Dysuria, Hematuria, Recurrent Uti
Conditions
Keywords
Cystoscopy
Brief summary
Women arriving to the Urology department outpatient clinic at Assaf-Harofeh Medical Center in order to undergo a cystoscopy examination will be recruited. Patients will be randomly assigned to one of four groups by method of cystoscopy (flexible and rigid) and by use of anesthesia to the introitus. Pain levels will be recorded prior to the examination, during entrance of the cystoscope in the urethral meatus, immediately after the examination and 15 minutes after conclusion.
Interventions
DRUGLidocaine
Pad soaked with lidocaine gel (Esracaine) left on the introitus for 5 minutes
DRUGWater
Water based non-anesthetic lubricant gel left on the introitus for 5 minutes.
Sponsors
Assaf-Harofeh Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Intervention model description
Pain assessment 4 randomly assigned groups of women divided by type of cystoscope and type of local anesthesia.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All women referred to elective outpatient cystoscopy.
Exclusion criteria
* Known urethral stricture. * Known allergy to lubricant/anesthesia gel. * Patients under the age of 18 (minors). * Patients with current Urinary Tract Infections. * Chronic pelvic pain (e.g Interstitial Cystitis/Bladder Pain Syndrome. * Known neurlogical or other chronic pain syndrome requiring chronic analgesia medication. * Mentally incapable for consensual agreement of participation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain before procedure | Before cystoscopy | Pain measurement using a 0-10 visual analogue scale (VAS) and comparison of average pain score between the four study groups. |
| Pain during meatus insertion of cystoscope | During the procedure, at the moment of cystoscopy insertion through the urethra | Pain measurement using a 0-10 visual analogue scale (VAS) and comparison of average pain score between the four study groups. |
| Pain immediately after procedure | Immediately after withdrawal of the cystoscope from the urethra | Pain measurement using a 0-10 visual analogue scale (VAS) and comparison of average pain score between the four study groups. |
| Pain 15 minutes after procedure | 15 minutes after end of procedure | Pain measurement using a 0-10 visual analogue scale (VAS) and comparison of average pain score between the four study groups. |
Countries
Israel
Outcome results
None listed