Workflow efficiencies for flexible cystoscopy: comparing single-use vs reusable cystoscopes

Background Flexible cystoscopy is a common procedure to diagnose and treat lower urinary tract conditions.

Single-use cystoscopes have been introduced to eliminate time-consuming reprocessing and costly repairs.

We compared the hands-on labor time differences between flexible reusable cystoscopes versus Ambu’s aScope™ 4 Cysto (aS4C) at a large urology Ambulatory Surgery Center (ASC).

Methods Reusable and single-use cystoscopy procedures were shadowed for timestamp collection for setup and breakdown.

A subset of reusable cystoscopes were followed through the reprocessing cycle.

T-tests were calculated to measure the significance between groups.

Results The average hands-on time necessary for reusable cystoscope preparation, breakdown, and pre-cleaning was 4′53″.

Of this, 2′53″ were required for preparation, while 2′0″ were required for breakdown and pre-cleaning.

The average hands-on time for reprocessing for reusable was 7’1” per cycle.

The total time for single-use scopes was 2′22″.

Of this, 1′36″ was needed for single-use preparation, and 45 s for breakdown.

Compared to reusable cystoscopes, single-use cystoscopes significantly reduced pre and post-procedure hands-on labor time by 2’31”, or 48%.

When including reprocessing, total hands-on time was 80% greater for reusable than single-use cystoscopes.

Conclusion Single-use cystoscopes significantly reduced hands-on labor time compared to reusable cystoscopes.

On average, the facility saw a reduction of 2′31″ per cystoscope for each procedure.

This translates to 20 additional minutes gained per day, based on an 8 procedures per day.

Utilizing single-use cystoscopes enabled the facility to reduce patient wait times, decrease turnaround times, and free up staff time.