Bladder Ca, Bladder Stone, Hematuria, Urologic Diseases
Conditions
Brief summary
This research is about modification during routine cystoscopy (scope in the bladder) procedure \[ experimental research \]. The goal of the study is to evaluate patient experience with cystoscopy by using procedural modification to reduce pain perception. The investigator aim for quality improvement of the current methods of cystoscopy to achieve a better patient experience.
Detailed description
Study Area -Department of Urology, Hospital Universiti Sains Malaysia. Study population. -Patient who is required for flexible cystoscopy procedure attending Urology Unit in Hospital USM Participants Inclusion Criteria : • Adult (\>18 years old) Exclusion criteria: * Analgesic use within 24hours * History of stricture ,urinary tract infection, existing urethral pain * Secondary procedure(example stent, stone removal, fulguration) Withdrawal Criteria * Change of mind * Found to be outside the parameters of inclusion criteria, and inside the parameters of exclusion criteria * Breach of Protocol
Interventions
PROCEDUREInstruction to urinate
Cystoscopy procedure will be done based on cystoscopy protocol. During scope procedure, patient will be ask to urinate and this will lead to contraction of urinary bladder and relaxation of external urethral sphincter. Scope will then pass through external urethral sphinter and go to the urinary bladder
Sponsors
Universiti Sains Malaysia
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* age more 18 years old
Exclusion criteria
* Analgesic use within 24hours * History of stricture ,urinary tract infection, existing urethral pain * Secondary procedure(exp stent, stone removal, fulguration)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 1)To determine the efficacy of the act of urination in reducing patient urethral pain during flexible cystoscopy procedure. | During cystoscopy procedure | To determine the efficacy of the act of urination , we will use visual analogue score (VAS) , subjective assessment for assessing the patient pain score. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 2)To determine the association between the act of urination with relaxation of external urethral sphincter during flexible cystoscopy procedure. | During cystoscopy procedure | We will use electromyography (EMG) as objective assessent to determine association between act of urination and relaxation of external urethral sphinter. |
Countries
Malaysia
Contacts
Primary ContactMUNAWWAR ADNAN DR, MD
Outcome results
None listed