Overactive bladder symptoms in patients undergoing rigid and flexible cystoscopy

  • Zana Saratlija NovakovicEmail author
  • Livia Puljak
  • Damir Sapunar
  • Mesut Remzi
  • Harun Fajkovic
  • Irene Resch
  • Mohammad Abufaraj
  • Claus Riedl
  • Paul Engelhardt
  • Wilhelm Hübner
  • Eckart Breinl
  • Mario Duvnjak
  • Stephan Seklehner
Original Article



To evaluate overactive bladder (OAB) symptoms in patients undergoing diagnostic cystoscopy. Overall changes in the entire study population were assessed, as well as broken down by various subgroups.


A prospective multi-center study among consecutive 450 adults undergoing diagnostic cystoscopy was conducted. OAB-symptoms were evaluated with the validated eight-item OAB Screening Awareness Tool (OAB-V8) immediately before and on days 1, 4, and 7 after cystoscopy. Patients were distinguished between being OAB-negative and OAB-positive (< 8 and ≥ 8 sum-score, respectively). Average sum-scores and subdomains were evaluated.


Before cystoscopy, 44.7% of patients were screened OAB-positive and 55.3% OAB-negative. Out of those being screened negative, development of de-novo OAB was noticed in 16.8%, declining to 8.1% on day 7 (p < 0.001).

In patients being OAB-positive before cystoscopy, a decline of OAB-positivity was noted during follow-up (p < 0.001). No statistically significant differences were noted when broken down by gender (p = 0.92), age (p = 0.82) and type cystoscope (rigid vs. flexible, p = 0.38). Average sum-scores declined from 8.68 before cystoscopy to 6.9 during follow-up. Flexible cystoscopy was superior over rigid in four subdomains: uncomfortable urge to urinate (p = 0.04), sudden urge to urinate with little or no warning (p = 0.02), uncontrollable urge to urinate (p = 0.03), and urine loss associated with a strong desire to void (p = 0.009).


OAB-symptoms are common in patients undergoing cystoscopy. Cystoscopy itself can cause de-novo OAB-symptoms. Controversially, a decline of OAB-symptoms was noted after cystoscopy when patients were screened OAB-positive before cystoscopy. Flexible scopes were superior in some subdomains.


Overactive bladder OAB LUTS Cystoscopy 



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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of UrologyUniversity Hospital SplitSplitCroatia
  2. 2.Center for Evidence-Based Medicine and Health CareCatholic University of CroatiaZagrebCroatia
  3. 3.Department for Development, Research and Health Technology AssessmentAgency for Quality and Accreditation in Health Care and Social WelfareZagrebCroatia
  4. 4.Department of UrologyMedical University of ViennaViennaAustria
  5. 5.Division of Urology, Department of Special Surgery, Jordan University HospitalThe University of JordanAmmanJordan
  6. 6.Department of UrologyLandesklinikum Baden-MödlingBadenAustria
  7. 7.Department of UrologyParacelsus Medical University SalzburgSalzburgAustria
  8. 8.Department of UrologyLandesklinikum KorneuburgKorneuburgAustria
  9. 9.Department of UrologyUniversitätsklinikum Sankt PöltenPöltenAustria

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