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Pain perception during outpatient cystoscopy: a prospective controlled study.

Gülen Yerlikaya1, Thomas Laml1, Ksenia Elenskaia1

  • 1Division of General Gynecology and Gynecologic Oncology, Medical University Vienna, Waehringer Guertel 18, 1090 Vienna, Austria.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
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Women undergoing cystoscopy reported more pain than those undergoing urodynamics. Patients in both groups anticipated greater pain than they actually experienced during these common urogynecologic procedures.

Keywords:
CystoscopyPain perceptionUrodynamic testingVisual analog scale

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Area of Science:

  • Urogynecology
  • Pain Perception Research
  • Diagnostic Procedures

Background:

  • Rigid cystoscopy is a common diagnostic tool for lower urinary tract symptoms but can cause distress.
  • Limited data exist on female pain perception during cystoscopy compared to males.
  • Urogynecologic patients undergo various diagnostic procedures, necessitating pain assessment.

Purpose of the Study:

  • To investigate pain perception in urogynecologic patients during cystoscopy.
  • To compare pain perception between cystoscopy and urodynamics.
  • To analyze the difference between anticipated and actual pain during these procedures.

Main Methods:

  • A non-randomized cohort study included 109 women with pelvic floor dysfunction.
  • Patients completed visual analog scales (VAS) for pain before and after cystoscopy or urodynamics.
  • Post-examination follow-up assessed pain and general health status.

Main Results:

  • Cystoscopy yielded a higher mean VAS pain score (1.9 cm) compared to urodynamics (1.2 cm) (p=0.03).
  • Patients in both groups significantly overestimated their post-procedure pain (p<0.01).
  • Anticipated pain was 2.7 cm for cystoscopy and 2.1 cm for urodynamics, versus actual pain of 1.9 cm and 1.2 cm, respectively.

Conclusions:

  • Cystoscopy is perceived as more painful than urodynamics by urogynecologic patients.
  • Patients tend to anticipate more pain from both procedures than they ultimately experience.
  • Understanding pain perception can help manage patient anxiety and improve procedural experience.