title: [Economic and organizational impact of the use of a disposable sheath with a flexible cystoscope].
abstract: OBJECTIVE
  To assess both economical and organizational impact as well as bacteriologic safety of a flexible cystoscope with sterile disposable sheath (FCSDS) compared to standard flexible cystoscopy (SFC) in two French urologic academic units.
  
  
  METHODS
  Two-center prospective study, comparing the use of the FCSDS to the SFC on two consecutive periods of time. Two hundred and five patients were included and divided into each group. Duration procedures and costs were analysed in the two techniques. The urinary tract infection rate was also described. A dedicated sheaths leaks test after use was performed systematically.
  
  
  RESULTS
  The preparation time of the fibroscope was longer for the sheathed cystoscopy group: 16.2 minutes versus 10.9 minutes for the standard group. The mean duration of disinfection was significantly shorter for the sheathed cystoscopy group: 53.8 minutes saved compared to the standard group; 99.01% of the tested sheaths, after their use, had no breaches. Urinary tract infections rate were similar in the two groups. The average cost of a sheathed cystoscopy compared to the standard was significantly cheaper in Lyon and almost equivalent in Marseille.
  
  
  CONCLUSIONS
  The FCSDS allows significant saving over the disinfection duration, consumable costs and staff costs, while ensuring patient bacteriologic safety similar to SFC.
authors.affiliation: Service de chirurgie urologique, centre hospitalier Lyon Sud, hospices civils de Lyon, bâtiment 3C, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France. audeclairecoste@yahoo.fr
authors.forename: A C
authors.initials: AC
authors.lastname: Coste
authors.forename: A
authors.initials: A
authors.lastname: Ruffion
authors.forename: E
authors.initials: E
authors.lastname: Lechevallier
authors.forename: M
authors.initials: M
authors.lastname: Devonec
authors.forename: P
authors.initials: P
authors.lastname: Paparel
authors.forename: D
authors.initials: D
authors.lastname: Champetier
authors.forename: M
authors.initials: M
authors.lastname: Vinet
authors.forename: E
authors.initials: E
authors.lastname: Adam
authors.forename: P E
authors.initials: PE
authors.lastname: Briant
authors.forename: C
authors.initials: C
authors.lastname: De Vendin
authors.forename: C
authors.initials: C
authors.lastname: Coulange
authors.forename: V
authors.initials: V
authors.lastname: Delaporte
authors.forename: S
authors.initials: S
authors.lastname: Gaillet
authors.forename: P O
authors.initials: PO
authors.lastname: Faïs
authors.forename: A
authors.initials: A
authors.lastname: Monges
authors.forename: V
authors.initials: V
authors.lastname: Arnoux
authors.forename: X
authors.initials: X
authors.lastname: Armoiry
authors.forename: S
authors.initials: S
authors.lastname: Gardes
authors.forename: S
authors.initials: S
authors.lastname: Bin
authors.forename: G
authors.initials: G
authors.lastname: Karsenty
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003365:Costs and Cost Analysis; D020684:Cystoscopes / Q000191:economics*; D004203:Disinfection / Q000191:economics* / Q000458:organization & administration*; D004209:Disposable Equipment; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies