Abstract
Introduction: Intraurethral instillation of 2% lignocaine hydrochloride is associated with discomfort and stinging sensation, especially to male patients. This study was aimed to determine whether slow instillation and cooled gel reduce this discomfort.Materials and Methods: A prospective randomized study was done comparing initial and procedural discomfort between 2% lignocaine instilled at room temperature and cooled to 4° C, and that instilled over 2 seconds and 10 seconds. Hundred and sixty male patients were divided into two groups of eighty each for the two studies.Results: Significant reduction in initial discomfort was observed with 10ml of 2% lignocaine hydrochloride cooled to 4° C and also when instilled over 10 seconds. Although procedural discomfort was also lesser in these two sets, it was not statistically significant.Conclusions: Discomfort, the most common complaint of male patients during rigid cystoscopy, can be reduced by slow instillation of lignocaine hydrochloride gel and also if the gel is cooled to 4° C.
Highlights
Intraurethral instillation of 2% lignocaine hydrochloride is associated with discomfort and stinging sensation, especially to male patients
Slow instillation of cooled lignocaine gel: Does it reduce the urethral discomfort during cystoscopy? Nep Med J 2019;2(1):[164-6]
Cocaine was reported as the first topical anesthetic agent for cystoscopy in 1884.1,2 intraurethral 2% lignocaine hydrochloride gel is usually adequate for most office procedures; some patients, especially males, complain of some extent of discomfort and a stinging sensation.[3]
Summary
Intraurethral instillation of 2% lignocaine hydrochloride is associated with discomfort and stinging sensation, especially to male patients. This study was aimed to determine whether slow instillation and cooled gel reduces this discomfort. Cocaine was reported as the first topical anesthetic agent for cystoscopy in 1884.1,2 intraurethral 2% lignocaine hydrochloride gel is usually adequate for most office procedures; some patients, especially males, complain of some extent of discomfort and a stinging sensation.[3] In females, because of the short female urethra, the efficacy of intraurethral anesthesia by numerous means of topical application is limited and difficult to standardize.[3]. The objectives of this study were to determine whether slow instillation of gel reduces the initial discomfort; and procedural outcome of cooled lignocaine hydrochloride compared to that at room temperature
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
