Cystoscopy Real-Time Self-Visualization and Its Impact in Patient's Pain Perception

Journal of Endourology
Daniel A González-PadillaFélix Guerrero-Ramos

Abstract

To determine if self-visualization of ambulatory cystoscopy provides a decrease in pain perception in male and female patients. A quasi-randomized controlled trial involving patients scheduled for ambulatory cystoscopy from August to November 2017. The indications were: hematuria, bladder cancer surveillance, lower urinary tract symptoms, and incontinence. The patients were quasi-randomized into two groups by scheduled date. Both groups received the same explanation before and during cystoscopy. The variables analyzed were gender, age, Visual Analog Scale (VAS) score, number of previous cystoscopies, and indication and positivity of the test for bladder neoplasia. All patients were analyzed by group and gender separately. The statistical tests used were: Wilcoxon rank-sum, Kruskal-Wallis, Mann-Whitney U test, Pearson correlation, and linear regression. Four hundred four patients were included (318 males and 86 females) and divided into two groups, group A (no self-visualization, n = 239) and group B (self-visualization, n = 165). In males, mean VAS score was 2.6 for group A and 2.5 for group B (p = 0.276); in females, VAS score was 2.78 for group A and 1.64 for group B (p = 0.008). Regarding the remaining variables analyzed, ne...Continue Reading

References

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Citations

Oct 4, 2020·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Elif GezginciEmine Iyigun

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