Urethral meatotomy in the office using topical EMLA cream for anesthesia.
OBJECTIVE
We determined the effectiveness of lidocaine and prilocaine (EMLA) topical cream for anesthesia during urethral meatotomy performed in an office setting.


METHODS
Meatotomy was performed in 58 patients 1 hour after topical application of EMLA cream to the glans.


RESULTS
Of the 58 patients 55 had no pain, while early in our experience 3 had limited discomfort because EMLA cream was applied in too small a volume or it became dislodged. Results have been good in 57 patients, while partial restenosis developed in 1.


CONCLUSIONS
Urethral meatotomy in an office setting with EMLA cream for anesthesia is generally painless, well tolerated, successful and cost-effective versus operative meatotomy.
Cartwright
P C
PC
Primary Children's Medical Center, Salt Lake City, Utah, USA.
Snow
B W
BW
McNees
D C
DC
D000556:Ambulatory Surgical Procedures; D000779:Anesthetics, Local; D002648:Child; D002675:Child, Preschool; D004338:Drug Combinations; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008012:Lidocaine; D000077442:Lidocaine, Prilocaine Drug Combination; D011318:Prilocaine; D014525:Urethral Stricture / Q000601:surgery*
D000779:Anesthetics, Local; D004338:Drug Combinations; D000077442:Lidocaine, Prilocaine Drug Combination; D011318:Prilocaine; D008012:Lidocaine