using xylocaine jelly

  1. At my hospital when patients undergo cystoscopy for females we only use xylocaine jelly around the scope and not injected directly into the female urethra. What are you guys doing. Do you use xylocaine jelly on any female patients? and if so what, how much and where(scope Vs urethra)
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    About zebidee101

    Joined: Jun '02; Posts: 8


  3. by   Amy ER Nurse
    I can only speak of my experience with this as the patient. I read up on the procedure first, and in my nursing books it said the pt is pre medicated with Valium. NOT!!! All they did for me was the xylocaine jelly. It still hurt, and I felt like I was peeing razorblades and battery acid afterwards!!!
  4. by   zebidee101
    I'm sorry to hear that, I have also had several similar comments from patients that is why we are looking at doing something more effective but wondered if anyone else had any other experiences.
  5. by   disher
    We do not use xylocaine for females (most of patients do not have sensation) if a male has sensation we'll use urojet and inject the xylocaine just before the scope. I am trying to visulize getting the xylocaine to go into the female urethra seems it would just stay on the outside. Have you tried using it on a female?
  6. by   NurseDennie
    I had cystoscopy last month. Nurse put a swab (Q-tip type thing) with xylocaine jelly in the urethra before starting the procedure.

    Thank GOD I had sedation - I don't know about your patients, disher, but *I* sure did still have sensation! Ow ow OW OW OW. I didn't enjoy it one little bit


  7. by   sehbear

    We try to anasthesthised the area, but we all know that that is difficult, esp. women. We also lube up the scope - of course.
    It great to have found this site!!!!