title: Decreasing the cost of flexible ureterorenoscopic procedures.
abstract: OBJECTIVE
  To treat calculus disease, perform diagnostic procedures, for endoscopic management of upper tract tumours and in selected cases for laser guided endopyelotomy there is an increase in the use of Flexible Ureterorenoscopy (FURS).
  
  
  METHODS
  We wanted to prospectively audit the cost of flexible ureterorenoscopic procedures undertaken in our department between March 2009 and March 2010.
  
  
  RESULTS
  Based on our business model, the cost of diagnostic FURS is £131 (equivalent to €157 or $196.50), FURS and lasertripsy for stones is between £296 and £429 (€355-€515 or $444-$644), and that for endoscopic management of upper tract transitional cell carcinomas is between £148 and £225 (€178-€270 or $222-$338).
  
  
  CONCLUSIONS
  Our model shows a cost-efficient way of performing FURS procedures. As the cost of FURS comes down, more trainees will build hands-on experience in these procedures.
authors: Department of Urology, Ninewells Hospital, Dundee, UK. bhaskarsomani@yahoo.com
authors: Bhaskar K
authors: BK
authors: Somani
authors: A
authors: A
authors: Robertson
authors: Slawomir G
authors: SG
authors: Kata
mesh_terms: D003363:Cost Control; D003365:Costs and Cost Analysis; D004724:Endoscopy / Q000191:economics; D004868:Equipment Failure; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis / Q000628:therapy; D006113:United Kingdom; D014515:Ureteral Diseases / Q000175:diagnosis / Q000628:therapy; D020709:Ureteroscopes / Q000191:economics; D018666:Ureteroscopy / Q000191:economics*