A comparative study of 2% lidocaine solution versus 2% lidocaine jelly as a topical anesthetic agent during cystoscopy

Authors

  • W. Chunhawattana Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University
  • K. Sunchatwiroon Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University
  • S. Ratchanon Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University
  • N. Hetanurak Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University
  • K. Prasopsanti Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University

Keywords:

Topical anesthetic, Cystoscopy

Abstract

A double blind, randomized, prospective study was performed to compare the efficacy of 2 % lidocaine solution with 2 % lidocaine jelly in pain relief for male outpatient cystoscopy. The degree of pain was recorded on a visual analogue scale by the patient and on a four-point descriptive pain scale by both the patient and the surgeon. The results showed no significant difference between the two treatments. The surgeons perception of pain correlated well with the patient pain estimation. Age and previous experience with cystoscopy did not significantly affect the pain perception. In conclusion, we found that both 2 % lidocaine solution and 2 % lidocaine jelly had equal efficacy as topical anesthetics during cystoscopy.

References

1. Heines JS, Grabstald H. Xylocaine : a new topical anesthetic in urology. J Urol 1949 ; 62 : 901-2

2. Perky L, Davis HS. Xylocaine as a topical anesthetic in urology. J Urol 1953 ; 70 : 552-4

3. Getzoff PL. A safe and effective topical anesthetic for office cystoscopy. J Urol 1968 : 99 : 118-21

4. Langston JB, Yeager PA , Simrell WD , Hogg M. Evaluation of a topical anesthetic for use in urology. Invest Urol 1967 : 5 : 149-54

5. Huskisson EC. Measurement of pain. Lancet 1974 ; 2:1127-31

6. Brekkan E, Ehrnebo M, Malmstrom PU, Norlen BJ, Wirbrant A. A controlled study of low and high volume anesthetic jelly as a lubricant and pain reliever during cystoscopy. J Urol 1991 ; 146 : 24-7

7. Pliskin MJ. Kreder KJ, Desmond PM, Dresner ML. Cocaine and lidocaine as topical urethral anesthetics. J Urol 1989 May; 141(5) : 1117-9

8. Senger FL, Zorgniotti AW. Cystoscopic safety : a study of topical anesthesia in diagnostic urology. J Urol 1954 ; 72 : 748-54

9. Birch BRP, Ratan P. Morley R. Cumming J, Smart CJ, Jenkins JD. Flexible cystoscopy in men : is topical anesthesia with lignocaine gel worthwhile ? Br J Urol 1994 Feb; 73(2) : 155-9

10. Barnhouse AH, Kolodychuk GR, Pankratz C, Olinger DA. Evaluation of acute pain : a comparison of patient and nerve perspectives. J Nurs Qual Assur 1988 May 2(3) :54-63

11. Stein M, lubetkin D, Taub HC. Skinner WK, Haberman J, Kreutzer ER. The effects of intraurethral lidocaine anesthetic and patient anxiety on pain perception during cystoscopy. J Urol 1994 Jun; 151(6): 1518-21

Downloads

Published

1997-12-30

How to Cite

1.
Chunhawattana W, Sunchatwiroon K, Ratchanon S, Hetanurak N, Prasopsanti K. A comparative study of 2% lidocaine solution versus 2% lidocaine jelly as a topical anesthetic agent during cystoscopy. Thai J Surg [Internet]. 1997 Dec. 30 [cited 2024 Nov. 23];18(4):167-71. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/250098

Issue

Vol. 18 No. 4 (1997): October - December

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.