Outpatient flexible cystoscopy in men: A randomized study of patient tolerance Journal Article

  


Authors: Herr, H. W.; Schneider, M.
Article Title: Outpatient flexible cystoscopy in men: A randomized study of patient tolerance
Abstract: Purpose: We evaluate the pain of immediate versus delayed outpatient flexible cystoscopy in men after topical local anesthesia application. Materials and Methods: A total of 100 consecutive men with superficial bladder tumors were randomized to immediate or delayed surveillance flexible cystoscopy after intraurethral instillation of lidocaine gel. Patients recorded the level of pain experienced during cystoscopy on a 4-point pain scale and on a 10-point visual linear analog self-assessment scale. Results: Of the 100 patients 50 underwent immediate and 50 underwent delayed cystoscopy. The mean pain score on a scale of 1 - no to 4 - severe pain was 1.7 after immediate cystoscopy compared with 1.6 after delayed cystoscopy (p = 0.9). The mean linear analog self-assessment score on a scale of 1 - no to 10 - most pain was 2.1 after immediate cystoscopy versus 1.8 after delayed cystoscopy (p = 0.7). Conclusions: There was no difference in pain perception in men undergoing immediate or delayed outpatient flexible cystoscopy using the same local anesthetic.
Keywords: adult; controlled study; aged; aged, 80 and over; middle aged; patient satisfaction; surgical technique; clinical trial; follow up; controlled clinical trial; pain; neoplasm recurrence, local; randomized controlled trial; bladder tumor; urinary bladder neoplasms; time; time factors; gel; tumor recurrence; ambulatory care; bladder neoplasms; cystoscopy; pain measurement; lidocaine; anesthetics, local; analgesia; pain assessment; outpatient care; urethra; self evaluation; nociception; local anesthetic agent; bladder; local anesthesia; humans; human; male; priority journal; article; drug instillation
Journal Title: Journal of Urology
Volume: 165
Issue: 6 Pt. 1
ISSN: 0022-5347
Publisher: Elsevier Science, Inc.  
Date Published: 2001-06-01
Start Page: 1971
End Page: 1972
Language: English
PUBMED: 11371893
PROVIDER: scopus
DOI: 10.1016/S0022-5347(05)66254-4
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-0034980973&partnerID=40&md5=70736767efddbfbb3c6641f055a99a39
Notes: Export Date: 21 May 2015 -- Source: Scopus
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MSK Authors
  1. Harry W Herr
    594 Herr
  2. Marisa Ermine Regan
    3 Regan
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