Bülent AKDOĞAN, Haluk ÖZEN, Serdar YÜKSEL, Çelik TAŞAR, Barbaros BAŞESKİOĞLU, Ekrem İSLAMOĞLU

Fleksible ve Rijid Sistoskopinin Hayat Kalitesi, Ağrı Skoru ve Alt Üriner Sistem Semptomları Üzerine Etkisi: Prospektif Randomize Bir Çalışma

Amaç: Fleksible ve rijid sistoskopinin; hayat kalitesi, ağrı skorlaması ve alt üriner sistem semptomları üzerine etkilerini karşılaştırmak. Gereç ve Yöntemler: Mesane tümörü öyküsü olan 168 hasta, prospektif olarak fleksible ve rijid sistoskopi kollarına randomize edildi. Yaşam kalitesi değerlendirmesi için, sistoskopi öncesinde ve bir hafta sonrasında kanser spesifik bir modül kullanıldı. Beklenen ve yaşanan ağrı, işlem öncesinde ve hemen sonrasında görsel bir analog skala ile kaydedildi. Alt üriner sistem semptomları, prosedürden önce ve prosedürden 2,7 ve 30 gün sonra Uluslararası Prostat Semptom Skoru ile değerlendirildi. Bulgular: Çalışmaya katılan 168 hastadan, 140’ı uygun bulunarak değerlendirildi. Sırasıyla, 69 ve 71 hasta fleksible ve rijid kollardandı. İşlem sonrası yaşanan ortalama ağrı skorları, fleksible kol için rijid kola kıyasla anlamlı derecede düşüktü sırasıyla, 2,57 ± 1,83 ve 4,48 ± 2,18, p

Anahtar Kelimeler:

Hayat kalitesi, Fleksible sistoskopi, Ağrı, Alt üriner sistem semptomları

The Effect of Flexible and Rigid Cystoscopy on Quality of Life, Pain Perception and Lower Urinary Tract Symptoms: A Prospective Randomized Study

Objective: To compare the effects of flexible and rigid cystoscopy on quality of life, pain perception and lower urinary tract symptoms.Material and Methods: A total of 168 patients with bladder tumor history were prospectively randomized to flexible and rigid cystoscopy arms. For the quality of life assessment, a cancer specific module was administered just before and one week after cystoscopy. The expected and experienced pain was recorded by a visual analogue scale before and immediately after the procedure. Lower urinary tract symptoms were assessed using the International Prostate Symptom Score before and 2, 7 and 30 days after the procedure. Results: Of the 168 patients, 140 were eligible for the study and responded to the questionnaires. Of these, 69 and 71 patients were from the flexible and rigid arms, respectively. The mean visual analogue scale scores after the procedure were significantly lower for the flexible arm compared to the rigid arm 2.57±1.83 and 4.48±2.18, respectively, p

Keywords:

Quality of life, Flexible cystoscopy, Pain, Lower urinary tract symptoms,

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