The Effect of Preemptive Analgesia On The Comfort Of Patient and Doctor, in Cystoscopy

The study was designed as a prospective, randomized double-blind placebo controlled trial. According to power analysis in regards of previous studies in the literature with diclofenac sodium, using a total of 144 patients are needed for Power: 80% and Efficacy: 0.05. diclofenac (20 mg) and placebo drugs to be used in the study will be numbered 1 and 2 individually. Patient randomization was performed using random.org in 144 patients. On the day of cystoscopy, the patient randomized according to inclusion criteria will be given a medication package corresponding to the number given in randomization. It will not be known by the staff and cystoscopy will be performed by the physician who does not know which package is an effective drug. Parameters: Visual Pain Score during cystoscopy Cystoscopy comfort - a questionnaire to be filled by the doctor Excellent Very good Good Bad Too bad Cystoscopy: Is it efficient? Not efficient? - Will be answered by the doctor. Post-Op: 1st hour Visual Analog Pain Scale inquiry, dysuria, frequency 24th Hour dysuria, Frequency, A total of 144 patients, we plan to arrive at the end of 1 month.

The group who are 50 mg Diclofenac Sodium and lubricant gel administered one hour before cystoscopy and local

The group who are not administered 50 mg Diclofenac Sodium before cystoscopy and administered lubricant gel just before local cystoscopy

50 mg of diclofenac sodium will be administered to intervention group one hour before cystoscopy and lubricant gel with lidocaine will be administered to all patients just before cystoscopy.

All the patients will be assessed with Visual pain scale during cystoscopy procedure Scale is a well know pain assesment form which is ranged between 0 to 10 points and higher scores mean worse pain.

It is subjective, It will made by a question which will be graded by the blind operator. The operator will choose one of the 5 answers. Scoring system will be range 1 to 5 and higher scores mean worse results.

It is subjective. It will be made by a question which will be answered by blind operator. The operator will choose one of the answers which are "adequate or not adequate".

Inclusion Criteria: Accepted to participate 18-70 years old Men Exclusion Criteria: Previous peptic ulcer Gastro intestinal bleeding in advance Renal failure Liver failure Patients who underwent cystoscopy for taking or inserting Double J stents 6 - Drug allergies 7- Patients under 18 8- Patients receiving antiaggregant and antiplatelet therapy 9- Patients who do not agree to participate in the study