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Randomized Controlled Trial
. 2017 Mar;26(3):625-634.
doi: 10.1007/s11136-016-1493-1. Epub 2017 Jan 3.

How different cystoscopy methods influence patient sexual satisfaction, anxiety, and depression levels: a randomized prospective trial

Wojciech Krajewski  1 , Katarzyna Kościelska-Kasprzak  2 , Joanna Rymaszewska  3 , Romuald Zdrojowy  4
Affiliations
Randomized Controlled Trial

How different cystoscopy methods influence patient sexual satisfaction, anxiety, and depression levels: a randomized prospective trial

Wojciech Krajewski et al. Qual Life Res. 2017 Mar.

Abstract

Purpose: Bladder cancer (BC) is one of the most common cancers worldwide. BC diagnosis and surveillance is based on cystoscopy (CS). CS impact on patient's depression, anxiety, and sexual satisfaction (SS) is not sufficiently studied. There are no data on patient's comfort with flexible or rigid CS.

Methods: We prospectively evaluated pain perception (PP), depression, anxiety, and SS of 100 male patients who previously underwent at least one rigid CS in our department as surveillance after TURB procedure due to non-muscle-invasive BC and were scheduled for the next CS examination. The patients were randomized for flexible or rigid CS. Before CS, patients described their recalled rigid CS-related pain by NRS and fulfilled HADS and SS questionnaires. After CS, PP was re-evaluated immediately and HADS and SS within 7-10 days following the CS.

Results: The baseline scores include 5.2 ± 2.6 points for rigid CS recalled pain, 7.2 ± 3.0 points for HADS anxiety, 5.8 ± 3.5 for depression, and 27.8 ± 5.1 for SS. The flexible CS-related pain was approximately three times lower than the recalled pain level and also than the current rigid CS related (p < 0.001). Mean SS score was two points lowered after rigid CS (p < 0.001). One point decrease in anxiety level was observed after flexible CS (p < 0.001). Multivariate analysis supported the hypothesis of patients benefiting from flexible CS in terms of pain perception, anxiety symptoms, and SS.

Conclusions: Our study demonstrates the superiority of flexible CS in terms of pain alleviation, and shifts in SS and anxiety levels.

Keywords: Anxiety; Bladder cancer; Cystoscopy; Depression; Pain; Sexual satisfaction.

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Conflict of interest statement

The authors declare that they have no conflict of interest. Ethical approval All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent Informed consent was obtained from all individual participants included in the study.

References

    1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2016. C CA: A Cancer Journal for Clinicians. 2016;66(1):7–30. - PubMed
    1. Siesling S, Louwman WJ, Kwast A, van den Hurk C, O’Callaghan M, Rosso S, Zanetti R, Storm H, Comber H, Steliarova-Foucher E, Coebergh JW. Uses of cancer registries for public health and clinical research in Europe: Results of the European Network of Cancer Registries survey among 161 population-based cancer registries during 2010–2012. European Journal of Cancer (Oxford, England: 1990) 2015;51(9):1039–1049. doi: 10.1016/j.ejca.2014.07.016. - DOI - PubMed
    1. Clayman RV, Reddy P, Lange PH. Flexible fiberoptic and rigid-rod lens endoscopy of the lower urinary tract: A prospective controlled comparison. The Journal of Urology. 1984;131(4):715–716. - PubMed
    1. Walker L, Liston TG, RW L L-D. Does flexible cystoscopy miss more tumours than rod-lens examination? British Journal of Urology. 1993;72(4):449–450. doi: 10.1111/j.1464-410X.1993.tb16175.x. - DOI - PubMed
    1. Krajewski W, Zdrojowy R, Wojciechowska J, Koscielska K, Dembowski J, Matuszewski M, Tupikowski K, Malkiewicz B, Kolodziej A. Patient comfort during flexible and rigid cystourethroscopy. Wideochir Inne Tech Maloinwazyjne. 2016;11(2):94–97. - PMC - PubMed

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