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

Akkoç, Ali; Kartalmiş, Mahir; Aydın, Cemil; Topaktaş, Ramazan; Altin, Selçuk; Aykaç, Aykut

doi:10.5152/tud.2016.18784

Cited by 12 publications

(12 citation statements)

References 28 publications

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“…Although it remains to still be a controversial issue, the claim that there is no difference between anesthetic gel and plain one seems more prevalent [11][12][13][14]. Flexible cystoscopy's softness and pliability results in less pain than the rigid one; however, due to technical limitations, such as visual acuity, image quality, or difficulty, it still cannot completely replace the rigid cystoscopy [2].…”

Section: Discussionmentioning

confidence: 99%

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

Choi

Cho

Min

2017

Urogenit Tract Infect

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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.

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Section: Discussionmentioning

confidence: 99%

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

Choi

Cho

Min

2017

Urogenit Tract Infect

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“…Lidocaine is currently the most widely used local anesthetic. However, recent studies have shown that lidocaine gel has no obvious advantage over urethra pain control compared with ordinary gel, and may cause additional pain and discomfort [3][4][5]. In addition to the use of anesthetics to relieve pain, more and more attention has been paid to the study of nondrug analgesic methods in recent years.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of urination in alleviating man’s urethral pain associated with flexible cystoscopy: a single-center randomized trial

et al. 2020

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Background: This study aimed to assess whether urethral pain can be alleviated by urination in male patients undergoing flexible cystoscopy. Methods: Ninety-six male outpatients undergoing flexible cystoscopy were randomly divided into two groups. Patients in the test group urinated during flexible cystoscopy, whilst patients in the control group received no instructions to do so. All patients received 10 mL of 2% lidocaine gel prior to assessment. Using 0 (no-pain) to 10 (unbearable severe pain) pain scores (VAS), we assessed patient discomfort prior to anesthesia gel perfusion (baseline), during gel perfusion, during cystoscope insertion through the urethra, and 15 min post-examination analysis. The entire protocol was completed by a single doctor in our Department of Urology. Results: The groups showed no statistical differences regarding age or examination time. During cystoscope insertion, the test group recorded significantly lower pain scores 2 (IQR 1-3) -compared to the control group 3 (IQR 2-3), (P = 0.001). No significant differences between other evaluation points were observed between groups. Conclusion: Urethral pain can be significantly alleviated by urination in male patients undergoing flexible cystoscopy through the urethra. Trial registration: Registry name: Clinical study of urination action to relieve urethral pain associated with flexible cystoscopy. Registration number: ChiCTR-INR-17013294 Date of Registration: 2017-11-08

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Section: Introductionmentioning

confidence: 99%

Efficacy of urination in alleviating urethral pain associated with flexible cystoscopy - a single-center randomized trial

Xie

Wang

Yan

et al. 2019

Preprint

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Objective: This study aimed to assess whether urethral pain can be alleviated by urination in male patients undergoing flexible cystoscopy. Patient and Methods: Ninety-six male outpatients undergoing flexible cystoscopy were randomly divided into two groups. Patients in the test group urinated during flexible cystoscopy, whilst patients in the control group received no instructions to do so. All patients received 10mL of 2% lidocaine gel prior to assessment. Using 0 (no-pain) to 10 (unbearable severe pain) pain scores (VAS), we assessed patient discomfort prior to anesthesia gel perfusion (baseline), during gel perfusion, during cystoscope insertion through the urethra, and 15minutes post-examination analysis. The entire protocol was completed by a single doctor in our Department of Urology. Results: The groups showed no statistical differences regarding age or examination time. During cystoscope insertion, the test group recorded significantly lower pain scores 2 (IQR 1-3) - compared to the control group 3 (IQR 2-3) , (P = 0.001). No significant differences between other evaluation points were observed between groups. Conclusion: Urethral pain can be significantly alleviated by urination in male patients undergoing flexible cystoscopy through the urethra.

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

Cited by 12 publications

References 28 publications

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

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

Efficacy of urination in alleviating man’s urethral pain associated with flexible cystoscopy: a single-center randomized trial

Efficacy of urination in alleviating urethral pain associated with flexible cystoscopy - a single-center randomized trial

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