Electromotive administration of intravesical lidocaine in patients with interstitial cystitis.
J Endourol
; 10(5): 443-7, 1996 Oct.
Article
en En
| MEDLINE
| ID: mdl-8905491
ABSTRACT
Six patients with long-standing interstitial cystitis (IC) were treated with intravesical electromotive drug-assisted (EMDA) therapy using lidocaine (1.5%) and 1100,000 epinephrine in aqueous solution. A stainless-steel silver-coated anode placed through an 18F Foley catheter was positioned in the urinary bladder, and a 5 x 10-cm dispersion electrode (cathode) was placed on the suprapubic skin, which was well lubricated with conductive jelly. The two electrodes were connected to a pulsed DC generator, and electrical current was slowly ramped from 0 to 15 mA while the lidocaine and epinephrine were in the urinary bladder. After 40 minutes of current application, the bladder was hydraulically dilated to maximum tolerance. Significant bladder dilatation was achieved without systemic symptoms. Post-treatment, voiding symptoms decreased, as did suprapubic and perineal pain, and in four patients, the results have been durable.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Simpatomiméticos
/
Epinefrina
/
Iontoforesis
/
Cistitis Intersticial
/
Anestésicos Locales
/
Lidocaína
Límite:
Adult
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Endourol
Asunto de la revista:
UROLOGIA
Año:
1996
Tipo del documento:
Article
País de afiliación:
Estados Unidos