This research is about modification during routine cystoscopy (scope in the bladder) procedure [ experimental research ]. The goal of the study is to evaluate patient experience with cystoscopy by using procedural modification to reduce pain perception. The investigator aim for quality improvement of the current methods of cystoscopy to achieve a better patient experience.

Study Area

-Department of Urology, Hospital Universiti Sains Malaysia.

Study population. -Patient who is required for flexible cystoscopy procedure attending Urology Unit in Hospital USM

Participants

Inclusion Criteria :

• Adult (>18 years old)

Exclusion criteria:

• Analgesic use within 24hours
• History of stricture ,urinary tract infection, existing urethral pain
• Secondary procedure(example stent, stone removal, fulguration)

Withdrawal Criteria

• Change of mind
• Found to be outside the parameters of inclusion criteria, and inside the parameters of exclusion criteria
• Breach of Protocol

Inclusion Criteria:

• age more 18 years old

Exclusion Criteria:

• Analgesic use within 24hours
• History of stricture ,urinary tract infection, existing urethral pain
• Secondary procedure(exp stent, stone removal, fulguration)