eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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abstract:
Original paper

Flexible cystoscopy can improve anxiety and subjective feelings of bladder cancer patients during follow-up

Jie Gao
1
,
Da-Wei Tian
1
,
Dian-Sheng Zhou
1
,
Chang-Li Wu
1

1.
Department of Urology, The Second Hospital of Tianjin Medical University, Hexi District, Tianjin, China
Videosurgery Miniinv
Online publish date: 2020/11/16
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Introduction
The effect of repeated cystoscopy on bladder cancer (BC) patient anxiety and feelings is rarely evaluated.

Aim
To compare the difference of patients’ anxiety and subjective feelings caused by different cystoscopes.

Material and methods
We prospectively included 192 BC patients who accepted regular cystoscopy follow-up after transurethral resection of bladder tumor (TURBT): 93 in the flexible group and 99 in the rigid group. The method of anesthesia and the order of examinations were consistent between different groups. We analyzed the anxiety level before cystoscopy, the maximum pain during the examination and the change of lower urinary tract symptoms (LUTS) before and after cystoscopy. Meanwhile, we analyzed the rate of gross hematuria and pyuria after cystoscopy. The anxiety and pain levels were evaluated by the Amsterdam Preoperative Anxiety and Information Scale (APAIS) and visual analogue scale (VAS). LUTS was reflected by the Core Lower Urinary Tract Symptom Score (CLSS). We distinguished gender during analysis.

Results
The median APAIS score of male patients undergoing flexible or rigid cystoscopy was 8 vs. 12 (p < 0.01), and this result for females was 8 vs. 9 (p = 0.048). The median pain scores for men in the two groups was 1 vs. 2 (p < 0.01), respectively, and this outcome in female patients was 0 vs. 1 (p < 0.01). Patients in the rigid group had more CLSS change (0 vs. 1, p < 0.01). There was no difference in pyuria or gross hematuria rate after examination. Analysis in respective groups showed that men have more severe pain than women, 1 vs. 0 (p = 0.001) in the flexible group and 2 vs. 1 (p = 0.009) in the rigid group.

Conclusions
A flexible cystoscope can improve anxiety and subjective feelings of BC patients during cystoscopy follow-up.

keywords:

bladder cancer, anxiety, lower urinary tract symptoms, non-muscle-invasive bladder cancer, flexible cystoscopy

  
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