Urology
Volume 61, Issue 1 , Pages 65-68 , January 2003

Is instillation of anesthetic gel necessary in flexible cystoscopic examination? A prospective randomized study

  • Takashi Kobayashi

      Affiliations

    • Department of Urology, Hamamatsu Rosai Hospital, Hamamatsu, Japan
    • Corresponding Author InformationReprint requests: Takashi Kobayashi, M.D., Department of Urology, Hamamatsu Rosai Hospital, Shogen-cho 25, Hamamatsu, Shizuoka 430-8525, Japan
    • ,
  • Koji Nishizawa

      Affiliations

    • Department of Urology, Hamamatsu Rosai Hospital, Hamamatsu, Japan
    • ,
  • Keiji Ogura

      Affiliations

    • Department of Urology, Hamamatsu Rosai Hospital, Hamamatsu, Japan

Received 7 June 2002 ,Accepted 15 August 2002.

References 

  1. Pliskin MJ, Kreder KJ, Desmond PM, et al.  Cocaine and lidocaine as topical urethral anesthetics. J Urol. 1989;141:1117–1119
  2. Brekkan E, Ehrnebo M, Malmstrom PU, et al.  A controlled study of low and high volume anesthetic jelly as a lubricant and pain reliever during cystoscopy. J Urol. 1991;146:24–27
  3. Goldfischer ER, Cromie WJ, Karrison TG, et al.  Randomized, prospective, double-blind study of the effects on pain perception of lidocaine jelly versus plain lubricant during outpatient rigid cystoscopy. J Urol. 1997;157:90–94
  4. Clayman RV, Reddy P, Lange PH. Flexible fibreoptic and rigid-rod lens endoscopy of the lower urinary tract (a prospective controlled comparison). J Urol. 1984;131:715–716
  5. Flannigan GM, Gelister JSK, Noble JG, et al.  Rigid versus flexible cystoscopy (a controlled trial of patient tolerance). Br J Urol. 1988;62:537–540
  6. Denholm SW, Conn IG, Newsam JE, et al.  Morbidity following cystoscopy (comparison of flexible and rigid techniques). Br J Urol. 1990;66:152–154
  7. Herr HR. Outpatient flexible cystoscopy and fulguration of recurrent superficial bladder tumors. J Urol. 1990;144:1365–1366
  8. Birch BRP, Ratan P, Morley R, et al.  Flexible cystoscopy in men (is topical anaesthesia with lignocaine gel worthwhile?). Br J Urol. 1994;73:155–159
  9. Choong S, Whitfield HN, Meganathan G, et al.  A prospective, randomized double-blinded study comparing lignocaine gel and plain lubricating gel in relieving pain during flexible cystoscopy. Br J Urol. 1997;80:69–71
  10. McFarlane N, Denstedt J, Ganapathy S, et al.  Randomized trial of 10 mL and 20 mL of 2% intraurethral lidocaine gel and placebo in men undergoing flexible cystoscopy. J Endourol. 2001;15:541–544
  11. Holms M, Stewart J, Rice M. Flexible cystoscopy (is the volume and content of the urethral gel critical?). J Endourol. 2001;15:855–858
  12. Thompson TJ, Thompson N, O’Brien A, et al.  To determine whether the temperature of 2% lidocaine gel affects the initial discomfort which may be associated with its instillation of the male urethra. BJU Int. 1999;84:1034–1037

PII: S0090-4295(02)02002-2

Urology
Volume 61, Issue 1 , Pages 65-68 , January 2003

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