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Is bladder tumour fulguration under local anaesthesia more painful than cystoscopy only?
- Source :
-
Scandinavian journal of urology [Scand J Urol] 2020 Aug; Vol. 54 (4), pp. 277-280. Date of Electronic Publication: 2020 Jun 16. - Publication Year :
- 2020
-
Abstract
- Objectives: To prospectively register self-reported pain levels associated with office cystoscopy with or without bladder tumour biopsy and fulguration. Patients and methods: During a 15-month period, patients examined with cystoscopy under local anaesthesia graded their pain level using the Visual Analogue Scale (VAS). All patients were examined in the lithotomy position and lidocaine gel was used in all. A bladder instillation or a submucosal injection of lidocaine was given mainly in patients treated with extirpation of larger tumours. Results: The pain perception was graded by the patients as none (VAS = 0) or mild (VAS = 1-3) in 86% of the 1,314 cystoscopies. Fewer patients (65% out of 258) reported VAS 0-3 when cystoscopy with biopsy and fulguration of bladder tumour was performed. More than 97% of all patients stated that they would prefer treatment under local anaesthesia in the case of a future recurrence. Conclusion: The VAS-scores after diagnostic cystoscopy are in accordance with those previously reported, with the absolute majority reporting no or mild pain. Patients treated with extirpation of bladder tumours reported higher levels of pain but still within acceptable limits. This confirms the potential of treating most patients with small-sized bladder tumour recurrences under local anaesthesia.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Biopsy
Diagnostic Self Evaluation
Female
Humans
Male
Middle Aged
Pain Measurement
Pain, Procedural diagnosis
Pain, Procedural prevention & control
Prospective Studies
Urinary Bladder Neoplasms pathology
Young Adult
Anesthesia, Local
Anesthetics, Local administration & dosage
Cystoscopy adverse effects
Electrocoagulation adverse effects
Lidocaine administration & dosage
Pain, Procedural etiology
Urinary Bladder Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 2168-1813
- Volume :
- 54
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Scandinavian journal of urology
- Publication Type :
- Academic Journal
- Accession number :
- 32543963
- Full Text :
- https://doi.org/10.1080/21681805.2020.1776768