How is numbing gel applied urethra?
Medication Show
Medication SummaryThe goals of pharmacotherapy are to reduce morbidity and prevent complications. Local Anesthetics, AmidesClass SummaryThe use of a urethral anesthetic in female patients is controversial. The decision to anesthetize the urethra should be made in conjunction with the patient. Local anesthetics block the initiation and conduction of nerve impulses.Anesthetics used for the urethra include lidocaine. Lidocaine (Xylocaine)
Lidocaine inhibits depolarization of type C sensory neurons by blocking sodium channels. Use the commercial applicator or a syringe with no needle to instill 5 mL of 2% lidocaine gel into the urethra. Place a finger on the meatus to help prevent spillage of the anesthetic lubricant. Allow 2-3 minutes for the anesthetic to take effect before proceeding with the urethral catheterization. Hold the catheter with the sterile hand, or leave it in the sterile field. Remove the cover to expose the tip. Apply a generous amount of either a nonanesthetic lubricant or the remaining lidocaine gel.
Author Chief Editor Edward David Kim, MD, FACS Professor of Urology, Department of Urology, University of Tennessee Graduate School of Medicine; Consulting Staff, University of Tennessee Medical Center Edward David Kim, MD, FACS is a member of the following medical societies: American Society for Reproductive Medicine, American Urological Association, Sexual Medicine Society of North America, Society for Male Reproduction and Urology, Society for the Study of Male Reproduction, Tennessee Medical Association Disclosure: Serve(d) as a speaker or a member of a speakers bureau for: Endo, Antares. Acknowledgements Andrew K Chang, MD Associate Professor, Department of Emergency Medicine, Albert Einstein College of Medicine, Montefiore Medical Center Andrew K Chang, MD is a member of the following medical societies: American Academy of Emergency Medicine, American Academy of Neurology, American College of Emergency Physicians, and Society for Academic Emergency Medicine Disclosure: Nothing to disclose. Luis M Lovato, MD Associate Clinical Professor, University of California, Los Angeles, David Geffen School of Medicine; Director of Critical Care, Department of Emergency Medicine, Olive View-UCLA Medical Center Luis M Lovato, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Emergency Physicians, and Society for Academic Emergency Medicine Disclosure: Nothing to disclose. Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference Disclosure: Nothing to disclose. Acknowledgments The authors and editors of Medscape Reference gratefully acknowledge the assistance of Lars Grimm with the literature review and referencing for this article. They also thank Michel Rivlin, MD, and G Rodney Meeks, MD, for the videos and several of the images in this article. What is the numbing gel used in cystoscopy?The use of lidocaine gel during diagnostic flexible cystoscopy in women is based on surgeon preference and experience, and use of either plain or anesthetic gel, is currently acceptable clinical practice.
Is urethra scope painful?A cystoscopy can be a bit uncomfortable, but it's not usually painful. For a flexible cystoscopy, local anaesthetic gel is used to numb the urethra. This will reduce any discomfort when the cystoscope is inserted.
Can I put lidocaine on my urethra?It is also used to prevent and control pain in procedures involving the male and female urethra.
What is the main purpose of using lidocaine hydrochloride gel in male urethral catheterisation?The use of lubricants in urethral catheterization can minimize urethral trauma, reduce the risk of infection, and minimize pain and discomfort during the operation, especially when using a lubricant containing local anesthetic.
How is local anesthesia given for a cystoscopy?Your doctor puts an anesthetic gel into your urethra. This numbs the area so you have no discomfort. The gel feels cold and you may have a slight burning feeling. The doctor then inserts the cystoscope and tells you what he or she sees.
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