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Related Experiment Videos

Meatotomy using topical anesthesia: A painless option.

Vinod Priyadarshi1, Anurag Puri1, Jitendra Pratap Singh1

  • 1Department of Urology, IPGMER and SSKM Hospital, Kolkata, West Bengal, India.

Urology Annals
|February 7, 2015
PubMed
Summary
This summary is machine-generated.

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Topical anesthesia with eutectic mixture of prilocaine and lidocaine (EMLA/Prilox) cream effectively reduced pain during urethral meatotomy, avoiding painful injections and associated anxiety for patients.

Area of Science:

  • Urology
  • Anesthesiology

Background:

  • Urethral meatotomy is commonly performed under local or general anesthesia, often involving painful injections.
  • Minimizing patient discomfort during office-based urological procedures is a key clinical goal.

Purpose of the Study:

  • To evaluate the effectiveness and safety of topical eutectic mixture of prilocaine and lidocaine (EMLA/Prilox) cream for pain management during urethral meatotomy.
  • To determine if topical anesthesia can eliminate the need for conventional penile blocks or general anesthesia.

Main Methods:

  • A prospective study involving 32 patients with meatal stenosis undergoing urethral meatotomy.
  • Application of 3-4 g of Prilox cream to the glans penis with occlusive dressing for 45 minutes prior to the procedure.
  • Pain perception assessed using the Visual Analog Scale (VAS).
Keywords:
Eutectic mixture of local anestheticslocal anesthesiameatal stenosismeatotomytopical anesthesia

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Main Results:

  • Only one patient (out of 32) reported pain, attributed to improper cream application.
  • The mean VAS score was 1.8, indicating minimal to no significant pain perception.
  • No major complications were observed during or after the procedure.

Conclusions:

  • Topical Prilox (EMLA) cream is a safe and effective anesthetic for urethral meatotomy.
  • This method successfully avoids the pain and anxiety associated with injections for penile blocks or general anesthesia.
  • Topical anesthesia should be considered a viable alternative for most patients undergoing meatotomy.