Flexible cystoscope retrieval of detached resectoscope sheath beak

Jonathan Athayde, Frank Papanikolaou


Surveillance cystoscopy for bladder cancer following transurethral resection of the prostate (TURP) can have unexpected consequences, such as the detachment of the resectoscope beak. This is an infrequent event, with few published or standard techniques for its retrieval. These techniques range from the use of forceps, as Grainger et al described in the first published case report on resectoscope sheath extraction, to the use a holmium YAG laser with a 200 μm fiber to fragment the 26 French (Fr) resectoscope sheath in the patient’s bladder and other laser-based techniques. We hypothesize that resectoscope beak extraction can be achieved efficiently and safely using a flexible cystoscope in the absence of a laser apparatus and with better postoperative results than rigid resectoscope or forceps for extraction.

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DOI: http://dx.doi.org/10.5489/cuaj.4145