Journal article
Cocaine and Lidocaine as Topical Urethral Anesthetics
The Journal of urology, Vol.141(5), pp.1117-1119
05/01/1989
DOI: 10.1016/S0022-5347(17)41186-4
PMID: 2709497
Abstract
To evaluate the efficacy of topical cocaine combined with lidocaine as a urethral anesthetic, a double-blind, randomized, prospective study was performed comparing lidocaine combined with cocaine or placebo in male outpatient cytoscopy. Evaluations were based on a scale of 1 to 10, with 1 representing no discomfort and 10 extreme discomfort as judged by the patient, and 1 representing the best tolerance and 10 extreme intolerance as judged by the physician. Patients who received lidocaine plus cocaine reported a mean score of 3.33 for over-all discomfort of cytoscopy. This was not significantly different than for lidocaine alone. This finding indicates a lack of a summation effect in combining topical anesthetics. Patients undergoing repeat examinations were no more comfortable than those undergoing initial cystoscopy but older patients tolerated the procedure significantly better than younger patients.
Details
- Title: Subtitle
- Cocaine and Lidocaine as Topical Urethral Anesthetics
- Creators
- Marc J. Pliskin - From the Urology Service, Department of Surgery, HonoluluKarl J. Kreder - From the Urology Service, Department of Surgery, HonoluluPaul M. Desmond - From the Urology Service, Department of Surgery, Honolulu, Army Medical Center, Tripler, HawaiiMartin I. Dresner - From the Urology Service, Department of Surgery, Honolulu
- Resource Type
- Journal article
- Publication Details
- The Journal of urology, Vol.141(5), pp.1117-1119
- DOI
- 10.1016/S0022-5347(17)41186-4
- PMID
- 2709497
- ISSN
- 0022-5347
- eISSN
- 1527-3792
- Language
- English
- Date published
- 05/01/1989
- Academic Unit
- Obstetrics and Gynecology; Urology
- Record Identifier
- 9984383291902771
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