A Prospective Randomized Controlled Trial of Irrigation 'Bag Squeeze' to Manage Pain for Patients Undergoing Flexible Cystoscopy
| Autor: | Alexandre R. Zlotta, Miran Kenk, Jason Y. Lee, Khaled Ajib, Antonio Finelli, Robert J. Hamilton, Zoe Glase, Karen Hersey, Neil Fleshner, Heidi Wagner, Girish S. Kulkarni, Katherine Lajkosz, JaimeOmar Herrera-Caceres, Mohamad Baker Berajoui, Yazan Qaoud, Ishan Aditya, Nathan Perlis |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Urology 030232 urology & nephrology Flexible cystoscopy Pain Procedural Single Center law.invention 03 medical and health sciences 0302 clinical medicine Double-Blind Method Randomized controlled trial law Humans Pain Management Medicine Prospective Studies Aged Pain Measurement Aged 80 and over Urinary bladder medicine.diagnostic_test business.industry Cystoscopy Middle Aged Dilatation Surgery Treatment Outcome medicine.anatomical_structure Saline Solution business |
| Zdroj: | Journal of Urology. 204:1012-1018 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1097/ju.0000000000001139 |
| Popis: | We determined if the "bag squeeze" technique decreases pain during flexible cystoscopy in men.This single center, prospective, double-blind, randomized controlled trial recruited 200 consenting participants who were ambulatory, outpatient males who had undergone prior cystoscopy and were not expected to require any secondary procedures. Men with prior urethral stricture or bladder neck contracture were excluded from study. Once eligibility was assessed and consent obtained, participants were randomized to undergo cystoscopy with the bag squeeze (group A) or the sham bag squeeze procedure (group B). Following cystoscopy, participants completed a pain questionnaire (visual analogue scale). Differences in mean pain score between groups were evaluated using Students' t-test with a 2-sided alpha of 0.05.A total of 200 patients were randomized and underwent flexible cystoscopy. Ten participants were ineligible because they required secondary procedures. Among the 190 eligible patients 97 were randomized to bag squeeze (group A) and 93 to sham bag squeeze (group B) with mean pain scores of 1.91 and 3.39, respectively (p0.005).This study demonstrated a clinically meaningful decrease in pain for men undergoing flexible cystoscopy when the irrigation bag squeeze technique was used vs placebo bag squeeze. Accordingly, this useful, simple and free method to improve patient comfort during flexible cystoscopy should be adopted by clinicians. |
| Databáze: | OpenAIRE |
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