Flexible V/S Rigid Cystoscopy In Men With Urinary Tract Infection

Study Overview
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Brief Summary
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The objective of this study is to perform a randomized study, comparing the outcomes of the above two types of cystoscopy in terms of discomfort experienced by the patient, while undergoing the procedure.

Detailed Description
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Cystoscopy is a commonly performed routine outpatient procedure and an essential diagnostic tool in urology.Compared with flexible endoscopes, rigid instruments offer better image quality, a wider lumen of the working channel, improved irrigant flow and superior handiness. However, flexible cystoscopes provide more options for patient positioning, enable smooth passage over an elevated bladder neck or median lobe, facilitate full inspection of the bladder because of their movable tip and, what is most important is it significantly improve patient comfort(patient can be positioned in any comfortable position).

Official Title
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Randomized Controlled Study To Evaluate The Outcomes Between Rigid And Flexible Cystoscopy In Men With Lower Urinary Tract Symptoms Undergoing Diagnostic Cystoscopy

Conditions
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Lower Urinary Tract Symptoms

Intervention / Treatment
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* Diagnostic Test: Diagnostic Flexible Cystosocpy
* Diagnostic Test: Diagnostic Rigid Cystoscopy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients with lower urinary tract symptoms Exclusion Criteria: patients with Suprapubic catheter History of radical prostatectomy or cystoprostatectomy Clinical evidence of urethral stricture, prostatitis Patients with bacterial growth on urine culture

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Flexible Cystoscopy<br>Diagnostic flexible cystoscopy for the patients in this arm | Diagnostic Test: Diagnostic Flexible Cystosocpy<br>* Endoscopic Visualization of the Lower Urinary tract using either a flexible cystoscope for the purpose of aiding the establishment of a Urological Diagnosis.<br>|
| Active Comparator: Rigid Cystoscopy<br>Diagnostic rigid cystoscopy is done for the patients in this arm | Diagnostic Test: Diagnostic Rigid Cystoscopy<br>* Endoscopic Visualization of the Lower Urinary tract using either a rigid cystoscope for the purpose of aiding the establishment of a Urological Diagnosis.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Post Procedure Discomfort | Discomfort experienced immediately post procedure by the patient defined as a Visual Analogue Scale score of more than 3 (range is from 1 to 10) | periprocedure | 
| Duration of Procedure | time taken to complete the entire test in minutes starting from insertion of the cystoscope through the urethral meatus, visualising the entire bladder and urethra , till the removal of the scope after making the observations. | periprocedure | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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UTI, flexible cystosocpy, rigid cystoscopy, BPH