The Effect of Intraurethral Lidocaine Gel on Pain Perception During Flexible Cystoscopy

The Effect of Intraurethral Lidocaine Gel in Comparison With Plain Lubricating Gel on Pain Perception During Flexible Cystoscopy: A Prospective Randomized Study

Flexible cystoscopy is routinely performed by urologists. Many patients have concerns to undergo this procedure and expect it to be unpleasant or even painful. Thus, reduction of pain and discomfort during cystoscopy is of great interest, but there is not sufficient evidence regarding the most appropriate conduct of cystoscopy.

In this study the impact of lidocaine gel, patient counseling and monitoring regarding pain perception during flexible cystoscopy are investigated.

Inclusion Criteria:

• Men 18 - 80 years
• Given indication for flexible cystoscopy
• Written informed consent

Exclusion Criteria:

• Allergy to amid anesthetics
• Urinary tract infection
• Use of analgesics in the previous 24 hours and chronic intake of analgesics
• Dementia
• Presence of a sensory disorder such as or spinal cord injury
• Indwelling catheter carrier