British journal of urology
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Randomized Controlled Trial Clinical Trial
Spermatic-cord block improves analgesia for day-case testicular surgery.
To assess whether the use of a spermatic-cord block contributes any additional analgesia to that of a conventional analgesic regimen in day-case testicular surgery. ⋯ The spermatic-cord block reduced discomfort in the immediate post-operative period in patients undergoing testicular surgery and the procedure should be encouraged to improve the quality of post-operative pain management in such procedures.
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Randomized Controlled Trial Clinical Trial
A prospective, randomized, double-blind study comparing lignocaine gel and plain lubricating gel in relieving pain during flexible cystoscopy.
To determine the optimum duration for the retention of 2% lignocaine gel intraurethrally as an anaesthetic for flexible cystoscopy in men. ⋯ Pain during flexible cystoscopy can be significantly reduced when 20 mL of 2% lignocaine gel is left in the urethra for 15 min; lignocaine gel would be more effective when left for longer than is currently practised.
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Clinical Trial Controlled Clinical Trial
Use of patient-controlled analgesia in extracorporeal shockwave lithotripsy.
To assess the advantages of patient-controlled analgesia (PCA)-in patients undergoing extracorporeal shockwave lithotripsy (ESWL) for urinary stones. ⋯ PCA enables the urologist to achieve better patient compliance through better pain control; its application has maximized the use of lithotripsy and the patients' acceptability for this form of analgesia is confirmed. We recommend that this form of analgesia be used for ESWL.