Discomfort and relieving factors among patients with bladder cancer undergoing office-based cystoscopy

•Among 394 respondents with bladder cancer, cystoscopy was associated with moderate to severe discomfort in 52%•Respondents who reported moderate to severe discomfort were more likely to describe their most recent cystoscopy discomfort as worse than prior and interested in planning discomfort mitiga...

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Published in:Urologic oncology 2022-01, Vol.40 (1), p.9.e19-9.e27
Main Authors: Kukreja, Janet Baack, Schroeck, Florian R., Lotan, Yair, Gore, John L., Ullman, Ralph, Lipman, Robert R., Murray, Mary Beth Ballard, Chisolm, Stephanie, Smith, Angela B.
Format: Article
Language:English
Subjects:
Aged
Anxiety - epidemiology
Anxiety - etiology
Bladder cancer
Cross-Sectional Studies
Cystoscopy
Cystourethroscopy
Female
Humans
Male
Middle Aged
Office Visits
Pain
Patient-reported outcomes
Self Report
Urinary Bladder Neoplasms - pathology
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Summary:•Among 394 respondents with bladder cancer, cystoscopy was associated with moderate to severe discomfort in 52%•Respondents who reported moderate to severe discomfort were more likely to describe their most recent cystoscopy discomfort as worse than prior and interested in planning discomfort mitigation for cystoscopy with their provider•Gender was the only factor independently associated with discomfort, with women reporting less discomfort than men•Patients report a wide and diverse range of cystoscopy-specific interventions with a range of perceived effectiveness, the most common being intraurethral lidocaine To evaluate the degree of discomfort among patients with bladder cancer undergoing office-based cystoscopy and identify factors and interventions that influence discomfort and anxiety. We conducted a survey of the Bladder Cancer Advocacy Network Patient Survey Network (BCAN PSN) to investigate the degree of discomfort associated with office-based cystoscopy and prevalence of interventions used to reduce discomfort. All patients had undergone at least one previous cystoscopy. Bivariable and multivariable logistic regression were used to identify factors associated with moderate-to-severe cystoscopy discomfort. Among 488 BCAN PSN respondents (50% response rate), 392 responded with demographic data and discomfort score. Cystoscopy was associated with moderate-to-severe discomfort in 52% of patients. Respondents who reported moderate-to-severe discomfort were more likely to describe their most recent cystoscopy discomfort as worse than prior (P
ISSN:1078-1439
1873-2496
DOI:10.1016/j.urolonc.2021.05.009