Effectiveness of Medical and Environmental Interventions to Reduce Cystoscopy Discomfort (CystoDiscomfort)

The goal of this study is to learn methods doctors can use to help improve the cystoscopy experience. Specifically, this study will determine if listening to music, and the amount of time Lidocaine (a numbing medication) is allowed to rest in your urethra before beginning the cystoscopy procedure, will improve the cystoscopy experience.

Inclusion Criteria: * Undergoing office-based cystoscopy for bladder cancer diagnosis, surveillance, or evaluation of anatomic abnormalities. Exclusion Criteria: * Allergy to or intolerance of lidocaine. * Intolerance of all offered music genre playlists (Jazz, Classical, New Age), such that no acceptable music option exists. * Known pregnancy or lactation (routine pregnancy testing is not required)