Flexible cystodiathermy can be rendered painless by using 2% lignocaine solution to provide intravesical anaesthesia

Dryhurst, David; Fowler, C. G.

doi:10.1046/j.1464-410x.2001.02358.x

Cited by 13 publications

(10 citation statements)

References 6 publications

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“…Several pieces of the literature have reported that local anesthesia is used especially in the treatment of bladder tumor laser ablation, fulguration, and diathermy in the level that the patients can tolerate. [21][22][23][24][25] However, these studies are case series and have not yet become the standard approach. In addition, Stravodimos et al have published that local levobupivacaine intravesical infiltration in resection of superficial bladder tumors is an appropriate method for pain control and can be an alternative to general anesthesia.…”

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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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

View full text Add to dashboard Cite

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“…The investigators concluded that this certain approach offers a satisfactory alternative to conventional methods with sufficient pain management demonstrated. Dryhurst et al [4] have also reported the use of intravesical lignocaine anesthesia for flexible cystodiathermy in 22 patients, with satisfactory results. The same anesthetic technique was used quite early by Holmang et al both for multiple bladder biopsies [6] and fulguration of multiple recurrent superficial bladder tumors [7].…”

Section: Discussionmentioning

confidence: 99%

“…Male sex and pre-operative dependency in daily living were major risk factors for decreased five-year survival [1]. It has recently been argued that intravesical local anaesthetic infiltration is a feasible option for pain elimination in patients undergoing resection of superficial bladder tumors [2][3][4]. However, suprapubic pain and lower urinary tract symptoms often mandate the use of post-operative analgesic regimens.…”

Section: Introductionmentioning

confidence: 99%

Levobupivacaine intravesical injection for superficial bladder tumor resection—possible, effective, and durable. Preliminary clinical data

et al. 2007

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Local levobupivacaine infiltration for transurethral bladder tumor resection seems feasible, providing intra and post-operative pain control. In this preliminary setting, general anesthesia provided a higher level of pain control in the immediate post-operative period (<4 h) while local levobupivacaine infiltration demonstrated excellent late post-operative analgesia (>4 h). Also, patients seem to prefer local to general anesthesia in future surgery.

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“…1,2 Nevertheless, a controversial question has been raised over the past few years about reported urethral discomfort when lidocaine gel is the sole lubricant. 3,4 Ketamine is an intravenous hypnotic and analgesic drug that can be administrated in many ways.…”

Section: Introductionmentioning

confidence: 99%

Intraurethral Instillation of Ketamine for Male Rigid Cystoscopy

Moharari

Najafi²,

Khajavi³

et al. 2010

Journal of Endourology

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Flexible cystodiathermy can be rendered painless by using 2% lignocaine solution to provide intravesical anaesthesia

Cited by 13 publications

References 6 publications

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

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

Levobupivacaine intravesical injection for superficial bladder tumor resection—possible, effective, and durable. Preliminary clinical data

Intraurethral Instillation of Ketamine for Male Rigid Cystoscopy

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