A Prospective Randomized Controlled Trial of Irrigation “Bag Squeeze” to Manage Pain for Patients Undergoing Flexible Cystoscopy
2020; Lippincott Williams & Wilkins; Volume: 204; Issue: 5 Linguagem: Inglês
10.1097/ju.0000000000001139
ISSN1527-3792
AutoresMohamad Baker Berjaoui, Ishan Aditya, Jaime O. Herrera‐Cáceres, Yazan Qaoud, Katherine Lajkosz, Khaled Ajib, Zoe Glase, Heidi Wagner, Karen Hersey, Miran Kenk, Robert J. Hamilton, Girish S. Kulkarni, Alexandre R. Zlotta, Jason Y. Lee, Nathan Perlis, Antonio Finelli, Neil Fleshner,
Tópico(s)Cerebrospinal fluid and hydrocephalus
ResumoNo AccessJournal of UrologyAdult Urology1 Nov 2020A Prospective Randomized Controlled Trial of Irrigation "Bag Squeeze" to Manage Pain for Patients Undergoing Flexible Cystoscopyis corrected byA Prospective Randomized Controlled Trial of Irrigation "Bag Squeeze" to Manage Pain for Patients Undergoing Flexible Cystoscopy. Erratum Mohamad Baker Berjaoui, Ishan Aditya, JaimeOmar Herrera-Caceres, Yazan Qaoud, Katherine Lajkosz, Khaled Ajib, Zoe Glase, Heidi Wagner, Karen Hersey, Miran Kenk, Robert J. Hamilton, Girish S. Kulkarni, Alexandre R. Zlotta, Jason Y. Lee, Nathan Perlis, Antonio Finelli, and Neil E. Fleshner Mohamad Baker BerjaouiMohamad Baker Berjaoui *Correspondence: E-mail Address: [email protected]. Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Ishan AdityaIshan Aditya University of Toronto, School of Medicine, Toronto, Ontario, Canada , JaimeOmar Herrera-CaceresJaimeOmar Herrera-Caceres Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Yazan QaoudYazan Qaoud Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Katherine LajkoszKatherine Lajkosz Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Khaled AjibKhaled Ajib Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Zoe GlaseZoe Glase Department of Neurosciences, Carleton University, Ottawa, Ontario, Canada , Heidi WagnerHeidi Wagner Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Karen HerseyKaren Hersey Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Miran KenkMiran Kenk Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Robert J. HamiltonRobert J. Hamilton Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Girish S. KulkarniGirish S. Kulkarni Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Alexandre R. ZlottaAlexandre R. Zlotta Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Jason Y. LeeJason Y. Lee Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Nathan PerlisNathan Perlis Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , Antonio FinelliAntonio Finelli Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada , and Neil E. FleshnerNeil E. Fleshner Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada View All Author Informationhttps://doi.org/10.1097/JU.0000000000001139AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined if the "bag squeeze" technique decreases pain during flexible cystoscopy in men. Materials and Methods: This single center, prospective, double-blind, randomized controlled trial recruited 200 consenting participants who were ambulatory, outpatient males who had undergone prior cystoscopy and were not expected to require any secondary procedures. Men with prior urethral stricture or bladder neck contracture were excluded from study. Once eligibility was assessed and consent obtained, participants were randomized to undergo cystoscopy with the bag squeeze (group A) or the sham bag squeeze procedure (group B). Following cystoscopy, participants completed a pain questionnaire (visual analogue scale). Differences in mean pain score between groups were evaluated using Students' t-test with a 2-sided alpha of 0.05. Results: A total of 200 patients were randomized and underwent flexible cystoscopy. Ten participants were ineligible because they required secondary procedures. Among the 190 eligible patients 97 were randomized to bag squeeze (group A) and 93 to sham bag squeeze (group B) with mean pain scores of 1.91 and 3.39, respectively (p <0.005). Conclusions: This study demonstrated a clinically meaningful decrease in pain for men undergoing flexible cystoscopy when the irrigation bag squeeze technique was used vs placebo bag squeeze. Accordingly, this useful, simple and free method to improve patient comfort during flexible cystoscopy should be adopted by clinicians. REFERENCES 1. : Prospective multi-institutional study analyzing pain perception of flexible and rigid cystoscopy in men. 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Editor's Note: This article is the fourth of 5 published in this issue for which category 1 CME credits can be earned. Instructions for obtaining credits are given with the questions on pages 1104 and 1105. © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsRelated articlesJournal of Urology1 Apr 2022A Prospective Randomized Controlled Trial of Irrigation "Bag Squeeze" to Manage Pain for Patients Undergoing Flexible Cystoscopy. Erratum Volume 204Issue 5November 2020Page: 1012-1018 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.Keywordshematuriaurinary bladder neoplasmsurinary bladderpaincystoscopyMetricsAuthor Information Mohamad Baker Berjaoui Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada *Correspondence: E-mail Address: [email protected]. More articles by this author Ishan Aditya University of Toronto, School of Medicine, Toronto, Ontario, Canada More articles by this author JaimeOmar Herrera-Caceres Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Yazan Qaoud Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Katherine Lajkosz Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Khaled Ajib Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Zoe Glase Department of Neurosciences, Carleton University, Ottawa, Ontario, Canada More articles by this author Heidi Wagner Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Karen Hersey Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Miran Kenk Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Robert J. Hamilton Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Girish S. Kulkarni Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Alexandre R. Zlotta Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Jason Y. Lee Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Nathan Perlis Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Antonio Finelli Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Neil E. Fleshner Division of Urology, Department of Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada More articles by this author Expand All No direct or indirect commercial, personal, academic, political, religious or ethical incentive is associated with publishing this article. Editor's Note: This article is the fourth of 5 published in this issue for which category 1 CME credits can be earned. Instructions for obtaining credits are given with the questions on pages 1104 and 1105. Advertisement PDF downloadLoading ...
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