Tolerabilidad del paciente durante la cistoscopia y la cauterización de tumores vesicales en consulta: análisis multivariante de los factores de riesgo |
| |
| Institution: | 1. Department of Urology, Yale University, New Haven, Connecticut, Estados Unidos;2. Urologic Oncology, Memorial Physician Group, Division of Urology, Memorial Healthcare System, Aventura, Florida, Estados Unidos;1. Unidad de Endourología y Litiasis, Servicio de Urología, Complejo Hospitalario Universitario de Santiago de Compostela, A Coruña, España;2. Unidad de Cirugía Ambulatoria, Servicio de Anestesia y Reanimación, Complejo Hospitalario Universitario de Santiago de Compostela, A Coruña, España;1. Departamento de Urología, Fundación Puigvert, Universidad Autónoma de Barcelona, Barcelona, España;2. Departamento de Oncología, División de Urología, Universidad de Turín, San Luigi Gonzaga Hospital, Orbassano, Turín, Italia;3. Departamento de Urología, APHM, North Academic Hospital, Marseille, Francia;4. Departamento de Urología, La Croix du Sud Hôpital, Quint Fonsegrives, Francia;5. Departamento de Urología, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italia;1. Departamento de Endocrinología y Nutrición, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Hospital Universitario Ramón y Cajal, Madrid, España;2. Departamento de Urología, Hospital Universitario Ramón y Cajal, Madrid, España;3. Departamento de Anatomía Patológica, Hospital Universitario Ramón y Cajal, Madrid, España;4. Departamento de General y Cirugía Digestiva, Hospital Universitario Ramón y Cajal, Madrid, España;5. Departamento de Anestesia, Hospital Universitario Ramón y Cajal, Madrid, España;6. Departamento Oncología Médica, Hospital Universitario Ramón y Cajal , Madrid, España;1. Department of Urology, Hospital Clínico San Carlos, Madrid, España;2. Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Madrid, España;1. Departamento de Urología y Trasplante Renal, Hospital Universitari Vall d’Hebron, Barcelona, España;2. Universistat Autònoma de Barcelona, Barcelona, España |
| |
| Abstract: | ObjectiveCystoscopy and cauterization performed in the operating room is expensive and exposes patients to anesthesia risks. Patient tolerability during office cystoscopy and cauterization is critical to the office management of bladder cancer and other urologic diseases. We evaluated the risk factors for pain of flexible cystoscopy in the office-setting with emphasis on a sub-group of bladder cancer patients who underwent cauterization.Materials and methodsRetrospective analyses of 110 anonymous patient surveys completed after cystoscopy and/or cauterization. Survey information included age, gender, purpose of cystoscopy, number of prior cystoscopies, prior number of office-cauterizations, anxiety prior/during cystoscopy, and pain during cystoscopy and/or cauterization. Univariate/multivariate and linear-regression analyses were performed to evaluate the association of pain with clinical parameters.ResultsAverage pain during cystoscopy (1.75 ± 1.331) was not significantly different when cauterization was also performed (2.37 ± 2.214) (P < .001) (P = .2840). Patients in the lower age group (< 66 years) indicated higher anxiety (P = .0005), more pain at cystoscopy (P = .004) and cauterization (P < .001). Although the patient's overall anxiety level was low (1–3/10), it was associated with some pain during cystoscopy (P = .0005) and cauterization (P < .000). In multivariate analysis, anxiety was the only independent predictor of pain during cystoscopy (P = .03, OR: 6.52, 95%CI: 1.2-35.6) and cauterization (P = .0012, OR: 3.4, 95%CI: 1.6-7.0). In bladder cancer patients, pain scores during cystoscopy and cauterization were not significantly different (P = .4772) but associated with anxiety.ConclusionOffice cystoscopy and cauterization are tolerable with minimal pain. Higher pain during the cystoscopy was associated with procedure anxiety, and pain during cauterization was associated with procedure anxiety and younger age. Younger and more anxious patients may need more counseling before cystoscopy. |
| |
| Keywords: | Tolerability Cystoscopy Bladder cancer Cauterization Office management |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
