Clinical Observation Of Cystoscopy Between Electronic Flexible Cystoscope And Traditional Cystoscope

Objective: To compare the comfort,postoperative pyuria rate and detection rate of cystoscopy with electronic fiber flexible cystoscope and bladder hard cystoscope at multiple angles.Methods: Patients who underwent TURBT after the outpatient clinic were randomly divided into two groups: The soft group included 93 patients,including 64 males and 29 females;the hard group included 99 patients,67 males and 32 females..The CLSS scores of each patient before and after the examination(within 24 hours)were collected and the change values were calculated.The maximum pain score during the cystoscopy,the presence of gross hematuria at 24 hours after the examination,and the preoperative anxiety score of Amsterdam before the examination.The urine leucocyte was counted 3 days after the cystoscopy examination.The differences in comfort and postoperative pyuria rate between the two types of cystoscopes were analyzed.At the same time,the difference of the detection rate of Narrow band imaging(NBI)mode and white light mode was observed during the cystoscopy examination.Results: The overall age of the sample was 66.5 ± 13.4 years.The age of males in the hard group and the flexible group were 65.8±14.4 years old and 67.2±12.3 years old,P=0.418.The ages of the hard group and the flexible group were 65.6±11.4 years old and 62.0±15.4 years old,respectively,P=0.239.There were no statistical differences in the overall sample and age,gender,smoking,diabetes,hypertension,tumor grade,and prostate hyperplasia in males.The change in CLSS of the two groups was 0.34±0.71,1.25±1.58,and the P value was ?0.The changes in CLSS scores of the two groups were 0.25±0.67,1.38±1.58,and P?0.The CLLS change values of male and female in the hard group were compared,P=0.598;the CLLS change values of male and female in the flexible group were compared,P=1.The male pain scores were 1.06±0.85,2.14±1.06,and P=0,respectively.The pain scores of the two groups were 0.5±0.72,1.55±0.71,P=0.Pain was compared between male and female in both groups.The ratio of hematuria in men in the hard group and the flexible group was 52.5% and 31.3%,P=0.006;the ratio of hematuria in women in the hard group and the flexible group was 57.5% and 12.5%,P?0.The male anxiety scores of the hard and flexible groups were 11.44±4.01,8.86±2.80,P?0,respectively.The female anxiety scores of the hard and flexible groups were 10.35±3.99,8.75±3.68,and P=0.07,respectively.The anxiety scores of male and female in the hard group were compared,P=0.156;the anxiety scores of male and female in the flexible group were compared,P=0.415.In the flexible group,28 tumor tissues were detected in white light mode,and 44 in NBI mode.At the office.The NBI mode increases the detection rate by 21%.Multivariate analysis found no association between postoperative cystoscopy and patient age,gender,smoking,high blood pressure,diabetes,microscopic hematuria,and cystoscopy examination.Conclusion: Patients in the electronic flexible group have more advantages in preoperative anxiety level,lower urinary tract symptoms,pain level,and gross hematuria.Electron fiber flexible cystoscope NBI mode can improve tumor detection rate,but there is no advantage in postoperative pyuria.