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.
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.
Authors: Briony K Varda; Tanya Logvinenko; Stuart Bauer; Bartley Cilento; Richard N Yu; Caleb P Nelson Journal: J Pediatr Urol Date: 2017-11-17 Impact factor: 1.830