Dr. Michael Palese Performs Ureteral Stent Removal with the aScope™ 4 Cysto

My name is Dr. Michael Palisi. I am a urologist in New York City and work at Mount Sinai Hospital. Today I will introduce a new single-use digital

cysto

scope from Ambu Medical called A-scope for systo. I'll be using it on a patient who had a deuteroscopy and has a

stent

in place, so we'll do a

cysto

scopy with

stent

removal

. I'm excited to show you this new technology. This is a fantastic new piece of equipment that we have started using. use it in our practice here in New York City, as you can see this is a single use disposable visor that has many of the qualities that my reusable visors have.

It has a chip on the end where there are no wires running through the headset itself. the deflection on this is 120 degrees versus 210 degrees and it also allows us to place instruments on the tip and through the working channel the image is fantastic, it is as good if not better than the reusable scopes, also because it is a completely new with each use, I'm not worried about infections or cleaning problems and it certainly creates efficiency in our workplace, so as you can see, we are sailing through the bulbar urethra entering the membranous urethra and here you can see the urinary sphincter, the vera montanum. below us, as we now enter the prostatic urethra through the bladder neck and now into the bladder itself, once inside the bladder, we look around to make sure there are no foreign bodies or objects, we know that our stent that was placed in the right ureter it's been in for a few weeks and you can see it's quite calcified so obviously we want to make sure we remove it completely so that as we look through the bladder here.

We are identifying where it comes out of the right ureter and we are preparing to pull this stent using one of our forceps and the good thing about the a-scope for systo is that the working channel is quite large and therefore we place any forceps standard are quite effective in removing or being able to remove any type of foreign body or stent, and as you can see here, we are grabbing the eight French stent, in this case we are doing it quite easily and then we can pull it. through the urethra and the patient has no complaints at this time, so we know from a technical perspective that the systo scope is a wonderful product, but where we are really seeing its efficiency and its advantages is in our clinical practice.

In many of our offices we have starting places where the ability to systo simply allows us to start working. We don't have any startup problems in terms of bringing in equipment, especially cystoscopy, which is one of the cornerstones of urology. I am very excited about this technology. I am excited to see it being used more and more as time goes on and we will continue to partner with Ambu Medical in the future.