• Daniel Peter McNicholas, Lee Chien Yap, Usman M Haroon, James C Forde, Ijaz A Cheema, and Liza McLornan.
• Department of Urology, James Connolly Memorial Hospital, Dublin, Ireland. danielmcnicholas3@gmail.com.
• Ir J Med Sci. 2022 Apr 1; 191 (2): 603-606.

BackgroundInformed consent is an integral part of the process prior to any surgical procedure [1]. Flexible cystoscopy is a common day case urological procedure and it is the gold standard investigation for visible haematuria [2].AimTo assess if postal consent is a suitable form of gaining informed consent for flexible cystoscopy.MethodsPatients booked for a flexible cystoscopy are initially reviewed in clinic. An information leaflet with an attached consent form is then posted to their home 2 weeks prior to their procedure. We designed a short questionnaire, to assess patient's satisfaction and understanding of the literature, given to them after the procedure.ResultsSixty-seven questionnaires were completed. The mean age was 54. Sixty patients (93%) think that postal consent is of benefit to the patient. Sixty-one patients (91%) read the information sheet and felt that there was enough information regarding the procedure on it. Fifty-four patients (81%) had no difficulty understanding the consent form. Forty patients (60%) signed the form prior to arrival in the hospital.ConclusionPostal consent is commonly used for gastro-intestinal endoscopy procedures. Postal consent for flexible cystoscopy is not well reported in the literature. Our study shows postal consent to be a suitable form of gaining informed consent for flexible cystoscopy.© 2021. Royal Academy of Medicine in Ireland.

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