A comparison of anticipated pain before and pain rating after the procedure in patients who undergo cystourethroscopy.

Abstract:

OBJECTIVE:The purpose of this study was to compare anticipated pain before the procedure and actual pain rating after the procedure in female patients who undergo cystourethroscopy. STUDY DESIGN:Eighty-seven consecutive female patients completed a 10-cm visual analog pain scale before and after cystourethroscopy. A 24F urethroscope was used initially to inspect the urethra and was followed by a systematic survey of the bladder with a 17F cystoscope that was lubricated with 2% lidocaine gel. The visual analog pain scale scores were evaluated for significance with the use of the Student t test and the Pearson correlation coefficient. RESULTS:Visual analog pain scale analysis demonstrated a mean anticipated pain score of 3.75 cm before the procedure versus a mean pain rating score of 2.83 cm after the procedure (P <.05). Neither a history of previous cystoscopy (visual analog pain scale score, 3.03 vs 2.30 cm; P =.18) nor talking with someone about the procedure beforehand (visual analog pain scale score, 2.74 vs 2.89 cm; P =.76) influenced the lower pain rating after the procedure. There was no significant correlation between age, parity, body mass index, or presence of pelvic organ prolapse and anticipated or realized pain perception. CONCLUSION:Patients who undergo cystourethroscopy consistently anticipate higher degrees of discomfort than they actually perceive during the procedure.

journal_name

Am J Obstet Gynecol

authors

Ellerkmann RM,Dunn JS,McBride AW,Kummer LG,Melick CF,Bent AE,Blomquist JL

doi

10.1067/mob.2003.377

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

66-9

issue

1

eissn

0002-9378

issn

1097-6868

pii

S0002937803003314

journal_volume

189

pub_type

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