Midazolam anesthesia during rigid and flexible cystoscopy

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Song, Yun Seob; Song, Eun Seop; Kim, Kong Jo; Park, Young Ho; Ku, Ja Hyeon
Issue Date
Urol Res. 2007 Jun;35(3):139-42. Epub 2007 Apr 6.
AdolescentAdultAgedAged, 80 and overAnesthetics, Intravenous/adverse effects/*therapeutic useCystoscopes/adverse effectsCystoscopy/adverse effects/*methodsFemaleHumansMaleMidazolam/adverse effects/*therapeutic useMiddle AgedPain/*drug therapy/etiologyPain Measurement
The objective of this study was to investigate the usefulness and safety of midazolam-induced anesthesia for cystoscopy. From September 2005 to March 2006, 80 patients scheduled for regular outpatient follow-up cystoscopy participated in this study. The patients were randomized and classified according to the cystoscope type and midazolam use as follows: group 1 (10 men and 10 women), flexible cystoscopy + midazolam; group 2 (10 men and 10 women), flexible cystoscopy + no midazolam; group 3 (10 men and 10 women), rigid cystoscopy + midazolam; and group 4 (10 men and 10 women), rigid cystoscopy + no midazolam. Immediately after the procedure, the patients were asked to rate their comfort level using a ten-point visual linear analog self-assessment pain scale. The patients assigned in the midazolam group experienced no side-effects from the midazolam. Blood pressure and pulse rate did not change significantly during the procedure. The degree of pain experienced by group 1 was lower than other groups (P < 0.05) and group 4 had a significantly greater pain score than other groups (P < 0.05). No difference was evident between group 2 and 3 regarding the pain score. Midazolam anesthesia may relieve pain during rigid and flexible cystoscopy. Our findings suggest that midazolam anesthesia during cystoscopy is useful and safe.
0300-5623 (Print)
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College of Medicine/School of Medicine (의과대학/대학원)Urology (비뇨기과학전공)Journal Papers (저널논문_비뇨기과학전공)
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