title: Do lubricants with 2% lidocaine gel have an effect on patient comfort in diagnostic cystoscopy?
abstract: BACKGROUND
  Patients undergoing both rigid and flexible cystoscopic evaluation suffer from a great deal of pain and discomfort. In this study, we aimed to investigate the effect of lidocaine gel anestesia on patient comfort on diagnostic rigid cystoscopy.
  
  
  METHODS
  11 mL of lubricant gel applied to each patient via the external meatus in 10 s. Patients were randomized into three groups. In group 1, liquid glycerine was applied and cystoscopy was immediately performed, in group 2 lidocaine gel (Aqua Touch™: İstem Tıbbi Cihaz Ve Sanayi Ltd.Şti, Ostim, Ankara, Türkiye) was applied and the procedure undergone immediately and in group 3, lidocaine gel was applied and penis was clemped for 10 minutes before the procedure. VAS forms were filled to determine the discomfort and pain during cystoscopy and the first micturation after.
  
  
  RESULTS
  After the evaluation between groups, VAS scores were significantly lower in Group II and III than Group I and in Group III than in Group II (p < 0.05). When post micturation VAS scores were evaluated, VAS scores were significantly lower in Group II than Group I and in Group III than in Group II (p < 0.05).
  
  
  CONCLUSIONS
  The application of local anesthetic lidocaine gel in rigid cystoscopy, is a practical, safe and efficient method to improve patient comfort when applied in appropriate dose and waiting duration.
authors.affiliation: Department of Urology, Ministry of Health, Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey.
authors.forename: Hasan Nedim Goksel
authors.initials: HN
authors.lastname: Goktug
authors.affiliation: Department of Urology, Ministry of Health, Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey.
authors.forename: Ufuk
authors.initials: U
authors.lastname: Ozturk
authors.affiliation: Department of Urology, Ministry of Health, Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey.
authors.forename: Nevzat Can
authors.initials: NC
authors.lastname: Sener
authors.affiliation: Department of Urology, Ministry of Health, Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey.
authors.forename: Can
authors.initials: C
authors.lastname: Tuygun
authors.affiliation: Department of Urology, Ministry of Health, Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: Bakırtas
authors.affiliation: Department of Urology, Ministry of Health, Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey.
authors.forename: M Abdurrahim
authors.initials: MA
authors.lastname: Imamoglu
mesh_terms: D000368:Aged; D003558:Cystoscopy / Q000379:methods*; D005782:Gels; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage*; D054327:Lubricants / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D064232:Visual Analog Scale
chemical_list: D005782:Gels; D054327:Lubricants; D008012:Lidocaine