Technological innovation and revolution with single-use digital flexible ureteroscopes: A review from section of EAU Endourology

Talyshinskii A. Tzelves L. Ventimiglia E. Yuen S.K.K. Gauhar V. Traxer O. Somani B.
1 July 2025 Lippincott Williams and Wilkins

Current Opinion in Urology
2025 #35 Issue 4 360 - 367 pp.

Purpose of reviewNumerous scope-related innovations have taken place in the field of endourology. The presented analytical review is aimed at studying the technical innovations of the single-use digital flexible ureteroscopes. In November 2024, a comprehensive search was done for information on latest disposable flexible digital ureteroscopes, as well as their various unique characteristics. A thorough examination was conducted for image qualities; sizes and channels; and deflection capabilities. Furthermore, supplementary features about the latest advances were assigned to a separate group including Unique solutions. Using the last search query, various innovations in flexible ureteroscopy in general were also searched and sorted into appropriate groups.Recent findingsModern single-use flexible digital ureteroscopes are characterized by advanced technologies for transmitting light and images, miniaturization, as well as by a number of unique solutions that were previously characteristic only of semi-rigid or fiberoptic endoscopes. These include features such as integrated buttons for data recording, self-locking mechanism, separate ports, rotating shaft, direct-in-scope suction, pressure monitoring, enhanced tip control and customizable settings.SummarySince their introduction in urology, endoscopes have undergone many changes, as illustrated by the example of single-use flexible digital ureteroscopes. The imaging quality has improved, the dimensions of both the distal tip and shaft have decreased, with over 15 manufactures producing and distributing these scopes. A lot of new additional new features are likely to enhance the efficacy and safety of ureteroscopic procedures.

digital , endoscope , flexible , innovation , single-use , urology

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Department of Urology and Andrology, Astana Medical University, Astana, Kazakhstan
Department of Urology and Oncology, Fergana Medical Institute of Public Health, Fergana, Uzbekistan
Department of Urology, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece
Division of Experimental Oncology, Unit of Urology, Urological Research Institute, Irccs San Raffaele Hospital, Milan, Italy
Department of Surgery, Faculty of Medicine, S.H. Ho Urology Centre, The Chinese University of Hong Kong, Hong Kong
Division of Urology, Ng Teng Fong General Hospital, Singapore, Singapore
Grc N820, Groupe de Recherche Clinique sur la Lithiase Urinaire, Sorbonne Universite, Hôpital Tenon, Paris, France
Department of Urology, University Hospital Southampton Nhs Trust, Southampton, United Kingdom
Section of Eau Endourology Research Group, Arnhem, Netherlands

Department of Urology and Andrology
Department of Urology and Oncology
Department of Urology
Division of Experimental Oncology
Department of Surgery
Division of Urology
Grc N820
Department of Urology
Section of Eau Endourology Research Group

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