{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T08:21:16Z","timestamp":1785313276780,"version":"3.55.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n            <jats:title>Introduction:<\/jats:title>\n            <jats:p>In the field of urology, cystoscopy is one of the most common operations. A rigid cystoscope was used for each cystoscopy in this investigation. Given its dual function as a lubricant and local anesthetic, topical lignocaine gel is the most often utilized agent. However, there is currently no established protocol that evaluates the patient\u2019s tolerance to lignocaine gel alone or in conjunction with tramadol throughout the treatment.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods:<\/jats:title>\n            <jats:p>\n              It was a prospective comparative observational study with 200 male participants, conducted at the department of urology, a tertiary care hospital. Male patients who came for rigid cystoscopy were divided into 2 groups. In Group A (\n              <jats:italic>n<\/jats:italic>\n              \u2009=\u2009100) 10\u2009ml 2% lignocaine gel and in group B (\n              <jats:italic>n<\/jats:italic>\n              \u2009=\u2009100) 1\u2009ml tramadol (50\u2009mg) solution added to +10\u2009ml 2% lignocaine gel and it was instilled transurethrally 10\u2009min before the procedure respectively in both groups at room temperature. The patient\u2019s tolerance during the procedure was assessed using Visual Analog Score (VAS) score.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>\n              In Group A and Group B there was no significant difference between the groups in terms of age (\n              <jats:italic>p<\/jats:italic>\n              \u2009=\u20090.393). There was a significant difference in terms of VAS score (\n              <jats:italic>p<\/jats:italic>\n              \u2009=\u2009&lt;\u20090.001), with the median Score being lower in the Lignocaine gel\u2009+\u2009tramadol group and higher when lignocaine gel\u2009+\u2009tramadol used among patients with Diabetes mellitus.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>The instillation of lignocaine gel in conjunction with tramadol in urethra could decrease pain perception during the procedure except in people with diabetes mellitus, hence make men undergoing rigid cystoscopy more comfortable during the procedure there by increase diagnostic and therapeutic outcome.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1177\/03915603251316703","type":"journal-article","created":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T04:35:41Z","timestamp":1739162141000},"page":"401-405","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Patient tolerance during rigid cystoscopy: An observational study comparing lignocaine hydrochloride gel and tramadol with lignocaine"],"prefix":"10.1177","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0394-0570","authenticated-orcid":false,"given":"Kumar Rajiv","family":"Ranjan","sequence":"first","affiliation":[{"name":"Department of Urology, IPGME&amp;R-SSKM Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuryappilly Venugopal","family":"Vishnu Sankar","sequence":"additional","affiliation":[{"name":"Department of Urology, IPGME&amp;R-SSKM Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8929-0961","authenticated-orcid":false,"given":"Debansu","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Department of Urology, IPGME&amp;R-SSKM Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilip Kumar","family":"Pal","sequence":"additional","affiliation":[{"name":"Department of Urology, IPGME&amp;R-SSKM Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,10]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1","volume-title":"StatPearls","author":"Engelsgjerd JS","year":"2023","unstructured":"Engelsgjerd JS, Deibert CM. Cystoscopy. In: NIH StatPearls: StatPearls Publishing 2023; 1\u20135."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.11.007"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2015.01.007"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2009.70.10.44626"},{"issue":"11","key":"e_1_3_3_6_2","article-title":"Pain assessment using the NIH Toolbox","volume":"80","author":"Cook KF","year":"2013","unstructured":"Cook KF, Dunn W, Griffith JW, et al. Pain assessment using the NIH Toolbox. Neurology 2013; 80(11 Suppl 3): S49\u201353.","journal-title":"Neurology"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.08417.x"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/089277901750299366"},{"issue":"1","key":"e_1_3_3_9_2","first-page":"55","article-title":"Pain during rigid cystoscopy: a prospective randomized controlled study comparing the benefit of cooled and room temperature lignocaine gel","volume":"13","author":"Bhomi KK","year":"2011","unstructured":"Bhomi KK, Rizal S, Pradhan M, et al. Pain during rigid cystoscopy: a prospective randomized controlled study comparing the benefit of cooled and room temperature lignocaine gel. Nepal Med Coll J 2011; 13(1): 55\u201357.","journal-title":"Nepal Med Coll J"},{"issue":"1","key":"e_1_3_3_10_2","first-page":"74","article-title":"Comparison of pain intensity between lidocaine gel and intrauretral tramadol with lidocaine gel in the DJ stent removal","volume":"28","author":"Wijayanto C","year":"2021","unstructured":"Wijayanto C, Soebadi C, Djatisoesanto DMW, Comparison of pain intensity between lidocaine gel and intrauretral tramadol with lidocaine gel in the DJ stent removal. Indo J Urol 2021; 28(1): 74\u201378.","journal-title":"Indo J Urol"}],"container-title":["Urologia Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603251316703","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03915603251316703","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603251316703","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T13:33:59Z","timestamp":1753450439000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03915603251316703"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,10]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1177\/03915603251316703"],"URL":"https:\/\/doi.org\/10.1177\/03915603251316703","relation":{},"ISSN":["0391-5603","1724-6075"],"issn-type":[{"value":"0391-5603","type":"print"},{"value":"1724-6075","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,10]]}}}