This randomized controlled experimental study aimed to determine the effect of virtual reality glasses during cystoscopy on pain, anxiety and patient satisfaction.

Patients in the intervention arm; In order to evaluate pain, anxiety and patient satisfaction regarding the cystoscopy procedure, the patient's pain level will be assessed with the Visual Analog Scale 10 minutes before the procedure and the patient's anxiety level will be assessed with the State Anxiety Scale. Patients will be asked to wear virtual reality glasses starting three minutes before the procedure and until the procedure is completed. The patient will be shown a video of nature scenes with the virtual reality glasses and will also be made to listen to the sounds of water and birds. Routine institution procedures will be applied during the cystoscopy procedure. 10 minutes after the procedure, the patient's pain and satisfaction level will be assessed with the Visual Analog Scale and the patient's anxiety level will be assessed with the State Anxiety Scale.

Patients in the control arm; To assess pain, anxiety, and patient satisfaction with the cystoscopy procedure, the patient's pain level will be assessed with the Visual Analog Scale and the patient's anxiety level will be assessed with the State Anxiety Scale 10 minutes before the procedure. Routine institution procedures will be applied during the cystoscopy procedure. 10 minutes after the procedure, the patient's pain and satisfaction levels will be assessed with the Visual Analog Scale and the patient's anxiety level will be assessed with the State Anxiety Scale.

Inclusion Criteria:

• 18 years of age and older,
• First elective and rigid cystoscopy performed under local anesthesia,
• No vision, hearing and perception problems,
• Open to communication and able to speak Turkish,
• Patients who agree to participate in the study

Exclusion Criteria:

• Contraindications for the procedure (lidocaine allergy, urinary tract infection, anatomical problems related to the urethra, etc.)
• Use of any analgesic or sedative medication at least 4 hours before cystoscopy Patients who undergo manipulation such as J stent placement or removal and/or bladder biopsy.