Cartwright P C, Snow B W, McNees D C
Primary Children's Medical Center, Salt Lake City, Utah, USA.
J Urol. 1996 Aug;156(2 Pt 2):857-8; discussion 858-9. doi: 10.1097/00005392-199608001-00087.
We determined the effectiveness of lidocaine and prilocaine (EMLA) topical cream for anesthesia during urethral meatotomy performed in an office setting.
Meatotomy was performed in 58 patients 1 hour after topical application of EMLA cream to the glans.
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.
Urethral meatotomy in an office setting with EMLA cream for anesthesia is generally painless, well tolerated, successful and cost-effective versus operative meatotomy.
我们确定了利多卡因和丙胺卡因（复方利多卡因乳膏）外用乳膏在门诊环境下进行尿道外口切开术时的麻醉效果。
对58例患者在龟头局部涂抹复方利多卡因乳膏1小时后进行尿道外口切开术。
58例患者中，55例无疼痛，而在我们早期的经验中，3例有轻微不适，原因是复方利多卡因乳膏涂抹量过少或移位。57例患者效果良好，1例出现部分再狭窄。
在门诊环境下使用复方利多卡因乳膏进行尿道外口切开术麻醉，与手术切开术相比，通常无痛、耐受性好、成功率高且具有成本效益。
