{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T20:49:24Z","timestamp":1775854164343,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T00:00:00Z","timestamp":1715126400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction &amp; objectives<\/jats:title><jats:p>To evaluate ureteral stent removal (SR) using a grasper\u2010integrated disposable flexible cystoscope (giFC\u2014Isiris \u00ae, Coloplast \u00ae) after kidney transplantation (KT), with a focus on feasibility, safety, patient experience, and costs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>All consecutive KT undergoing SR through giFC were prospectively enrolled from January 2020 to June 2023. Patient characteristics, KT and SR details, urine culture results, antimicrobial prescriptions, and the incidence of urinary tract infections (UTI) within 1 month were recorded. A micro\u2010cost analysis was conducted, making a comparison with the costs of SR with a reusable FC and grasper.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 136 KT patients were enrolled, including both single and double KT, with 148 stents removed in total. The median indwelling time was 34 days [26, 47]. SR was successfully performed in all cases. The median preparation and procedure times were 4 min [3,5]. and 45 s[30, 60], respectively. The median Visual Analog Scale (VAS) score was 3 [1, 5], and 98.2% of patients expressed willingness to undergo the procedure again. Only one episode of UTI involving the graft (0.7%) was recorded. Overall, the estimated cost per SR procedure with Isiris \u00ae and the reusable FC was 289.2\u20ac and 151,4\u20ac, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This prospective series evaluated the use of Isiris \u00ae for SR in a cohort of KT patients, demonstrating feasibility and high tolerance. The UTI incidence was\u00a00.7% within 1 month. Based on the micro\u2010cost analysis, estimated cost per procedure favored the reusable FC.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.15321","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T10:28:27Z","timestamp":1715164107000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Disposable grasper\u2010integrated flexible cystoscope for ureteral stent removal in transplanted patients; focus on feasibility, safety, and patient experience. Results and micro\u2010cost analysis from a tertiary referral center"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8511-897X","authenticated-orcid":false,"given":"Andrea","family":"Bosio","sequence":"first","affiliation":[{"name":"Department of Urology AOU Citt\u00e0 della Salute e della Scienza, Molinette University Hospital  Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugenio","family":"Alessandria","sequence":"additional","affiliation":[{"name":"Department of Urology AOU Citt\u00e0 della Salute e della Scienza, Molinette University Hospital  Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Gozzo","sequence":"additional","affiliation":[{"name":"Department of Urology AOU Citt\u00e0 della Salute e della Scienza, Molinette University Hospital  Turin 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