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Effectiveness of lidocaine lubricant for discomfort during pediatric urethral catheterization

Lisa L Gerard1, Christopher S Cooper, Kathy S Duethman

  • 1Department of Pediatrics, Univeristy of Iowa, Iowa City, 52242-1089, USA.

The Journal of Urology
|July 11, 2003
PubMed

Insights

Lidocaine lubricant significantly reduces pain and distress during pediatric catheterization. This simple intervention is recommended for children undergoing urethral catheterization to improve their experience.

Area of Science:

  • Pediatric Urology
  • Pain Management
  • Medical Procedures

Background:

  • Urinary tract infections and vesicoureteral reflux frequently necessitate catheterization in children.
  • Catheterization is often a painful procedure, potentially impacting patient care and compliance.
  • Effective pain management strategies are crucial for pediatric procedural interventions.

Purpose of the Study:

  • To evaluate the efficacy of urethral lubricant containing lidocaine in minimizing pain and distress during pediatric catheterization.
  • To assess the impact of lidocaine lubricant on patient comfort during urethral catheterization.

Main Methods:

  • A prospective, double-blind, placebo-controlled trial was conducted.
  • Twenty children undergoing urethral catheterization received lubricant with or without lidocaine.
  • Pain and distress were objectively measured using validated scales, alongside pre-procedure anxiety assessment.

Main Results:

  • No significant differences in age, prior catheterizations, or pre-procedure anxiety were observed between groups.
  • Children receiving lidocaine lubricant reported significantly lower pain scores (p=0.001).
  • Lidocaine lubricant also led to significantly reduced distress levels during catheterization (p=0.007).

Conclusions:

  • Urethral lubricant containing lidocaine is an effective method for reducing pain during pediatric catheterization.
  • The use of lidocaine lubricant is recommended to improve the experience of children undergoing urethral catheterization.
  • This intervention offers a safe and effective approach to pediatric procedural pain management.
Abstract

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