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- Title
Fleksibl sistoskopide lidokainli üretral jel ile lidokainli jel-intramusküler diklofenak kombinasyonunun analjezik etkinliğinin karşılaştırılması.
- Authors
Özkan, Arif; Çilesiz, Nusret Can; Kalkanlı, Arif; Günseren, Kadir Ömür; Onuk, Özkan; Hazar, Aydın İsmet; Can Balcı, Mustafa Bahadır
- Abstract
OBJECTIVE: In this study, we aimed to investigate the effects of 2% lidocaine gel only and 2% lidocaine gel-diclofenac combination on pain in male patients undergoing flexible cystoscopy. MATERIALS-METHODS: Records of male patients who underwent flexible cystoscopy for lower urinary system symptoms and bladder tumour contol cystoscopy between 04/2016 and 04/2017 were reviewed. Patients with active urinary infection, urethral stricture, addtional procedures during cystoscopy like biopsy, catheter withdrawal or insertion and sensory neurological defects were not included in the study. Patients were diveded into 2 groups according to analgesia applied. 116 patients in group I were treated with 2% lidocaine gel, patients in group II were treated with 2% lidocaine gel and intramuscular diclofenac. In the gel group, 10 cc of 2% lidocaine gel was instilled into the urethra 15 min before the procedure and immediately before the procedure. In the other group, intramuscular 75 mg diclofenac was applied half an hour before the 2% lidocaine gel instillation. All operations were performed by the same urologist. VAS scores were filled after procedure and groups were compared. RESULTS: The mean age of the patients in Group I was 61±13,1years and 59±13,2 years in Group II (p = 0,060). The mean duration of the procedure was 341±42,7 in Group I and 342±51,1 in Group II (p = 0,586). There was a statistically significant difference between the groups in pain scores (group I: 6,1±2,5, group II: 4,3±1,7, p <0.001). CONCLUSION: Intravenous administration of diclofenac, which is performed half a hour before the use of 2% lidocaine gel in men with flexible cystoscopy, provides more effective analgesia than urethral gel alone.
- Publication
Journal of Academic Research in Medicine, 2018, Vol 8, Issue 2, p159
- ISSN
2146-6505
- Publication type
Article
- DOI
10.5152/jarem.2018.2056