A Controlled Study of Low and High Volume Anesthetic Jelly as a Lubricant and Pain Reliever During Cystoscopy

Brekkan, Einar; Ehrnebo, M.; MALMSTR??M, P. U.; NORL??N, B. J.; Wirbrant, A.

doi:10.1097/00132586-199204000-00023

Cited by 12 publications

(19 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Topical lidocaine gel is now commonly used in clinical practice. Brekkan et al (5) suggested that different amounts are needed for men and women. The use of lidocaine gel has, however, been challenged by several groups.…”

Section: Discussionmentioning

confidence: 99%

Is Diagnostic Cystoscopy Painful? Analysis of 1,320 Consecutive Procedures

Greenstein

Senderovich

et al. 2014

Int. braz j urol.

View full text Add to dashboard Cite

ARTICLE INFO ______________________________________________________________ ______________________Objective: To prospectively evaluate self-reported pain levels associated with diagnostic cystoscopy. Materials and Methods:Patients who underwent diagnostic cystoscopy and subsequently graded their pain level during the procedure were enrolled. Pain was graded on a Likert visual analog scale (VAS) of 1-10 where 0 = no pain and 10 = excruciating unbearable pain. Local lidocaine gel 2% was used as intraurethral lubricant.Results: Data from 1320 consecutive cystoscopies (929 males, 391 females, age range 15-93 years) between 6/2009-1/2010 were analyzed. This was the first cystoscopy for 814 patients. The overall mean VAS was 2.74 ± 1.51 (range 0-9) for rigid cystoscopy and 2.48 ± 1.53 (range 0-10) for flexible cystoscopy (P = 0.004). The reported mean pain level for first-time cystoscopy was significantly higher than that for repeat cystoscopy (2.8 ± 1.6 vs. 2.2 ± 1.4, P < 0.001), regardless of gender or type of cystoscope. Men reported significantly higher pain levels than women 2.6 ± 1.5 vs. 2.4 ± 1.4 (P < 0.04). The highest mean pain level was reported by men (3.4 ± 1.6) and women (2.5 ± 1.6) for rigid cystoscopy compared to flexible cystoscopy (2.5 ± 1.4 and 1.1 ± 1.9, respectively, P < 0.001). Pain levels > 5 were reported in 75 (5.7%) cystoscopies. Conclusions: Cystoscopy was not associated with distressing levels of pain. Pain levels during first cystoscopies were higher than those for repeated ones. Using a flexible cystoscope is associated with a lower pain level in both men and women and it should be used for both genders.

show abstract

Section: Discussionmentioning

confidence: 99%

Is Diagnostic Cystoscopy Painful? Analysis of 1,320 Consecutive Procedures

Greenstein

Senderovich

et al. 2014

Int. braz j urol.

View full text Add to dashboard Cite

show abstract

“…Brekkan et al [7] asserted that more than 16 ml of gel should be injected, exceeding the bladder neck, to effectively relive pain. However, Ho et al [8] focused on the temperature of the injected gel; they found that there was a significant pain reduction when using lidocaine gel at 4 o C. Henry et al [9] studied lidocaine alkalization with sodium bicarbonate and concluded that alkalinization increases lipid proportion and agent absorption, resulting in better anesthetic effect.…”

Section: Discussionmentioning

confidence: 99%

Intraurethral Lidocaine Usage in Office-Based Rigid Cystoscopy on Pain Experience

Choi

Cho

Min

2017

Urogenit Tract Infect

View full text Add to dashboard Cite

Purpose: Cystoscopy is one of the most reliable urological examinations. However, it also a painful one. Intraurethral lidocaine gel injection is widely used to relieve pain during cystoscopy. The purpose of this study is to compare between the use of lidocaine gel and lidocaine solution as a pretreatment for cystoscopy. Materials and Methods: Between March 2016 and May 2017, we studied 147 patients who had undergone cystoscopy at our institution. Patients were divided into four groups. Lidocaine gel and solution were administered just 10 minutes before each test. For randomization, the patient groups were divided into either odd or even number for the test day and as the patient number, irrespective of medical condition. The amount of lidocaine gel and solution of 10 ml each was uniformly injected. After the procedure, patients were asked to rate their pain on a 10-point visual analogue scale. Results: The average degree of pain relief was in the order of solution/10 minutes, gel/immediately, gel/10 minutes, and solution/immediately. The gel was associated with significantly less pain in the immediate group than in 10-minute before group, whereas the solution was associated with significantly better pain relief in the 10-minute before group than in the immediate group. There were no complications to report in all groups. Conclusions: Lidocaine gel and solution showed different changes of pain relief over time. Further prospective studies with a larger population is necessary to better develop a less painful method of cystoscopy in the future.

show abstract

“…The other study reported a mean urethral volume of 16 mL in awake male by assessing the volume of gel required to pass through the bladder neck on ultrasonography. [15] Thus 10ml of anesthetic gel seems to be insufficient to completely lubricate the the whole urethra in male patients. In the present study, we instilled 11 mL of 2% lidocaine gel.…”

Section: Discussionmentioning

confidence: 99%

2% Lidocaine gel or plain lubricating gel: Which one should be used in male flexible cystoscopy?

Akkoç

Kartalmiş²,

Aydın

et al. 2016

Turkish Journal of Urology

View full text Add to dashboard Cite

Objective: To investigate and compare the effects on pain of intraurethral 2% lidocaine gel and plain lubricating gel in male patients underwent flexible cystoscopy. Material and methods:The data of 220 male patients who underwent flexible cystoscopy between March 2012 and August 2014 were retrospectively analized. The patients were divided into 2 groups according to using intraurethral gel types. Group I included 120 patients who were underwent flexible cystoscopy with 2% lidocaine gel and Group II was consisted from 100 patients who underwent flexible cystoscopy with plain lubricating gel. The groups were compared according to postprocedure data including pain score, procedure time and age of patients. Results:The mean age of the patients in Group I was 50.02±11.87 years while that in Group II was 52.03±13.37 years (p= 0.492). The mean procedure times were 6.02±0.787 and 6.28±0.689 minutes in Group I and Group II respectively (p= 0.061). Pain perception scores were not statistically different between the groups (Group I: 3.10±0.980, Group II: 3.34±0.789, p= 0.132). Conclusion:Use of intraurethral 2% lidocaine gel has no advantage over plain lubricating gel in regard to pain control during flexible cystoscopy in men.

show abstract

A Controlled Study of Low and High Volume Anesthetic Jelly as a Lubricant and Pain Reliever During Cystoscopy

Cited by 12 publications

References 0 publications

Is Diagnostic Cystoscopy Painful? Analysis of 1,320 Consecutive Procedures

Is Diagnostic Cystoscopy Painful? Analysis of 1,320 Consecutive Procedures

Intraurethral Lidocaine Usage in Office-Based Rigid Cystoscopy on Pain Experience

2% Lidocaine gel or plain lubricating gel: Which one should be used in male flexible cystoscopy?

Contact Info

Product

Resources

About