Flexible Cystoscopy Findings in Patients Investigated for Profound Lower Urinary Tract Symptoms, Recurrent Urinary Tract Infection, and Pain

2012 ◽  
Vol 26 (11) ◽  
pp. 1468-1472 ◽  
Author(s):  
Sarah Howles ◽  
Heidi Tempest ◽  
Gemina Doolub ◽  
Richard J. Bryant ◽  
Freddie C. Hamdy ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Recurrent Urinary Tract Infection ◽  
Flexible Cystoscopy ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

scholarly journals Randomised Controlled Study to Evaluate the Outcomes between Rigid and Flexible Cystoscopy in Men with Lower Urinary Tract Symptoms Undergoing Diagnostic Cystoscopy

2021 ◽  
Vol 10 (12) ◽  
pp. 888-893
Author(s):  
Gaurish Sawant ◽  
Pawan Lal ◽  
Jagdeep Yadav ◽  
Lovenish Kumar ◽  
Rahul Saini ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Controlled Study ◽  
Flexible Cystoscopy ◽  
Post Procedure ◽  
Urinary Tract Symptoms ◽  
Flexible Cystoscope ◽  
The Mean ◽  
Lower Urinary

BACKGROUND Cystoscopy is a commonly performed routine outpatient procedure and an essential diagnostic tool in urology. It may be performed using either rigid or flexible cystoscopes. From the clinical perspective, it might appear that flexible cystoscopy causes less discomfort than rigid cystoscopy, but remarkably head-to- head comparisons of these two devices are sparse. We wanted to compare rigid cystoscopy with flexible cystoscopy in men with lower urinary tract symptoms (LUTS), in terms of the post-procedure outcomes defined as discomfort / pain experienced by the patient using the visual analogue score (VAS) scoring and duration of the procedure. METHODS A total of 60 male patients with LUTS were randomised to flexible and rigid cystoscopy groups (N = 30 each group). Cystoscopy was done using appropriate rigid and flexible cystoscope. Post procedure, patient was assessed with VAS scaling for pain. The duration of the procedure and any post-procedure discomfort and complication were also noted. RESULTS The mean age of patients of flexible cystoscopy group was comparable to that of a rigid cystoscopy group (39.43 ± 11.45 vs. 41.7 ± 10.8, P = 0.433). The mean duration (minutes) for flexible cystoscopy was significantly less than that of rigid cystoscopy (8.53 ± 1.81 vs. 9.77 ± 2.14, P = 0.019). The mean VAS score for flexible cystoscopy was significantly less than that of rigid cystoscopy (2.57 ± 0.97 vs. 3.97 ± 1.1, P < 0.0001). There was no significant difference between groups in terms of diagnosis (P = 0.796). Post-procedure complications were also comparable between the two groups. CONCLUSIONS Flexible cystoscopy caused less pain and discomfort as compared to rigid cystoscopy. Duration of procedure was also less for the flexible cystoscope. KEY WORDS Cystoscopy, Flexible Cystoscopy, Lower Urinary Tract Symptoms, Pain, Rigid Cystoscopy

scholarly journals Effect of Kegel Exercises on The Recurrence of Lower Urinary Tract Infection in Multiparty

2020 ◽  
Vol 1 (4) ◽  
pp. 10
Author(s):  
Engy A. R. Khamis ◽  
Eman Abdelaziz ◽  
Ghada Hemdan
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Lower Urinary Tract ◽  
Recurrent Urinary Tract Infection ◽  
Study Group ◽  
Lower Urinary Tract Infection ◽  
Kegel Exercises ◽  
Significant Difference ◽  
Lower Urinary

Context: Urinary problems are common in females, affecting approximately one-third of adult women. Multiple deliveries Reduced pelvic floor strength affects the bladder function because the bladder does not completely empty, leaving a 'pool' of urine, which can lead to recurrent urinary infection. Kegel exercises are the most widely used method for strengthening muscles in the pelvic floor. Patients can do them at any time, anywhere, while doing other work and without regular visits to hospitals. Aim: The study aims to assess the effects of Kegel Exercises on the recurrence of Lower Urinary Tract Infection in Multiparty. Methods: A convenience sample of 100 patients suffer from recurrent urinary tract infection (UTI) and (Multiparty) had more than three normal deliveries, assigned randomly and alternatively into two equal groups, 50 in each. The first group (control group) received standard hospital nursing care. The second group (study group) taught Kegel exercises. Outcome measurements included the use of UTI Symptoms Assessment Questionnaire, administered pre and two months post regular Kegel exercises, to assess the severity and bothersome of the most frequently reported symptoms of UTI. Results: Regarding the degree of symptoms for urinary tract infection in the first visit, the majority of patients in both groups had a maximum degree of symptoms. Regarding all symptoms, the patient suffering from frequency, urgency of urination, pain or burning when passing urine, inability to empty the bladder completely, pain or uncomfortable pressure in lower abdomen/pelvic area, low back pain, and blood in urine with a non-statistically significant difference between both groups. On the other hand, in the second visit, there was a statistically significant difference between patients who received hospital care and study group who practice Kegel exercise regarding all symptoms. There was a statistically significant difference between both groups regarding the severity of urinary tract infections. Conclusion:  Women with recurrent urinary tract infection symptoms exhibit self-reported cure or improvement of urinary tract infection symptoms after the regular performance of Kegel exercises. Applying educational sessions by nurses is recommended for females after normal delivery and caesarian section delivery.

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