Clinical Trial: Trial Comparing Outpatient Flexible to Rigid Cystoscopy in Females
Study Status: Completed
Recruit Status: Completed
Study Type: Interventional
Official Title: Randomized Trial Comparing Outpatient Flexible to Rigid Cystoscopy in Females
Brief Summary: The primary purpose of this study to assess patient pain scores comparing rigid to flexible cystoscopy in females; to assess post procedural complications, including frequency, urgency, infection and time to resolution of these symptoms between the two procedures; to assess physician perception of patient pain or discomfort with flexible or rigid cystoscopy.
Detailed Summary: This will be a prospective randomized trial study in order to determine to compare rigid and flexible cystoscopy in female patients. Patients will be recruited from OU Physicians Pelvic and Bladder Health clinic. Patients receive an information leaflet describing the procedure prior to their appointment. All procedures are performed by the attending physician. Procedures performed by residents and/or fellows are excluded from this study. The vulva is cleaned with antiseptic solution and 10 ml of Xylocaine 2% is be instilled into the urethra before the endoscope was introduced. A 16 F flexible cysto urethroscope (Storz, Culver city, CA) is used for flexible cystoscopy. When rigid cystoscopy is performed, a 17F, 70° scope (Storz, Culver city, CA) is used to enable optimal visualization of the lateral bladder wall in those with previous continence surgeries. The investigator may choose to use a 30° scope when appropriate. Cystoscopy is commenced by recording a postvoid residual ensuring appropriate bladder emptying prior to filling. Filling is performed with continuous saline infusion until the maximum tolerated capacity or 300 ml. (whichever was reached first). A standard systematic approach was adopted to ensure global assessment of the vesical surface. This included the bladder dome, the bladder neck, bladder trigone, sidewalls and ureteral orifices. The urethroscopy portion of the procedure is performed last. When performing rigid cystoscopy, a 0° degree lens is used for this portion of the procedure.
Sponsor: University of Oklahoma
Current Primary Outcome: To assess patient pain scores comparing rigid to flexible cystoscopy in females. [ Time Frame: July 2011 ]
Original Primary Outcome: Same as current
Current Secondary Outcome:
- To assess post procedural complications, including frequency, urgency, infection and time to resolution of these symptoms between the two procedures. [ Time Frame: July 2011 ]
- To assess physician perception of patient pain or discomfort with flexible or rigid cystoscopy. [ Time Frame: July 2011 ]
Original Secondary Outcome: Same as current
Information By: University of Oklahoma
Dates:
Date Received: July 22, 2009
Date Started: July 2009
Date Completion:
Last Updated: October 29, 2013
Last Verified: October 2013
