RT Journal Article T1 Use of Lidocaine 2% Gel Does Not Reduce Pain during Flexible Cystoscopy and Is Not Cost-Effective. A1 Cano-Garcia, Maria Del Carmen A1 Casares-Perez, Rosario A1 Arrabal-Martin, Miguel A1 Merino-Salas, Sergio A1 Arrabal-Polo, Miguel Angel K1 Cystoscopy K1 Methods K1 Adverse effects K1 Diagnosis K1 Anesthetics K1 Local K1 Lidocaine K1 Therapeutic use K1 Treatment outcome K1 Pain prevention & control K1 Pain measurement. K1 Anestésicos locales K1 Cistoscopía K1 Lidocaína K1 Dimensión del dolor K1 Encuestas y cuestionarios AB PURPOSETo compare the use of lubricant gel with lidocaine versus lubricant gel without anesthetic in flexible cystoscopy in terms of pain and tolerability.MATERIALS AND METHODSIn this observational non-randomized study, 72 patients were divided into two groups. Group 1 included 38 patients in whom lidocaine gel 2% was used and group 2 included 34 patients in whom lubricant gel without anesthetic was administered. The main variables analyzed were score in visual analogue scale (VAS) and score in Spanish Pain Questionnaire (SPQ). Student's t-test and Chi-square test were used to compare differences between 2 groups. The P values < .05% were considered statistically significant.RESULTSMean age of patients in group 1 was 64.50 ± 12.39 years and 67.79 ± 10.87 years in group 2 (P = .23). The distribution according to sex was 29 men and 9 women in group 1 and 25 men and 9 women in group 2 (P = .78). The total VAS score was 2.21 ± 2.05 in group 1 versus 1.59 ± 1.61 in group 2 (P = .16). In the SPQ, the current intensity value was 1.82 ± 0.86 in group 1 versus 1.53 ± 0.74 in group 2 (P = .14), and the total intensity value was 1.92 ± 1.86 in group 1 versus 1.03 ± 1.75 in group 2 (P = .04). The cost of gel with lidocaine is 1.25 euro and gel without anesthetic 0.22 euro.CONCLUSIONThe use of lidocaine gel does not produce benefit in terms of pain relief in flexible cystoscopy and also is costly. PB Tehran : Urology and Nephrology Research Cente SN 1735-1308 YR 2015 FD 2015-11-14 LK http://hdl.handle.net/10668/2522 UL http://hdl.handle.net/10668/2522 LA en NO Cano-Garcia Mdel C, Casares-Perez R, Arrabal-Martin M, Merino-Salas S, Arrabal-Polo MA. Use of Lidocaine 2% Gel Does Not Reduce Pain during Flexible Cystoscopy and Is Not Cost-Effective. Urol J. 2015; 12(5):2362-5 NO Comparative Study; Journal Article; Observational Study; DS RISalud RD Apr 17, 2025