COMPARISON OF PAIN, QUALITY OF LIFE, LOWER URINARY TRACT SYMPTOMS AND
SEXUAL FUNCTION BETWEEN FLEXIBLE AND RIGID CYSTOSCOPY IN FOLLOW-UP MALE
PATIENTS WITH NON MUSCLE INVASIVE BLADDER CANCER: A RANDOMIZED
CONTROLLED CROSS SECTION SINGLE BLIND STUDY
Abstract
Objectives: To compare pain, quality of life(QoL), sexual function and
lower urinary tract symptoms(LUTS) between rigid(RC) and flexible
cystoscopy(FC). Methods: Forty-one patients who were planned control
cystoscopies were enrolled the study. At the first cystoscopy, 20
patients(Group 1) and other 21 patients(Group 2) were performed by using
flexible(15,5Fr) and rigid cystoscope(15,5Fr), respectively. At the
second cystoscopies, the patients in group 1 and group 2 were performed
by using rigid and flexible cystosacope, respectively. In all the
patients, pain was measured with visual pain scale(VPS) shortly after
cystoscopy. Also SF, QoL and LUTS were assessed by using IIEF, SF-36 and
MLUTS forms, respectively. Results: While 22 of the patients preferred
FC, the other 19 preferred RC(p>0,05). There were no
statistically differences between VPS, IIEF, SF-36 and MLUTS scores of
the two groups. In multivariate analysis regarding quality of life,
although sexual function, pain and cystoscopy type did not affect QoL,
voiding symptoms affected independently QoL. After the both cystoscopy
type, IIEF, SF-36 and MLUTS scores did not change statistically.
Conclusion: The results showed that the effects on pain, sexual
function, QoL and LUTS of RC and FC were similar. In general, cystoscopy
did not affect negatively on QoL, sexual function and LUTS of the
patients.