E-Posters-Phenazopyridine Use For Office Cystoscopy: A Randomized Controlled Trial

Phenazopyridine Use For Office Cystoscopy: A Randomized Controlled Trial - Emily Von Bargen, DO

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This study was a single-blind randomized controlled trial conducted at an outpatient female pelvic medicine and reconstructive surgery clinic. The objective of the study was to determine if the administration of phenazopyridine, an analgesic used for the treatment of dysuria, aids in the visualization of ureteral efflux during office cystoscopy and decreases the total cystoscopy time. <br /><br />A total of 92 women were enrolled in the study, with 45 allocated to receive phenazopyridine and 47 allocated to the control group. The two groups were similar in terms of age, history of bladder surgery, renal disease, and fluid intake before cystoscopy. <br /><br />The primary outcome of the study was the time from the start of cystoscopy to visualization of bilateral ureteral efflux. The secondary outcomes included total cystoscopy time, time to visualization of the first single ureteral efflux, quality of bladder visualization, and patient-reported discomfort during cystoscopy. <br /><br />The study found that there was no significant difference in the time to visualization of bilateral ureteral efflux between the phenazopyridine group and the control group. Similarly, there was no significant difference in the total cystoscopy time or the quality of bladder visualization between the two groups. Patient-reported discomfort was also similar in both groups. <br /><br />In conclusion, the administration of phenazopyridine before office cystoscopy did not improve visualization of ureteral efflux, decrease cystoscopy time, or reduce patient-reported discomfort. The study suggests that phenazopyridine may not be beneficial in the context of office cystoscopy.

Keywords

single-blind randomized controlled trial

outpatient clinic

female pelvic medicine

reconstructive surgery

phenazopyridine

dysuria treatment

visualization of ureteral efflux

office cystoscopy

total cystoscopy time

patient-reported discomfort