Flexible Cystoscopy
Conditions
Brief summary
Flexible cystoscopy is routinely performed by urologists. Many patients have concerns to undergo this procedure and expect it to be unpleasant or even painful. Thus, reduction of pain and discomfort during cystoscopy is of great interest, but there is not sufficient evidence regarding the most appropriate conduct of cystoscopy. In this study the impact of lidocaine gel, patient counseling and monitoring regarding pain perception during flexible cystoscopy are investigated.
Interventions
10 ml 2% lidocaine gel is instilled with a syringe through the length of the urethra and kept in site at least 5 minutes prior the introduction of the cystoscope.
Patients receive a brochure in the waiting room explaining the procedure in details.
Patients are allowed to view and follow the procedure on a monitor connected to the cystoscope's camera.
10 ml plain lubrificant gel is instilled with a syringe through the length of the urethra and kept in site at least 5 minutes prior the introduction of the cystoscope.
Patients won't receive a brochure in the waiting room explaining the procedure in details.
Patients are not allowed to view and follow the procedure on a monitor connected to the cystoscope's camera.
Sponsors
Study design
Eligibility
Inclusion criteria
* Men 18 - 80 years * Given indication for flexible cystoscopy * Written informed consent
Exclusion criteria
* Allergy to amid anesthetics * Urinary tract infection * Use of analgesics in the previous 24 hours and chronic intake of analgesics * Dementia * Presence of a sensory disorder such as or spinal cord injury * Indwelling catheter carrier
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain based on a numeric rating scale | During flexible cystoscopy | The pain scale ranging from 0 (no pain) to 10 (worst possible pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain based on a numeric rating scale | Immediately before flexible cystoscopy | The pain scale ranging from 0 (no pain) to 10 (worst possible pain). |
| Pain based on a verbal rating scale | Immediately after flexible cystoscopy | The pain scale ranging from 0 (it was not unpleasant) to 5 (the investigation was almost unbearable). |
Countries
Switzerland