Uramix Makes introduction of prosthesis components easier with the increased beak length. It works well from both the supra-pubic approach as well as from the penoscrotal one.
9 cm and 7.5 cm beaks
Made from surgical steel
Smooth surface. No indents to collect bacteria.
27 cm long by 11 mm diameter
Made from surgical steel. Can be sterilized.
It allows placement of a prosthesis reservoir in an ectopic location with less likely bladder side effects and no visibility. The Clamp has atraumatic grasping.
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Clamp showing how high the ectopic reservoir will be placed.
Atraumatic tip does not injure reservoir. Deaver in inguinal ring allows passage of reservoir in high abdominal wall location.
Reservoir location through a penoscrotal incision is above umbilicus.
Helps in corporeal dissection in fibrotic corpora prior to the placement of penile prosthesis.
Once access to the corpora is obtained advance the scissor in a closed position and pull back with the arms spread.
Easy to use and improves fluid management during endoscopic procedures.
Easy to use, minimally invasive, retrograde approach when antegrade approach not feasible.
| CPT® code1 | Total Non Facility RVUs2 | Medicare National Allowed Amount2, 3 |
|---|---|---|
| Physician Coding | ||
| 51040 - Incise and drain bladder | 8.3 | $301 |
| 51102- Drain bladder with cath insertion | 4.2 | $151 |
Uramix does not endorse any particular code for billing purposes. These codes are only provided for information purposes.
The new urethrotome allows for easy and safe non-visual internal urethrotomy by passage over a guidewire, no moving parts and cutting of only fibrous scar. The flat blade protects normal urethra, which is pushed gently away during passage.
Initially, after the instillation of an urethral anesthetic lubricant, a guide wire is passed into the urethra and through the stricture to the bladder. The urethrotome is loaded over the guidewire and slid gently to the stricture, which will be noted by increased resistance to the passage over the guide wire through the tactile feedback characteristic of the stem. Normal tissue is gently pushed out of the way. Markings on the stem will help localize the depth of the stricture from the meatus.
Advancing the urethrotome through the stricture will gently stretch fibrous bands, which will then be exposed to the sharp square edges of the urethrotome and divided as the urethrotome is advanced through the stricture.
The design of the internal urethrotome has a conical shape in three different sizes: 8 – 14 F and 10 – 20 F (Fig 1). There is a blade arising on one side from a recessed surface within the cone, which does not exceed the circumference of the cone (Fig 2). The blade has a flat surface, which does not cut normal tissue, but sharp square edges, which will cut fibrotic tissue when engaged by a tight stricture. The conical head of the urethrotome has a channel running through its center for passage over a guidewire, which allows blind passage to the stricture and thus minimizing trauma from blind passage (Fig 3).
| CPT® code1 | Total Non Facility RVUs2 | Medicare National Allowed Amount2, 3 |
|---|---|---|
| Physician Coding | ||
| 52275 – Cystourethroscopy with internal urethrotomy; male | 15 | $543 |
| 52276 – cystoscopy and treatment – DVIU | 7.6 | $275 |
Uramix does not endorse any particular code for billing purposes. These codes are only provided for information purposes.
The Stent Removing Snare allows for the non-visual removal of indwelling ureteral stents, without the use of cystoscopy. The instrument is designed to be passed over a guide wire if clinically needed.
Men (18F Snare should be used) – When the ureteral stent is inserted, the attached string should be left connected to the stent and a 2 cm diameter loop should be created in the string at the point where the string exits the urethra (see figure 1). The loop can be locked in place by placing several knots.
The snare enters the bladder and is directed towards the side of the stent. A finger in the vagina can help with localization of the snare and the stent itself. The snare may grab the stent itself or one of the string loops. If the stent itself is engaged, a proprioceptive feedback tug will be felt. If the snare misses, repeat passes can be made. Cystoscopic removal is the fallback option.
The design of the snare has a conical appearance with increasing size between 16-18 F. The snare element at the base of the cone is a groove 3 mm wide, which can hook the stent or the string attached to it. The design of the head allows for non-traumatic travel through the urethra. This conical configuration also allows this instrument to be used as a dilator, when passed over a guide wire, as a way to avoid a false passage with blind dilatation.
Removing a Stent with a Stent Removing Snare
How To Create A “Loop” In The String Attached To The Stent To Facilitate Stent Removal
Patient Having Stent Removed With A Stent Removing Snare
| CPT® code1 | Total Non-Facility RVU’s2 | Medicare Non-Facility Price2, 3 |
|---|---|---|
| Physician Coding | ||
| 50386 – Removal (via snare/ capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation. | 21.1 | $762 |
| 50385 – Removal (via snare/ capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation. | 30.8 | $1,112 |
| 52310 – Cystoscopy, with removal of foreign body, calculus or ureteral stent. | 8.3 | $298 |
Uramix does not endorse any particular code for billing purposes. These codes are only provided for information purposes.
Cavernotome being used to dilate fibrotic corpora All uses of the cavernotomes resulted in successful implantation of inflatable cylinders or semimalleable rods without urethral injury or corporal perforation. As seen in: Wilson”s Perils and Pitfalls of Penile Prosthesis Surgery, Tobias S. Kohler, MD, Nikhil Gupta, MD, Steven K. Wilson, MD, 2nd edition, January 2018
