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The Effect of Preemptive Analgesia On The Comfort Of Patient and Doctor, in Cystoscopy

Phase 4
Conditions
Benign Prostate Hyperplasia
Hematuria
Bladder Cancer
Pain
Lower Urinary Tract Symptoms
Interventions
Device: Cystoscopy
Drug: Lubricant Gel
Registration Number
NCT03831321
Lead Sponsor
Taha Uçar
Brief Summary

The study was designed as a prospective, randomized double-blind placebo controlled trial. According to power analysis in regards of previous studies in the literature with diclofenac sodium, using a total of 144 patients are needed for Power: 80% and Efficacy: 0.05. diclofenac (20 mg) and placebo drugs to be used in the study will be numbered 1 and 2 individually. Patient randomization was performed using random.org in 144 patients. On the day of cystoscopy, the patient randomized according to inclusion criteria will be given a medication package corresponding to the number given in randomization. It will not be known by the staff and cystoscopy will be performed by the physician who does not know which package is an effective drug.

Parameters:

1. Visual Pain Score during cystoscopy

2. Cystoscopy comfort - a questionnaire to be filled by the doctor

1. Excellent

2. Very good

3. Good

4. Bad

5. Too bad

3. Cystoscopy: Is it efficient? Not efficient? - Will be answered by the doctor.

Post-Op:

1. 1st hour Visual Analog Pain Scale inquiry, dysuria, frequency

2. 24th Hour dysuria, Frequency,

A total of 144 patients, we plan to arrive at the end of 1 month.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Male
Target Recruitment
144
Inclusion Criteria
  • Accepted to participate
  • 18-70 years old
  • Men
Exclusion Criteria
  1. Previous peptic ulcer
  2. Gastro intestinal bleeding in advance
  3. Renal failure
  4. Liver failure
  5. Patients who underwent cystoscopy for taking or inserting Double J stents 6 - Drug allergies

7- Patients under 18 8- Patients receiving antiaggregant and antiplatelet therapy 9- Patients who do not agree to participate in the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Diclofenac groupCystoscopyThe group who are 50 mg Diclofenac Sodium and lubricant gel administered one hour before cystoscopy and local
Diclofenac groupLubricant GelThe group who are 50 mg Diclofenac Sodium and lubricant gel administered one hour before cystoscopy and local
PlaceboCystoscopyThe group who are not administered 50 mg Diclofenac Sodium before cystoscopy and administered lubricant gel just before local cystoscopy
PlaceboLubricant GelThe group who are not administered 50 mg Diclofenac Sodium before cystoscopy and administered lubricant gel just before local cystoscopy
Diclofenac groupDiclofenac SodiumThe group who are 50 mg Diclofenac Sodium and lubricant gel administered one hour before cystoscopy and local
Primary Outcome Measures
NameTimeMethod
Assesment for operational pain1 minute

All the patients will be assessed with Visual pain scale during cystoscopy procedure Scale is a well know pain assesment form which is ranged between 0 to 10 points and higher scores mean worse pain.

Secondary Outcome Measures
NameTimeMethod
Assesment of qualification of cystoscopy1 minute

It is subjective. It will be made by a question which will be answered by blind operator.

The operator will choose one of the answers which are "adequate or not adequate".

Assesment of doctors comfort for the procedure(cystoscopy)1 minute

It is subjective, It will made by a question which will be graded by the blind operator.

The operator will choose one of the 5 answers. Scoring system will be range 1 to 5 and higher scores mean worse results.

Trial Locations

Locations (1)

Medeniyet University

🇹🇷

Istanbul, Outside U.S./Canada, Turkey

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