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  3. Vol. 14 No. 4 (2017): July-August2017
  4. UNCLASSIFIED

ISSN: 1735-1308

July-August2017
Vol. 14 No. 4 (2017)

A Randomized Control Trial Comparing Combined Glandular Lidocaine Injection and Intraurethral Lidocaine Gel with Intraurethral Lidocaine Gel Alone in Cystoscopy and Urethral Dilatation

  • Shahram Gooran
  • Pejman Pourfakhr
  • Shirin Bahrami
  • Ali Mohammad Fakhr Yasseri
  • Amir Javid
  • Negar Behtash
  • Gholamreza Pourmand

Urology Journal, Vol. 14 No. 4 (2017), , Page 4044-4047
https://doi.org/10.22037/uj.v14i4.3564 Published 2 July 2017

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Abstract

Purpose: Cystoscopy is one of the most common urologic procedures. The aim of this study is to investigate the combined effect of intraurethral lidocaine gel and intraglandular injection of lidocaine 2% on pain during and after cystoscopy.
Materials & Methods: In this double-blind, parallel group randomized clinical trial, 156 patients referred for double J removal, urethral dilatation, or cystoscopy were enrolled. The patients were divided into two groups, A and B. All patients received 20 cc of intraurethral lidocaine gel 2%. In group A (N = 75), lidocaine 2% was also injected into the glans penis. The patients in group B (N = 81) only received the intraurethral lidocaine gel. Cystoscopy was performed 10 minutes later. The primary outcome of interest was measured in terms of pain score (visual analogue scale) during and 5 minutes after cystoscopy.
Results: Immediate pain score after the procedure was 3.4 ± 3 and 4.6 ± 3 in groups A and B, respectively (P = .011).
Conclusion: Based on the findings of the present study, lidocaine injection into the glans penis significantly reduced
pain perception.
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How to Cite

Gooran, S., Pourfakhr, P., Bahrami, S., Fakhr Yasseri, A. M., Javid, A., Behtash, N., & Pourmand, G. (2017). A Randomized Control Trial Comparing Combined Glandular Lidocaine Injection and Intraurethral Lidocaine Gel with Intraurethral Lidocaine Gel Alone in Cystoscopy and Urethral Dilatation. Urology Journal, 14(4), 4044-4047. https://doi.org/10.22037/uj.v14i4.3564
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