{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:08:48Z","timestamp":1777943328630,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T00:00:00Z","timestamp":1616976000000},"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":["Surg Innov"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>Background. Ureteric stent insertion is performed at the time of renal transplant to minimise the risk of post-operative urological complications, including anastomotic leak and ureteric stenosis or obstruction. Transplant ureteric stent removal (TUSR) has historically been performed via flexible cystoscopy, predominantly in a theatre setting. Isiris\u2122 is a single-use cystoscope with integrated grasper designed for removal of ureteric stents. We report our initial experience. Methods. A retrospective analysis of a contemporaneously maintained database was performed with review of case notes from October 2017 to September 2018. TUSR was performed by surgical middle grades with a single nurse assistant. Results. One hundred and fifty ureteric stents were removed in transplant recipients (mean age 50.2\u00a0years, SD \u00b1 15.2; 61.3% male). 91.3% ( n = 137) of cases were performed in the outpatient clinic. Median time to TUSR was 42\u00a0days (IQR 30-42). 147 attempts at removal were successful. One urinary tract infection (UTI) was reported following TUSR. Use of the Isiris\u2122 for TUSR corresponds to a \u00a363,480 saving in this cohort compared to conventional practice. This value is conservative and does not include income that has been gained from the reallocation of operating theatre capacity. Conclusion. Isiris\u2122 can safely be employed for the timely performance of non-complicated TUSR. Isiris\u2122 releases this procedure from the confines of the operating theatre to the outpatient clinic. This reduces the resource burden for healthcare providers and may result in improved patient satisfaction. The environmental implications of disposable healthcare equipment require consideration. Evaluation of Isiris\u2122 TUSR for encrustation is required.<\/jats:p>","DOI":"10.1177\/15533506211007268","type":"journal-article","created":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T17:56:35Z","timestamp":1617040595000},"page":"366-370","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Isiris\u2122 for Ureteric Stent Removal in Renal Transplantation: An Initial Single-Centre Experience of 150 Cases"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8532-3420","authenticated-orcid":false,"given":"Daniel T.","family":"Doherty","sequence":"first","affiliation":[{"name":"Department of Renal & Pancreatic Transplantation, Manchester University NHS Foundation Trust, Manchester, UK"},{"name":"Faculty of Biology, Medicine & Health, University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zia","family":"Moinuddin","sequence":"additional","affiliation":[{"name":"Department of Renal & Pancreatic Transplantation, Manchester University NHS Foundation Trust, Manchester, UK"},{"name":"Faculty of Biology, Medicine & Health, University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben R.","family":"Grey","sequence":"additional","affiliation":[{"name":"Department of Urology, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"van Dellen","sequence":"additional","affiliation":[{"name":"Department of Renal & Pancreatic Transplantation, Manchester University NHS Foundation Trust, Manchester, UK"},{"name":"Faculty of Biology, Medicine & Health, University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,29]]},"reference":[{"key":"bibr1-15533506211007268","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1990.tb14955.x"},{"key":"bibr2-15533506211007268","volume-title":"Cochrane Database of Systematic Reviews","author":"Wilson CH","year":"2013"},{"key":"bibr3-15533506211007268","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-016-1986-0"},{"issue":"2","key":"bibr4-15533506211007268","first-page":"196","volume":"71","author":"Baston EL","year":"2018","journal-title":"Cent Eur J Urol"},{"key":"bibr5-15533506211007268","doi-asserted-by":"publisher","DOI":"10.1159\/000279233"},{"key":"bibr6-15533506211007268","first-page":"5","volume":"18","author":"Chiu C","year":"2012","journal-title":"Hong Kong Med J"},{"key":"bibr7-15533506211007268","doi-asserted-by":"publisher","DOI":"10.4103\/0970-9185.92442"},{"key":"bibr8-15533506211007268","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2008.05852.x"},{"key":"bibr9-15533506211007268","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2354.2005.00525.x"},{"key":"bibr10-15533506211007268","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2354.2000.00225.x"},{"key":"bibr11-15533506211007268","unstructured":"NHS. 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