title: The effect of local anaesthetic spray on the pain associated with local anaesthetic injection, prior to biopsy or loop diathermy to the cervix in the outpatient colposcopy clinic.
abstract: We evaluated the effectiveness of local anaesthetic spray prior to injection of local anaesthetic before biopsy or large loop excision of the transformation zone of the cervix at colposcopy. This was a prospective, randomised, double-blind placebo-controlled study involving 51 women. Pain or discomfort was measured using a four-point categorical scale and a visual analogue score. Our results show that the use of local anaesthetic spray has no effect on the pain or discomfort experienced by patients having local anaesthetic injections to the cervix, and cannot be recommended.
authors.affiliation: Department of Obstetrics and Gynaecology, Elizabeth Garrett Anderson Hospital, University College Hospitals Trust, London, UK.
authors.forename: R J
authors.initials: RJ
authors.lastname: Connell
authors.forename: S M
authors.initials: SM
authors.lastname: Creighton
authors.forename: A
authors.initials: A
authors.lastname: Cutner
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000379:methods; D000779:Anesthetics, Local; D003127:Colposcopy / Q000009:adverse effects*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007267:Injections / Q000009:adverse effects; D008012:Lidocaine; D008875:Middle Aged; D010146:Pain / Q000517:prevention & control*; D010147:Pain Measurement; D011446:Prospective Studies; D016896:Treatment Outcome
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine