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Urethral meatotomy in the office using topical EMLA cream for anesthesia
P C Cartwright1, B W Snow, D C McNees
1Primary Children's Medical Center, Salt Lake City, Utah, USA.
Purpose:
We determined the effectiveness of lidocaine and prilocaine (EMLA) topical cream for anesthesia during urethral meatotomy performed in an office setting.
Materials And Methods:
Meatotomy was performed in 58 patients 1 hour after topical application of EMLA cream to the glans.
Results:
Of the 58 patients 55 had no pain, while early in our experience 3 had limited discomfort because EMLA cream was applied in too small a volume or it became dislodged. Results have been good in 57 patients, while partial restenosis developed in 1.
Conclusions:
Urethral meatotomy in an office setting with EMLA cream for anesthesia is generally painless, well tolerated, successful and cost-effective versus operative meatotomy.