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Intraurethral Lidocaine Usage in Office-Based Rigid Cystoscopy on Pain Experience
Urogenit Tract Infect 2017 Dec;12(3):117-21
Published online December 31, 2017
Copyright © 2017 Korean Association of Urogenital Tract Infection and Inflammation.

Kwi Bok Choi, In-Chang Cho, Seung Ki Min

Department of Urology, National Police Hospital, Seoul, Korea
Correspondence to: Seung Ki Min
Department of Urology, National Police Hospital, 123 Songi-ro, Songpa-gu, Seoul 05715, Korea
Tel: +82-2-3400-1264, Fax: +82-2-431-3192, E-mail:
Received October 7, 2017; Revised November 2, 2017; Accepted November 11, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: Cystoscopy is one of the most reliable urological examinations. However, it also a painful one. Intraurethral lidocaine gel injection is widely used to relieve pain during cystoscopy. The purpose of this study is to compare between the use of lidocaine gel and lidocaine solution as a pretreatment for cystoscopy.
Materials and Methods: Between March 2016 and May 2017, we studied 147 patients who had undergone cystoscopy at our institution. Patients were divided into four groups. Lidocaine gel and solution were administered just 10 minutes before each test. For randomization, the patient groups were divided into either odd or even number for the test day and as the patient number, irrespective of medical condition. The amount of lidocaine gel and solution of 10 ml each was uniformly injected. After the procedure, patients were asked to rate their pain on a 10-point visual analogue scale.
Results: The average degree of pain relief was in the order of solution/10 minutes, gel/immediately, gel/10 minutes, and solution/immediately. The gel was associated with significantly less pain in the immediate group than in 10-minute before group, whereas the solution was associated with significantly better pain relief in the 10-minute before group than in the immediate group. There were no complications to report in all groups.
Conclusions: Lidocaine gel and solution showed different changes of pain relief over time. Further prospective studies with a larger population is necessary to better develop a less painful method of cystoscopy in the future.
Keywords : Cystoscopy; Lidocaine; Pain

August 2018, 13 (2)

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    The Korean Association of Urogenital Tract Infection and Inflammation

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    The Korean Society of Geriatric Urological Care