Journal article
Lidocaine as Topical Anesthesia for Bladder Mappings and Cold-Cup Biopsies
The Journal of urology, Vol.150(2 Part 1), pp.335-336
08/01/1993
DOI: 10.1016/S0022-5347(17)35477-0
PMID: 8326556
Abstract
We describe the use of lidocaine as a topical anesthetic for 35 patients undergoing random bladder biopsies (bladder mappings) and cold-cup resection of small bladder lesions. Serum lidocaine levels were measured 7 to 10 minutes after instillation of the anesthetic using fluorescent polarization immunoassay. Adequate pain control was noted in 33 of 35 patients (94%), with negligible serum lidocaine levels noted in all 35. One patient had a 2 cm. tumor on the anterior wall of the bladder making resection with topical anesthesia suboptimal and 1 patient required 1 mg. supplemental intravenous midazolam hydrochloride to complete the procedure. We conclude that topical lidocaine is a safe, inexpensive and effective mode of anesthesia for bladder mappings and cold-cup biopsies of small bladder lesions. However, it may be inadequate for lesions large enough to require resection rather than cold- cup biopsy and those at poorly accessible regions of the bladder.
Details
- Title: Subtitle
- Lidocaine as Topical Anesthesia for Bladder Mappings and Cold-Cup Biopsies
- Creators
- J. Brantley Thrasher - Fitzsimons Army Medical CenterKarl J. Kreder - Fitzsimons Army Medical CenterNorman E. Peterson - From the Departments of Surgery, Divisions of Urology, Duke University Medical Center, Durham, North Carolina, Fitzsimons Army Medical Center, Aurora, Denver General Hospital, Denver, ColoradoCraig F. Donatucci - Fitzsimons Army Medical Center
- Resource Type
- Journal article
- Publication Details
- The Journal of urology, Vol.150(2 Part 1), pp.335-336
- DOI
- 10.1016/S0022-5347(17)35477-0
- PMID
- 8326556
- ISSN
- 0022-5347
- eISSN
- 1527-3792
- Language
- English
- Date published
- 08/01/1993
- Academic Unit
- Obstetrics and Gynecology; Urology
- Record Identifier
- 9984383885702771
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