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 pound131 (equivalent to euro157 or Dollars 196.50), FURS and lasertripsy for stones is between pound296 and pound429 (euro355-euro515 or Dollars 444-Dollars 644), and that for endoscopic management of upper tract transitional cell carcinomas is between pound148 and pound225 (euro178-euro270 or Dollars 222-Dollars 338). CONCLUSION: 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.
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