An assessment of the clinical utility of transperineal urethrosphincteric block (TUSB) in outpatient rigid cystoscopy: a single-blind, randomized study

Al-Hunayan, Adel; Kehinde, Elijah O.; Shihab-Eldeen, Aida; Abdul-Halim, Hamdy; Al-Saraf, Ahmad

doi:10.1007/s11255-008-9419-7

Cited by 7 publications

(6 citation statements)

References 18 publications

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Section: Discussionmentioning

confidence: 99%

“…In addition, no significant side-effects were reported. 10 However, in this study, infiltration from the perineum to the prostate apex requires experience and does not seem practical for the patient and the healthcare team. Thus, the practice of the current study is significantly more practical and easier to apply.…”

Section: Ta B L E 2 Patient Satisfaction Values Of Groupsmentioning

confidence: 95%

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Efficiency of intracavitary levobupivacaine infusion for pain management during cystoscopic procedures: A randomised study

et al. 2021

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Aim: This study evaluated the effect of intracavitary levobupivacaine infusion diluted with locally applied isotonic solution for pain control in cystoscopy.Methods: Included in this study are 100 patients who had previously undergone transurethral tumour resection for bladder tumour and were followed up by cystoscopy. The patients were randomised into five groups (n = 20). In the first, second, third, and fourth groups, 4, 6, 8, and 10 mL of levobupivacaine HCl (5.0 mg/mL) were mixed with 26, 24, 22, and 20 mL of isotonic solution, respectively. Hence, the total mixture was 30 mL for each group. The fifth group was the control group. In this group, the standard method commonly used in most clinics was utilised. That is, a gel containing Cathejell-2% lidocaine (25 mg lidocaine) was applied for local analgesia. Cystoscopic interventions were performed with a 17.5 Fr rigid cystoscope and 0°, 30°, and 70° lens. During cystoscopy and 30 min later, the pain status of patients was assessed using the Visual Analogue Scale (VAS) and patient satisfaction was questioned. Results:The mean VAS score during and after the cystoscopy procedure was significantly lower in the levobupivacaine groups compared with the lidocaine group. In addition, patient satisfaction in the levobupivacaine groups was significantly higher than in the lidocaine group. No drug-related side-effects were observed in all groups. Conclusion:Thus, levobupivacaine is a more effective drug than lidocaine alone to control pain during cystoscopy. The use of levobupivacaine is recommended to prevent possible complications of general anaesthesia by eliminating the need for the aforementioned as well as its cost-saving advantage. What's known• While the cystoscopy procedure is mostly performed with flexible cystoscopes in developed countries for the patient's best comfort, rigid cystoscopy is still mostly preferred in developing or underdeveloped countries due to its cost-effectiveness. Pain management is essential for optimum procedure in local setting.

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Section: Discussionmentioning

confidence: 99%

Section: Ta B L E 2 Patient Satisfaction Values Of Groupsmentioning

confidence: 95%

Efficiency of intracavitary levobupivacaine infusion for pain management during cystoscopic procedures: A randomised study

et al. 2021

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“…Although some studies in the literature preferred the way of measuring pain status at different stages of cystoscopy, this study decided to assess pain both during and 30 min after the procedure because it would be more practical and reliable. 10 Some studies suggest that the intraurethral administration of lidocaine is ineffective and that its administration does not provide sufficient absorption. 8,[11][12][13] Most of the specified studies were done with a flexible cystoscope, and it is observed that evaluations were made only 5 and 10 min after the procedure in rigid cystoscopy studies.…”

Section: Discussionmentioning

confidence: 99%

Efficiency of intracavitary Levobupivacaine infusion for pain management during cystoscopic procedures: A randomized study

Pehlivaoğlu¹,

Tavukçu²,

Akça³

et al. 2020

Preprint

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Aim: This study evaluated the effect of intracavitary levobupivacaine infusion diluted with locally applied isotonic solution for pain control in cystoscopy. Methods: Included in this study are 100 patients who had previously undergone transurethral tumor resection for bladder tumor and were followed up by cystoscopy. The patients were randomized into five groups (n = 20). In the first, second, third, and fourth groups, 4, 6, 8, and 10 mL of levobupivacaine HCl (5.0 mg/mL) were mixed with 26, 24, 22, and 20 mL of isotonic solution, respectively. Hence, the total mixture was 30 mL for each group. The fifth group was the control group. In this group, the standard method commonly used in most clinics was utilized. That is, a gel containing Cathejell-2% lidocaine (25 mg lidocaine) was applied. Cystoscopic interventions were performed with a 17.5 Fr rigid cystoscope and 0°, 30°, and 70° lens. During cystoscopy and 30 min later, the pain status of patients was assessed using the Visual Analogue Scale (VAS), and patient satisfaction was questioned. Results: The mean VAS score during and after the cystoscopy procedure was significantly lower in the levobupivacaine groups compared to the lidocaine group. In addition, patient satisfaction in the levobupivacaine groups was significantly higher than in the lidocaine group. No drug-related side-effects were observed in all groups. Conclusion: Thus, levobupivacaine is a more effective drug than lidocaine alone to control pain during cystoscopy. The use of levobupivacaine is recommended to prevent possible complications of general anesthesia by eliminating the need for the aforementioned as well as its cost-saving advantage.

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“…Although it is believed that length of the stricture is not important and can be safely conducted under local urethral anesthesia(4,5), performing optical urethrotomy under general or regional anesthesia provides a great confidence to the urologists (5). Several authors have shown that OIU can be performed comfortably by various local anesthesia techniques including topical anesthesia, spongiosum block, transperineal and urethrosphincteric blocks with good analgesic effects (3,6,7). These techniques offer several advantages like the elimination of the anxiety and discomfort associated with general anesthetic induction and the avoidance of expected risks due to general or spinal anesthesia.…”

Section: Introductionmentioning

confidence: 99%

İnternal Üretrotomide İntraüretral Lidocaine ile Sedoanaljezi Kombinasyonunun Etkinliği

Yücetürk¹,

Çakan²

2021

Ankara Eğitim Ve Araştırma Hastanesi Tıp Dergisi

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In this study, our aim was to compare the effectiveness of combined intraurethral lidocaine and intravenous sedoanalgesia with intraurethral lidocaine alone in patients with undergoing optical internal urethrotomy(OIU) for primary anterior urethral strictures. MATERIAL AND METHOD:A total of 76 patients who underwent OIU with anterior urethral stricture 2-3 cm long were analysed. Patients were divided into two groups. There were 36 patients in group 1 received only intraurethral lidocaine gel (12.5 g,% 2 ) and there were 40 patients in group 2 operated under intraurethral lidocaine gel anesthesia with intravenous sedoanalgesia (1 mg/ kg Propofol and 1µg/kg Fentanyl). Anatomic location, length and etiology of the urethral stricture, procedure time, patients' followup and postoperative VAS scores were compared in two groups. RESULTS:There was no significant differences between the two groups in the length of the urethral stricture,age and in the follow-up time. Most of the patients in two groups had iatrogenic as the cause of urethral stricture and the stricture was most commonly located in the bulbar urethra. The mean procedure time and VAS score in group 1 were significantly higher than group 2 (p<0.001). Recurrence of urethral stricture developed in 4 and 6 patients at a mean follow-up of 9.47 in group 1, 9.62 months in group 2. No serious complication was developed in both groups. CONCLUSION:Intraurethral lidocaine with sedoanalgesia is effective and satisfactory with better pain control than intraurethral lidocaine alone in OIU for anterior urethral strictures.

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An assessment of the clinical utility of transperineal urethrosphincteric block (TUSB) in outpatient rigid cystoscopy: a single-blind, randomized study

Cited by 7 publications

References 18 publications

Efficiency of intracavitary levobupivacaine infusion for pain management during cystoscopic procedures: A randomised study

Efficiency of intracavitary levobupivacaine infusion for pain management during cystoscopic procedures: A randomised study

Efficiency of intracavitary Levobupivacaine infusion for pain management during cystoscopic procedures: A randomized study

İnternal Üretrotomide İntraüretral Lidocaine ile Sedoanaljezi Kombinasyonunun Etkinliği

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