only 366\/970 procedures were actually used for \u201cureteral stent removal,\u201d with the remainder being surveillance cystoscopy only (603\/970) or foreign body retrieval (1\/970). Procedure\u2010related and device failures in planned \u201cremoval of ureteral stents,\u201d was reported in 8\/366 (346 patients) and 1\/366 (346 patients), respectively.<\/jats:p><jats:p>The cost\u2013benefit utilizing the SUGIFC device is advantageous compared to \u201cin\u2010theatre\u201d stent removals and favours less busy centres where maintenance, repair and replacement costs are more relevant. Other listed benefits include shorter stent indwelling times, shorter procedure duration, lower rates of bacteriuria and urinary tract infections, fewer emergency department visits and lower readmission rates. Technical limitations include the absence of an independent working channel, a narrower visual field and the lack of image universality since the monitor is device\u2010specific.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The SUGIFC device needs to be outweighed against local costs and individual health systems. Its application in ambulatory ureteral stent removal may become significant due to the accessibility and convenience that it offers the attending urologist.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16962","type":"journal-article","created":{"date-parts":[[2021,5,15]],"date-time":"2021-05-15T09:49:29Z","timestamp":1621072169000},"page":"2599-2605","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Efficacy of the novel, innovative, <scp>single\u2010use<\/scp> grasper integrated flexible cystoscope for ureteral stent removal: a systematic review"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9069-3282","authenticated-orcid":false,"given":"Ahmed","family":"Adam","sequence":"first","affiliation":[{"name":"The Division of Urology, Department of Surgery, Faculty of Health Sciences University of the Witwatersrand, Wits Medical School  Johannesburg South Africa"},{"name":"Departments of Urology Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), Helen Joseph Hospital (HJH), and Rahima Moosa Mother &amp; Child Hospital (RMMCh)  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Lawrentschuk","sequence":"additional","affiliation":[{"name":"Department of Urology Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Department of Urology EJ Whitten Prostate Cancer Research Centre at Epworth  Melbourne Victoria Australia"},{"name":"Department of Urology Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"Department of Surgery University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit S.","family":"Bhattu","sequence":"additional","affiliation":[{"name":"Department of Urology University of Pittsburgh Medical Centre  Pittsburgh Pennsylvania USA"},{"name":"Department of Urology University of Miami School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jameel","family":"Nagdee","sequence":"additional","affiliation":[{"name":"South African Institute of Chartered Accountants  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)57326-7"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.4274\/jus.galenos.2019.2989"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOU.0000000000000701"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2018.12.013"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-4-200908180-00135"},{"key":"e_1_2_10_7_1","unstructured":"CASP\u2014Critical Appraisal Skills Programme.CASP checklists.https:\/\/casp-uk.net\/casp-tools-checklists\/. 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