PD30-03 MEATAL ANALGESIA – IS IT NECESSARY IN REDUCING PAIN DURING OFFICE CYSTOSCOPY IN FEMALES?

Abstract

INTRODUCTION AND OBJECTIVE: We examined whether meatal analgesia reduces pain level during cystoscopy in females. METHODS: Prospective, randomized cohort study, approved by local ethical committee for experiments in humans. Patients admitted for office cystoscopy were randomized to two groups: (1) cystoscopy following a five minute application of a pad soaked with lidocaine gel on the meatus; (2) cystoscopy similarly performed with a water based lubricant soaked pad. For all patients, a water soluble lubricant was applied on the cystoscope. A 0-10 visual analogue scale (VAS) pain score was recorded at following times: prior to examination, at meatal penetration, at examination termination and 15 minutes after termination of exam. Exclusion criteria included: meatal stenosis, known sensitivity to lidocaine or lubricant, urinary tract infection, chronic pain syndrome, known neurological disease, inability for informed consent and minors. Further sub-group analysis was performed comparing rigid (Wolf 17F) and flexible cystoscopy (Olympus 16F). RESULTS: 104 patients, age 63±13. Demographic and clinical parameters were non-significant between study groups. Average VAS score was 4.2±2.3 and 4.1±2.2 in groups 1 and 2, respectively (p=0.77). No difference of pain levels at end of exam (2.1±2.5 and 1.7±1.7, p=0.38) and 15 minutes after exam (0.3±1.0 and 0.5±0.5, p=0.34). In further sub-group analysis, no differences were seen comparing rigid to flexible cystoscopy (4.4±2.6 and 4.1±2.0, p=0.66). CONCLUSIONS: In females, meatal analgesia does not reduce pain levels during office cystoscopy. Source of Funding: None