This study aimed to provide an analysis of the quality of fibrocystoscopy performance and the importance of training technique.

A prospective comparative randomized study was conducted. Randomization was performed in groups randomly using the random number method (https://www.randomizer.org/). A total of 42 patients were included in the study from September 2024 to November 2024. The study included patients aged 54 to 82 years with diagnoses of prostatic hyperplasia, bladder stones, urethoracic reflux. We divided patients into 2 groups depending on the operator's experience: a urology resident of the 1st year of training (group 1) and a clinical resident of the 2nd year of training (group 2). Patients were asked to indicate their perception of pain after the procedure on a VAS scale, which then allowed us to quantify the assessment as a percentage from 0 to 100%.

The time to perform the diagnostic procedure in group 1 averaged 5 minutes (p < 0.001), in group 2 - 3 minutes (p < 0.001). When analyzing the severity of pain in patients after the procedure on a VAS scale: in group 1, the average indicator was from 4 to 7 cm, which is from 40% to 70% (p < 0.001), in group 2, the indicator was up to 4 cm, which is up to 40% (p < 0.001).

The analysis demonstrated a shorter time and painless fibrocystoscopy in 2nd year residents, thanks to the experience of cystoscopy and fibrocystoscopy. In 1-year residents, by the 14th fibrocystoscopy, pain syndrome significantly decreases according to the VAS scale and is no more than 40%. In the 1st group, by the 15th clinical case, the time for performing fibrocystoscopy significantly decreases and does not exceed 4 minutes (p < 0.001).