Post Procedure Effects of Diagnostic Rigid Cystoscopy PC08-PC11
Dr. Ashesh Kumar Jha,
Flat-55, Plot-44, Vasundhara Apartment, Sector-9, Rohini-110085, Delhi, India.
Introduction: Cystoscopy is an important diagnostic tool in the field of urology. It may be performed with either rigid or flexible endoscopes. However, post procedure complications are more commonly observed after rigid cystoscopy.
Aim: To assess the post procedure effects and complications of diagnostic rigid cystoscopy.
Materials and Methods: This prospective observational study consisted of 150 patients, who underwent diagnostic cystoscopy. Evaluation of these subjects included evaluation of anxiety and apprehension by Global Anxiety-Visual Analogue Scale (GA-VAS), pain assessment by Visual Analogue Scale (VAS), evaluation of lower urinary tract symptoms by International Prostate Symptom Score (IPSS), erectile dysfunction by Erectile Dysfunction Intensity Score (EDIS), health performance by ECOG or WHO or Zubrod score and quality of life by Short Form health survey with 36 questionnaire (SF-36). Evaluation of these parameters was done before the commencement of the procedure and was repeated on day 1, day 2 and after two weeks.
Results: As per GA-VAS score assessed in our study, females were found to be more anxious. The mean baseline VAS was 0.52Â±2.18. Females had more post procedure pain than males. Following cystoscopy, the change in the mean of average urine flow showed a slight improvement on day 1 and day 2, and it was found to be statistically significant (p<0.001, p=0.016). Urine infection rate, change in IPSS and EDIS were not significant before and after the procedure. The change in the value of SF-36 score before and after cystoscopy was not found to be significant.
Conclusion: Cystoscopy has a minor impact on quality of life of the patient; mental component being affected more than the physical component. Considering the usefulness of rigid cystoscopy, it should be liberally performed, whenever indicated, as it has only minor impact on the quality of life.