Concerns About Infection Risks After Nasal Endoscopy: What You Should Know - Urology

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Hello Doctor, I have a question that has been bothering me for the past few days.
Two weeks ago, I underwent a nasal endoscopy (I hope I'm using the correct term; it's a long, flexible tube with a camera and a light at the end that is inserted through the nostril to examine the throat and nasal passages).
It seems that this device is not changed for each patient, so I am concerned about the possibility of contracting other diseases, such as HIV or Hepatitis B, due to this.
I did see the doctor using a liquid to wipe it down before the procedure (I’m not sure if it was alcohol or saline).
Is this process correct? I know this concern might be a bit excessive, but I would appreciate your clarification.
Thank you.

A Xin, 30~39 year old female. Ask Date: 2017/09/25

Dr. Du Shixi reply Urology


Hello: Generally, there will be a disposable kit at the front.
You may want to consult an otolaryngologist.
There shouldn't be any issues that you need to worry about.

Reply Date: 2017/09/25

More Info


When it comes to nasal endoscopy, your concerns about infection risks are understandable, especially in the context of heightened awareness around infectious diseases. However, it is important to clarify how nasal endoscopy is conducted and the safety protocols that are typically in place.

Nasal endoscopy involves the use of a thin, flexible tube equipped with a camera and light source, which is inserted through the nostrils to visualize the nasal passages and sinuses. This procedure is commonly performed in ENT (ear, nose, and throat) clinics and is generally considered safe.
Regarding your concern about the equipment being reused, it is standard practice in medical settings to ensure that any instruments that come into contact with mucous membranes or bodily fluids are either sterilized or are single-use disposable items. In the case of nasal endoscopes, many clinics use disposable sheaths or covers that are placed over the endoscope before use. This minimizes the risk of cross-contamination between patients. The liquid you observed being sprayed or wiped on the equipment is likely a disinfectant solution, which is used to further ensure cleanliness and safety.

In terms of the risk of contracting infections such as HIV or Hepatitis B through nasal endoscopy, the likelihood is extremely low, especially if proper hygiene protocols are followed. These viruses are primarily transmitted through blood-to-blood contact, and the risk of transmission through mucous membranes in a properly conducted medical procedure is minimal. Healthcare providers are trained to adhere to strict infection control guidelines, which include the use of personal protective equipment (PPE), sterilization of instruments, and proper disposal of single-use items.

If you have specific concerns about the procedure you underwent, it is always a good idea to discuss them directly with your healthcare provider. They can provide you with detailed information about the protocols they follow and reassure you about the safety measures in place.

In summary, while it is natural to have concerns about infection risks associated with medical procedures, nasal endoscopy is generally safe when performed in a clinical setting that adheres to established infection control practices. If you experience any unusual symptoms following the procedure, such as persistent pain, unusual discharge, or signs of infection, it is advisable to seek medical attention promptly. Your health and peace of mind are paramount, and your healthcare provider is there to address any concerns you may have.

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