Journal of Reconstructive Urology

.: ORIGINAL RESEARCH
Distraction Reduces the Sensation of Pain on Flexible Cystoscopy: A Prospective Observational Study
Dikkatin Dağıtılması Fleksibl Sistoskopi Sırasında Ağrı Hissini Azaltır: Prospektif, Gözlemsel Bir Çalışma
Murat TÜKENa, Mithat EKŞİb, Yusuf ARIKANa, Osman ÖZDEMİRa, Deniz Noyan ÖZLÜa, Abdullah Hızır YAVUZSANc, Ahmet HACIİSLAMOĞLUa, Ali İhsan TAŞÇIa
aDepartment of Urology, University of Health Sciences Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, TURKEY
bClinic of Urology, Arnavutköy State Hospital, İstanbul, TURKEY
cDepartment of Urology, University of Health Sciences Hamidiye Şişli Etfal Training and Research Hospital, İstanbul, TURKEY
J Reconstr Urol. 2020;10(2):56-60
doi: 10.5336/urology.2020-77886
Article Language: EN
Full Text
ABSTRACT
 Objective: With the common use of flexible cystoscopy (FC), patients' comfort improved, and many procedures began to be performed under local anesthesia. Previous studies showed that explaining the steps in detail and the patients monitoring the procedure on the screen reduces the patients' anxiety and pain. We investigated the effect of monitoring of the procedure through the screen on the pain scores in patients undergoing FC. Material and Methods: The data of male patients who underwent FC under local anesthesia between March and July 2020 were prospectively collected. Patients who underwent FC without any distraction method included in Group 1. Patients who underwent FC with the real-time visualization by the screen which was placed so that the surgeon and patient both could see it and the patients could follow the entire procedure included in Group 2. After the procedure, the patients' pain score was measured using the Visual Analogue Scale (VAS). Results: Data of 112 male patients were analyzed. Group 1 consisted of 58 and Group 2 54 patients. The mean procedure time was 4.8±0.8 minutes and the mean VAS score was 3.8±2.2. While the VAS value measured after the procedure was found to be 3.2±2.2 in Group 2, it was 4.3±2 in Group 1 and a significant difference was detected between the two groups (p=0.011). Conclusion: In males, during the FC, informing the patient in detail and real-time visualization on the screen provides a significant decrease in the pain sensation.

Keywords: Urinary bladder; flexible cystoscopy; pain management
ÖZET
 Amaç: Fleksibl sistoskopi (FS) kullanımının yaygınlaşmasıyla, hastaların konforunda belirgin iyileşmeler sağlanmış, birçok işlem lokal anestezi altında gerçekleştirilmeye başlanmıştır. İşlemin aşamalarının hastaya detaylıca anlatılması ve hastanın işlemi ekrandan izlemesinin, hasta anksiyetesini ve ağrıyı belirgin azalttığı önceki çalışmalarda gösterilmiştir. Biz de bu çalışmamızda, FS uygulanan hastalarda ekran vasıtasıyla işlemi izlemenin ağrı skorları üzerindeki etkisini araştırmayı hedefledik. Gereç ve Yöntemler: Mart 2020 - Temmuz 2020 tarihleri arasında lokal anestezi altında FS uygulanan erkek hastaların verileri prospektif olarak incelendi. Herhangi bir dikkat dağıtma yöntemi kullanılmadan işlem gerçekleştirilen hastalar, Grup 1 olarak sınıflandırıldı. Ekranın, cerrahın ve hastanın tüm prosedürü izleyebileceği şekilde yerleştirildiği ve eş zamanlı görüntüleme ile FS işlemi uygulanan hastalar ise Grup 2 olarak sınıflandırıldı. İşlem sonrası hastanın ağrı skorlaması, Vizüel Analog Skala (VAS) kullanılarak ölçüldü. Bulgular: Toplam 112 erkek hastanın verileri incelendi. Grup 1 58, Grup 2 ise 54 hastadan oluşmaktaydı. Ortalama işlem süresi 4,8±0,8 dk ve ortalama VAS 3,8±2,2 olarak tespit edildi. Grup 2'de işlem sonrası ölçülen VAS değeri 3,2±2,2; Grup 1'de 4,3±2 olarak tespit edildi ve iki grup arasında anlamlı fark saptandı (p=0,011). Sonuç: Erkek hastalarda, FS sırasında hastaya işlemin detaylıca anlatılması ve işlem esnasında hastanın ekrandan işlemi eş zamanlı olarak izlemesi, hissedilen ağrı oranlarında belirgin azalma sağlamaktadır.

Anahtar Kelimeler: Mesane; fleksibl sistoskopi; ağrı yönetim
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