Comparing Patient and Doctor Views of Pain During Bladder Camera Test

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adult men who need a diagnostic flexible cystoscopy (a camera look into the bladder) under local anesthesia for a urologic reason. It compares the pain patients report with the doctor's view of that pain.

Age

18 years or older

Sex

Men only

Main reasons for not taking part

• Female patients
• Younger than 18 years
• Known urethral stricture
• Urethral stricture found during the cystoscopy
• Cannot tolerate flexible cystoscopy with local anesthesia

The registry criteria, word for word

What the trial wants to find out

Cystoscopy with local anesthesia is commonly performed for the follow-up of bladder cancer, evaluation of hematuria, assessment of urethral strictures, and examination of the lower urinary tract. While some patients tolerate the procedure comfortably, others may exhibit heightened sensitivity and difficulty tolerating it. In certain cases, even when the procedure is completed, the level of pain experienced and the resistance demonstrated by the patient may render cystoscopy a challenging experience for both the patient and the physician. The physician's perception of the patient's pain may differ from the pain reported by the patient. Currently, there is no available data in the literature regarding the relationship between pre-procedural anxiety and depression levels and the pain experienced during cystoscopy, nor regarding the physician's perception of that pain. The primary objective of the study is to compare the patient-reported pain score with the physician's perception of the pain experienced by the patient. A secondary objective is to evaluate the pre-procedure anxiety and depression scores, along with intra-procedural pain scores, in patients undergoing flexible cystoscopy under local anesthesia.

The 4 groups in the trial

• Assistant Urology Doctor (2 years)Treatment being tested

  Intervention: Diagnostic Flexible Cystoscopy Other Names: Flexible Cystoscopy, Cystoscopy Arm Description: The procedure will be performed by an Assistant Urology Doctor with 2 years of experience. The goal is to evaluate the patient's pain perception during diagnostic flexible cystoscopy.

  Treatment: Diagnostic procedures and Flexible Cystoscopy

• Assistant Urology Doctor (4 years)Treatment being tested

  Intervention: Diagnostic Flexible Cystoscopy Other Names: Flexible Cystoscopy, Cystoscopy Arm Description: The procedure will be performed by an Assistant Urology Doctor with 4 years of experience. The goal is to evaluate the patient's pain perception during diagnostic flexible cystoscopy.

  Treatment: Diagnostic procedures and Flexible Cystoscopy

• Specialist Urology Physician (<5 years experience)Treatment being tested

  Experimental: Specialist Urology Physician (\<5 years experience) Intervention: Diagnostic Flexible Cystoscopy Other Names: Flexible Cystoscopy, Cystoscopy Arm Description: The procedure will be performed by a Specialist Urology Physician with less than 5 years of experience. The goal is to evaluate the patient's pain perception during diagnostic flexible cystoscopy.

  Treatment: Diagnostic procedures and Flexible Cystoscopy

• Specialist Urology Physician (>5 years experience)Treatment being tested

  Experimental: Specialist Urology Physician (\>5 years experience) Intervention: Diagnostic Flexible Cystoscopy Other Names: Flexible Cystoscopy, Cystoscopy Arm Description: The procedure will be performed by a Specialist Urology Physician with more than 5 years of experience. The goal is to evaluate the patient's pain perception during diagnostic flexible cystoscopy.

  Treatment: Diagnostic procedures and Flexible Cystoscopy