Morbidity following cystoscopy: comparison of flexible and rigid techniques
| Autor: | Geoffrey D. Chisholm, I. G. Conn, J. E. Newsam, S. W. Denholm |
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| Rok vydání: | 1990 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Check cystoscopy Urology Anesthesia General medicine Humans General anaesthesia Prospective Studies General anaesthetic Prospective cohort study Aged Aged 80 and over Urinary bladder Local anaesthetic medicine.diagnostic_test business.industry Cystoscopy Middle Aged Patient Acceptance of Health Care Urination Disorders Endoscopy Surgery medicine.anatomical_structure Female business Anesthesia Local |
| Zdroj: | British journal of urology. 66(2) |
| ISSN: | 0007-1331 |
| Popis: | Recent reports on the value of local anaesthetic flexible cystoscopy have emphasised excellent tolerance and preference for the technique over general anaesthetic rigid cystoscopy. However, no study has yet compared the post-operative morbidity rates of these procedures. Tolerance, preference and post-operative symptoms in 100 patients undergoing local anaesthetic flexible cystoscopy were compared with those in 100 patients undergoing general anaesthetic rigid cystoscopy. On initial questioning, 89% of patients found flexible cystoscopy painless and 92% expressed a preference for the same procedure on a future occasion; 98 patients who underwent flexible cystoscopy and 87 who underwent rigid cystoscopy returned a questionnaire on symptoms 1 week after the procedure. The incidence of post-operative symptoms was 33% following flexible cystoscopy and 76% following rigid cystoscopy. Patients in both groups who were undergoing check cystoscopy had a lower incidence of morbidity than those undergoing cystoscopy for other reasons. The results suggest that flexible cystoscopy was well tolerated and preferred by most patients. The morbidity associated with the procedure was also significantly less than that associated with rigid cystoscopy under general anaesthesia. |
| Databáze: | OpenAIRE |
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