Pain Level of Male Urinary Catheterization Using Lidocain Gel and Lidocain Liquid at Emergency Room of RSUD Kabupaten Kediri

Abstract

Pain during urinary catheterization due to friction between the catheter with urethral mucosa. To reduce the pain, a lubricating gel was used, both containing lidocaine or not. Gel containing lidocaine give better results in reducing pain, but it is relatively expensive so  lidocaine liquid was used as alternative. The aim of this study to determine differences in pain levels of male urinary catheterization using lidocaine gel and lidocaine liquid at emergency room of RSUD Kabupaten Kediri. Research design of this study  was quasy experiment with two groups posttest only approach. There are 9 samples respondents in each group were performed by accidental sampling. Data was analysed using Mann Whitney test. Almost all of respondents (78%) in lidocaine gels group feel mild pain, and most of respondents (56%) in lidocaine liquids group feel mild pain. Lidocaine gel method gives better results than lidocaine liquid method, because the gel that sprayed can lubricate the urethra more leverage than just lidocaine liquid at superficial urethra. Analysis data using Mann Whitney test with computerized obtained ρ-value = 0.331 at significance level (α) = 0.05, where ρ value ≥ α 0.05, then it can be concluded that there was no difference in pain level male urinary catheterization using lidocaine gel and lidocaine liquid. There is no significant difference in the level of pain in both groups because both use lidocaine 2%. The use of lidocaine liquid can be an alternative to reduce the pain of urinary catheterization placement with relatively cheaper cost.