{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:33:29Z","timestamp":1786649609140,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"\n Introduction:<\/jats:title>\n Retrograde intrarenal surgery (RIRS) for renal lithiasis is widely used, with single-use ureteroscopes offering an excellent option. However, their high cost poses a challenge, prompting consideration of reusing disposable instruments. This study aims to compare stone-free rates (SFR) and complications between reprocessed disposable ureteroscopes and new ones in a multicenter cohort.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This prospective, observational, multicenter study included patients who underwent RIRS between May 2022 and May 2023 at three centers in Argentina. Patients were divided into two groups: Group 1 used a brand new disposable ureteroscope and Group 2 used a reprocessed disposable ureteroscope. Stone size, location, stone-free rate, postoperative complications, and subjective evaluations of deflection and vision were analyzed.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Seventy-seven patients were included: 21 in Group 1 and 56 in Group 2. The average stone size was 10.9 mm in Group 1 and 8.6 mm in Group 2 (\n P<\/jats:italic>\n = 0.0188). Stone location in the renal pelvis was 42% in Group 1 and 25% in Group 2 (\n P<\/jats:italic>\n = 0.406). SFR were 71.4% in Group 1 and 73.2% in Group 2 (\n P<\/jats:italic>\n = 0.999). No differences were found regarding the subjective assessment of vision and deflection as evaluated by the surgeons. Postoperative urinary tract infections occurred in 9.5% of Group 1 and 16% of Group 2 (\n P<\/jats:italic>\n = 0.717).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Despite the larger stone size in Group 1, the stone-free rate and postoperative infection rates were similar between both groups. Reprocessing disposable instruments does not appear to affect the effectiveness or infection rate of RIRS.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/iju.iju_162_25","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T18:00:32Z","timestamp":1751392832000},"page":"216-219","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Reused disposable ureteroscopes in retrograde intrarenal surgery: A new concept arises?"],"prefix":"10.4103","volume":"41","author":[{"given":"Horacio","family":"Sanguinetti","sequence":"first","affiliation":[{"name":"Department of Urology, Hospital de Clinicas Jos\u00e9 de San Martin, Argentina"},{"name":"Cl\u00ednica San Camilo, Buenos Aires, Argentina"},{"name":"Centro Argentino de Urologia, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Guillermo","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Department of Urology, Hospital de Clinicas Jos\u00e9 de San Martin, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximiliano Lopez","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Urology, Hospital de Clinicas Jos\u00e9 de San Martin, Argentina"},{"name":"Cl\u00ednica San Camilo, Buenos Aires, Argentina"},{"name":"Centro Argentino de Urologia, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norberto","family":"Bernardo","sequence":"additional","affiliation":[{"name":"Department of Urology, Hospital de Clinicas Jos\u00e9 de San Martin, Argentina"},{"name":"Cl\u00ednica San Camilo, Buenos Aires, Argentina"},{"name":"Centro Argentino de Urologia, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"key":"R1-20260427","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.ucl.2018.12.002","article-title":"Single-use ureteroscopes","volume":"46","author":"Moore","year":"2019","journal-title":"Urol Clin North Am"},{"key":"R4-20260427","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1089\/end.2018.0785","article-title":"Single-use flexible ureteroscopes: How do they compare with reusable ureteroscopes?","volume":"33","author":"Scotland","year":"2019","journal-title":"J Endourol"},{"key":"R5-20260427","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1007\/s00345-017-2131-4","article-title":"Single-use flexible ureteropyeloscopy: A systematic review","volume":"36","author":"Davis","year":"2018","journal-title":"World J Urol"},{"key":"R6-20260427","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/j.juro.2016.09.085","article-title":"The economic implications of a reusable flexible digital ureteroscope: A cost-benefit analysis","volume":"197","author":"Martin","year":"2017","journal-title":"J Urol"},{"key":"R7-20260427","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1111\/bju.15770","article-title":"The feasibility of endourological surgery in low-resource settings","volume":"130","author":"Watson","year":"2022","journal-title":"BJU Int"},{"key":"R8-20260427","first-page":"459","article-title":"Comparison of pre- and post-surgical images of reusable and single use flexible ureteroscopes: A qualitative analysis","volume":"74","author":"Domenech","year":"2021","journal-title":"Cent European J Urol"},{"key":"R9-20260427","doi-asserted-by":"crossref","first-page":"235","DOI":"10.4103\/iju.iju_38_24","article-title":"The reused-disposable scope in flexible ureteroscopy for stones as a cost-conscious approach: Reporting the outcomes of a real-world practice multicenter study of 2183 patients by the team of worldwide endourological researchers group","volume":"40","author":"Gauhar","year":"2024","journal-title":"Indian J Urol"},{"key":"R10-20260427","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/MOU.0000000000000034","article-title":"Sterilization of endoscopic instruments","volume":"24","author":"Sabnis","year":"2014","journal-title":"Curr Opin Urol"},{"issue":"Suppl 3","key":"R11-20260427","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/bju.16225","article-title":"Sustainability in urology \u2013 Are we doing enough?","volume":"133","author":"Lawrentschuk","year":"2024","journal-title":"BJU Int"},{"key":"R12-20260427","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1007\/s00345-024-05317-2","article-title":"Environmental impact of current endoscopic technology in urological procedures: A systematic review on reusable versus disposable scopes","volume":"43","author":"Peyrottes","year":"2024","journal-title":"World J Urol"}],"container-title":["Indian Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_162_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:55:52Z","timestamp":1786647352000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_162_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/iju.iju_162_25","relation":{},"ISSN":["0970-1591","1998-3824"],"issn-type":[{"value":"0970-1591","type":"print"},{"value":"1998-3824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-04-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-19","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}