The effect of office based flexible and rigid cystoscopy on pain experience in female patients

Niek F. Casteleijn; Jessica L. Vriesema; Saskia P. Stomps; Olav L.W.B. van Balen; Erik B. Cornel

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자료유형: 학술저널

저자정보: Niek F. Casteleijn (University of Groningen) Jessica L. Vriesema (University of Groningen) Saskia P. Stomps (University of Groningen) Olav L.W.B. van Balen (University of Groningen) Erik B. Cornel (University of Groningen)

저널정보: 대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.58 No.1

발행연도: 2017.1

수록면: 48 - 53 (6page)

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Purpose: Rigid and flexible cystoscopies are both routinely used in female patients. Literature is conflicting whether flexible cystoscopy is less painful compared to rigid cystoscopy. The aim of this study was therefore to investigate whether using flexible cystoscopy leads to less discomfort and pain compared to rigid cystoscopy in female patients who underwent first time cystoscopy. Materials and Methods: One hundred eighty-nine female patients, who never had undergone cystoscopy, were randomized into 2 groups: 92 patients underwent rigid cystoscopy and 97 patients flexible cystoscopy. Directly after the cystoscopy procedure all patients were asked to fill out their pain experience on a 100-mm visual analogue pain scale (VAS). Results: Median VAS score was significantly lower for women undergoing flexible cystoscopy (0 [0–20]) compared to rigid cystoscopy (15 [0–38], p<0.001). In addition, age was inversely associated with VAS score, indicating that younger females experienced more pain (R=−0.30, p=0.001). The use of flexible cystoscopy was associated with a decrease in VAS score and remained significant after adjustment for age, sex of urologist, performing urologist and indication (standardized β=−0.17, p=0.048). Conclusions: The use of flexible cystoscopy resulted in a significantly lower pain experience compared to rigid cystoscopy. Based on patient's pain experience during cystoscopy, this study implicates to use flexible cystoscopy in female patients who undergo first time cystoscopy.

참고문헌 (16)

참고문헌 신청

Tsuchida S / 1973 / A new flexible fibercystoscope for visualization of the bladder neck / J Urol 109:830~831

Erkal S. / 2007 / Patients' experiences at home after day case cystoscopy / J Clin Nurs 16:1118~1124

Yerlikaya G / 2014 / Pain perception during outpatient cystoscopy: a prospective controlled study / Eur J Obstet Gynecol Reprod Biol 173:101~105

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Choong S / 1997 / A prospective, randomized, double-blind study comparing lignocaine gel and plain lubricating gel in relieving pain during flexible cystoscopy / Br J Urol 80:69~71

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