[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-213024-en":3,"doc-seo-213024-105":29,"detail-sidebar-cat-0-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":11,"language":21,"language_code":22,"site_id":23,"html_lang":22,"table_of_contents":24,"faqs":25,"seo_title":26,"seo_description":14,"update_tm":27,"read_time":28},213024,962084925782,"Chloe Bennett","https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc",7,"Healthcare","Overactive Bladder (OAB) Symptoms in Patients Undergoing Flexible Cystoscopy","Objective: measure changes in overactive bladder (OAB) symptoms in patients undergoing flexible cystoscopy in the early postoperative period using the validated OAB-V8 tool. Patients and methods: a prospective, cross-sectional, observational study (July 2022–June 2023) at Aga Khan University Hospital included adults undergoing diagnostic or surveillance flexible cystoscopy under local anesthesia; OAB-V8 was assessed before cystoscopy and on postoperative days 1 and 4. Results: OAB-V8 scores increased by day 1, then decreased by day 4; de-novo OAB symptoms emerged transiently. Conclusion: awake flexible cystoscopy frequently triggers early and temporary OAB symptoms.","Review began 05/30/2024  \nReview ended 06/24/2024  \nPublished 06/27/2024  \n© Copyright 2024  \nKhan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.63289  \nOpen Access Original Article  \nOveractive Bladder (OAB) Symptoms in Patients Undergoing Flexible Cystoscopy  \nRafiullah Khan 1 , Syed M. Nazim 1 , Shahid Iqbal 2  \n1. Surgery, Aga Khan University Hospital, Karachi, PAK 2. Medicine, Medical College, Aga Khan University, Karachi, PAK  \nCorresponding author: Rafiullah Khan, [rafiullah.rk@gmail.com](rafiullah.rk@gmail.com)  \nAbstract  \nObjective: The objective is to measure the change in overactive bladder (OAB) symptoms in patients undergoing flexible cystoscopy in the early postoperative period using a validated OAB-V8 tool.  \nPatients and methods: It was a prospective, cross-sectional, observational study conducted by a section of Urology at the Aga Khan University Hospital, Karachi. The total duration of the study was 12 months (July 2022 to June 2023) . All adult patients who underwent flexible cystoscopy under local anesthesia for diagnostic and surveillance purposes were included in the study. OAB symptoms were evaluated using the validated eight-item OAB-V8 tool just before the cystoscopy and on postoperative days 1 and 4 . Patients were categorized as either OAB-negative (\u003C8) or OAB-positive (≥8) based on their sum scores. Mean sum scores of different variables and OAB subdomains were assessed.  \nResults: Sixty-three patients were included in the final analysis with a predominantly male population. The mean pre-cystoscopy (screen) score was 7.46 + 5 .58, which increased to 9.89 + 6 .82 on day 1 (p\u003C0 .01) before decreasing back to 7.68 + 5 .7 on day 4 (p=0 .08) . Twenty-one patients (33 .3%) were labeled OAB positive on day 0. Following cystoscopy, this number increased to 32 patients (50 .8%) as 11 patients (26 .2 %) developed de-novo OAB symptoms. The sub-group analysis showed an insignificant impact of age (p=0 .5), gender (p=0 .51), indication (p=0 .22), and use of alpha-blocker (p= 0 .30) on change in OAB score.  \nConclusion: OAB symptoms are frequently encountered in patients undergoing awake (flexible) cystoscopy. This procedure can also trigger de novo OAB symptoms, albeit transiently, which typically resolve over time. This information could help in patient counseling, management, and the need for intervention in the future.  \nCategories: Urology  \nKeywords: oab-v8 score, luts, flexible cystoscopy, oab, overactive bladder  \nIntroduction  \nCystoscopy stands as a pivotal endo-urological procedure and diagnostic tool for examining the urinary bladder via the urethra [1] . Studies indicate that both rigid and flexible cystoscopies are well-tolerated and safe for patients. However, flexible cystoscopy tends to induce less discomfort in comparison, regardless of gender [2,3] . Patients may experience symptoms such as urgency, frequency, dysuria, hematuria, and occasional urinary incontinence post-cystoscopy [4] .  \nDefined by the International Continence Society (ICS), overactive bladder (OAB) encompasses symptoms like urinary urgency, with or without urgency incontinence, often coupled with frequency and nocturia [5] . Various patient-reported outcome questionnaires have been introduced to screen for OAB and assess symptom severity, including the Bladder Assessment Tool (BAT), Overactive Bladder Symptom Score (OABSS), and Overactive Bladder Questionnaire (OAB-V8) [6] . The OAB-V8 is a patient-reported outcome questionnaire that measures the degree of bother from four symptoms related to OAB, i.e., urinary frequency, urgency, nocturia, and urge incontinence on a 6-point Likert scale ranging from 0 (not at all) to 5 (a very great deal) with a maximum possible score of 40 [7] . Malde et al. t","cbCaijO1xgV2sT70","https://ap.wps.com/l/cbCaijO1xgV2sT70","pdf",134388,1,"English","en",105,"# Abstract\n## Objective\n## Patients and methods\n## Results\n## Conclusion\n# Introduction\n## Cystoscopy and symptom burden\n## OAB definitions and measurement\n## Rationale for the study\n# Materials and Methods\n## Study design and ethics\n## Participants and procedure","[{\"question\":\"What was the primary objective of the study?\",\"answer\":\"To measure changes in overactive bladder (OAB) symptoms after flexible cystoscopy in the early postoperative period using the validated OAB-V8 tool.\"},{\"question\":\"How were OAB symptoms assessed and when were they measured?\",\"answer\":\"OAB-V8 scores were recorded just before cystoscopy and again on postoperative days 1 and 4 using the eight-item, patient-reported tool.\"},{\"question\":\"What did the results show about OAB symptoms after flexible cystoscopy?\",\"answer\":\"OAB-V8 scores increased on day 1 and then decreased by day 4. The proportion of OAB-positive patients rose after cystoscopy, and de-novo OAB symptoms occurred in a subset of patients.\"}]","Overactive Bladder (OAB) Symptoms in Patients Undergoing Flexible Cystoscopy | PDF",1788752557,18,{"code":4,"msg":30,"data":31},"ok",{"site_id":23,"language":22,"slug":32,"title":13,"keywords":33,"description":14,"schema_data":34,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":27},"overactive-bladder-oab-symptoms-in-patients-undergoing-flexible-cystoscopy","",{"@graph":35,"@context":85},[36,53,68],{"@type":37,"itemListElement":38},"BreadcrumbList",[39,43,47,50],{"item":40,"name":41,"@type":42,"position":20},"https://docshare.wps.com","Home","ListItem",{"item":44,"name":45,"@type":42,"position":46},"https://docshare.wps.com/document/","Document",2,{"item":48,"name":12,"@type":42,"position":49},"https://docshare.wps.com/document/healthcare/",3,{"item":51,"name":13,"@type":42,"position":52},"https://docshare.wps.com/document/overactive-bladder-oab-symptoms-in-patients-undergoing-flexible-cystoscopy/213024/",4,{"url":51,"name":13,"@type":54,"author":55,"headline":13,"publisher":57,"fileFormat":60,"inLanguage":22,"description":14,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":40,"name":58,"@type":59},"DocShare","Organization","application/pdf","2026-09-11","2026-09-07",true,{"@type":65,"interactionType":66,"userInteractionCount":20},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What was the primary objective of the study?","Question",{"text":75,"@type":76},"To measure changes in overactive bladder (OAB) symptoms after flexible cystoscopy in the early postoperative period using the validated OAB-V8 tool.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"How were OAB symptoms assessed and when were they measured?",{"text":80,"@type":76},"OAB-V8 scores were recorded just before cystoscopy and again on postoperative days 1 and 4 using the eight-item, patient-reported tool.",{"name":82,"@type":73,"acceptedAnswer":83},"What did the results show about OAB symptoms after flexible cystoscopy?",{"text":84,"@type":76},"OAB-V8 scores increased on day 1 and then decreased by day 4. The proportion of OAB-positive patients rose after cystoscopy, and de-novo OAB symptoms occurred in a subset of patients.","https://schema.org",{"og:url":51,"og:type":87,"og:title":13,"og:site_name":58,"og:description":14},"article",{"robots":89,"canonical":51},"index,follow",{"doc_id":7,"site_id":23},{"code":4,"msg":5,"data":92},[93,97,101,105,110,115,118,123,128,131,135],{"id":20,"doc_module":4,"doc_module_name":45,"category_name":94,"show_sort_weight":95,"slug":96},"Story & Novel",90,"story-novel",{"id":46,"doc_module":4,"doc_module_name":45,"category_name":98,"show_sort_weight":99,"slug":100},"Literature",80,"literature",{"id":52,"doc_module":4,"doc_module_name":45,"category_name":102,"show_sort_weight":103,"slug":104},"Exam",70,"exam",{"id":106,"doc_module":4,"doc_module_name":45,"category_name":107,"show_sort_weight":108,"slug":109},5,"Comic",60,"comic",{"id":111,"doc_module":4,"doc_module_name":45,"category_name":112,"show_sort_weight":113,"slug":114},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":45,"category_name":12,"show_sort_weight":116,"slug":117},40,"healthcare",{"id":119,"doc_module":4,"doc_module_name":45,"category_name":120,"show_sort_weight":121,"slug":122},8,"Research & Report",30,"research-report",{"id":124,"doc_module":4,"doc_module_name":45,"category_name":125,"show_sort_weight":126,"slug":127},9,"Religion & Spirituality",20,"religion-spirituality",{"id":126,"doc_module":4,"doc_module_name":45,"category_name":129,"show_sort_weight":126,"slug":130},"World Cup","world-cup",{"id":132,"doc_module":4,"doc_module_name":45,"category_name":133,"show_sort_weight":132,"slug":134},10,"Lifestyle","lifestyle",{"id":136,"doc_module":4,"doc_module_name":45,"category_name":137,"show_sort_weight":106,"slug":138},19,"General","general"]