Comparison of propofol and ketamine-midazolam for cystoscopy: A randomized trial with clinical economic analyses

Lertakyamanee, Jariya

doi:10.1016/s0966-6532(98)00059-6

Cited by 1 publication

(2 citation statements)

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“…They found no significant decrease in pain perception with or without topical anesthesia, which suggests that the use of lidocaine gel is of no benefit in routine rigid cystoscopy. On the other hand, some authors suggest intravenous anesthesia for UCS [8]. Nevertheless, approximately 11 ml of 2% lignocaine gel instilled slowly in the urethra 15 min prior to the procedure is suggested in most studies [3,[14][15][16].…”

Section: Discussionmentioning

confidence: 99%

“…Various clinical trials have been conducted to improve patient tolerance of this inevitable but painful and discomforting procedure [4][5][6][7]. Intraurethral instillation of anesthetic gel was introduced for topical urethral anesthesia, and the use of anesthetics became a widely accepted approach to make rigid cystoscopy more tolerable [8]. Quality of life (QoL) has been recognized as a relevant issue for health care, but there is no consensus as to what it means and how QoL should be measured.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Pain Caused by Urethrocystoscopy in Patients with Superficial Bladder Cancer: A Perspective of Quality of Life

Müezzinoğlu

Ceylan²,

Temeltaş³

et al. 2005

Oncol Res Treat

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Aim: The aim of this study is to evaluate patients’ tolerance to pain caused by urethrocystoscopy (UCS) in both diagnosis and the period of follow-up in patients with superficial bladder cancer, and to evaluate these results with respect to quality of life. Patients and Methods: Between March 2003 and October 2004, 66 patients with bladder cancer or hematuria underwent UCS and recorded their overall pain level. Results: The mean age was 60.4 (range 26-83) years. UCS was done only one time in 22 patients for the diagnosis of etiology of hematuria and was done 4 times in 44 patients every 3 months for bladder cancer follow-up. The mean pain scores on first, second, third, and fourth UCS were 4.3±2.2, 4.7±2.5, 4.68±2.45, and 5.1±2.5, respectively. Statistically significant differences were found among mean pain scores of patients on first, third, and forth cystoscopic examinations (p < 0.05). No correlation was found between age and pain scores in this study group (p > 0.05). Conclusion: UCS is a painful surgical procedure and pain tolerance was not observed on repeated UCS. Therefore urologists need to use more effective anesthetic methods to provide better patients’ tolerance to pain and quality of life during the endoscopic procedure.

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