Page last updated: 2024-10-28

lidocaine and Bladder Pain Syndrome

lidocaine has been researched along with Bladder Pain Syndrome in 32 studies

Lidocaine: A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.
lidocaine : The monocarboxylic acid amide resulting from the formal condensation of N,N-diethylglycine with 2,6-dimethylaniline.

Research Excerpts

ExcerptRelevanceReference
"It has been reported in an open-label study that the combination of alkalinized lidocaine and heparin can immediately relieve the symptoms of urinary urgency, frequency, and pain associated with interstitial cystitis (IC)."9.16Alkalinized lidocaine and heparin provide immediate relief of pain and urgency in patients with interstitial cystitis. ( Davis, E; Franklin, A; Garner, WJ; Giesing, D; Kahn, BS; Koziol, J; Lakin, CM; Parsons, CL; Proctor, J; Zupkas, P, 2012)
"Intravesically administered lidocaine is used in patients with bladder pain syndrome (BPS) to test the hypothesis that symptoms have a peripheral versus central mechanism."7.91Prospective comparative study of the effects of lidocaine on urodynamic and sensory parameters in bladder pain syndrome. ( Dilloughery, E; McMahon, SB; O'Reilly, BA; Offiah, I, 2019)
"To test the dyspareunia response of patients with interstitial cystitis/painful bladder syndrome treated with an intravesical therapeutic solution of lidocaine, heparin, and sodium bicarbonate."7.74Dyspareunia response in patients with interstitial cystitis treated with intravesical lidocaine, bicarbonate, and heparin. ( Teichman, JM; Welk, BK, 2008)
"Lidocaine has demonstrated properties that block the neuroinflammatory cycle associated with IC/BPS at many of the interactive points in this cycle."6.52Beyond a Simple Anesthetic Effect: Lidocaine in the Diagnosis and Treatment of Interstitial Cystitis/bladder Pain Syndrome. ( Cahill, CM; Henry, RA; Morales, A, 2015)
"Intravesical instillation of TRG-100 was found to be safe and efficient in reducing pain and irritative bladder symptoms in our study population."5.91Open Label, Pilot Evaluation of the Safety and Efficacy of Intravesical Sustained Release System of Lidocaine and Oxybutynin (TRG-100) for Patients With Interstitial Cystitis/Bladder Pain Syndrome, Overactive Bladder and Patients With Retained Ureteral St ( Ala-Adin, N; Chertin, B; Dothan, D; Gordon, A; Hatumi, S; Kafka, I; Malchi, N; Moldwin, R; Nassar, T; Perez, D; Raisin, G; Shenfeld, O; Touitou, D, 2023)
"Two phase 2 studies were conducted to assess the efficacy and safety of lidocaine-releasing intravesical system (LiRIS) in patients with interstitial cystitis/bladder pain syndrome (IC/BPS) with (Study 001; NCT02395042) or without, (Study 002; NCT02411110) Hunner lesions (HL)."5.41Safety, tolerability, and efficacy of LiRIS 400 mg in women with interstitial cystitis/bladder pain syndrome with or without Hunner lesions. ( Evans, R; Geib, T; Kohan, A; Moldwin, R; Peters, KM; Radecki, D, 2021)
"Alkalinized lidocaine and heparin have been reported to provide relief from pain and urgency symptoms associated with IC."5.20Heparin and alkalinized lidocaine versus alkalinized lidocaine for treatment of interstitial cystitis symptoms. ( Argade, S; Koziol, JA; Parsons, CL; Proctor, JG; Zupkas, P, 2015)
"It has been reported in an open-label study that the combination of alkalinized lidocaine and heparin can immediately relieve the symptoms of urinary urgency, frequency, and pain associated with interstitial cystitis (IC)."5.16Alkalinized lidocaine and heparin provide immediate relief of pain and urgency in patients with interstitial cystitis. ( Davis, E; Franklin, A; Garner, WJ; Giesing, D; Kahn, BS; Koziol, J; Lakin, CM; Parsons, CL; Proctor, J; Zupkas, P, 2012)
"Intravesical treatment with combined heparin and alkalinized lidocaine immediately reduced the pain and urgency of IC in most patients treated for newly diagnosed IC."5.11Successful downregulation of bladder sensory nerves with combination of heparin and alkalinized lidocaine in patients with interstitial cystitis. ( Parsons, CL, 2005)
" Lidocaine EMDA is superior to alkalized lidocaine in that it allows for a greater distention of the bladder for a longer period of time but does not eliminate the pain of bladder distention."5.11Pilot study of the feasibility of in-office bladder distention using electromotive drug adminstration (EMDA). ( Azevedo, K; Payne, CK; Rose, AE, 2005)
"Intravesically administered lidocaine is used in patients with bladder pain syndrome (BPS) to test the hypothesis that symptoms have a peripheral versus central mechanism."3.91Prospective comparative study of the effects of lidocaine on urodynamic and sensory parameters in bladder pain syndrome. ( Dilloughery, E; McMahon, SB; O'Reilly, BA; Offiah, I, 2019)
"To test the dyspareunia response of patients with interstitial cystitis/painful bladder syndrome treated with an intravesical therapeutic solution of lidocaine, heparin, and sodium bicarbonate."3.74Dyspareunia response in patients with interstitial cystitis treated with intravesical lidocaine, bicarbonate, and heparin. ( Teichman, JM; Welk, BK, 2008)
"Seventeen patients with non-infectious chronic cystitis (NICC) (9 with interstitial cystitis, 6 patients with radiation cystitis, 1 with chemocystitis and 1 with lupoid cystitis) were treated with electromotive administration of intravesical lidocaine and dexamethasone followed by hydrodistension of the bladder."3.69Intravesical electromotive drug administration for the treatment of non-infectious chronic cystitis. ( Knoll, M; Pflüger, H; Plas, E; Riedl, CR; Stephen, RL, 1997)
"Patients with interstitial cystitis refractory to conventional therapies were given a solution of 20 000 U heparin, 5 mL 4% lidocaine and 25 mL 7% sodium bicarbonate, intravesically, weekly for 12 weeks consecutively."2.78On- and post-treatment symptom relief by repeated instillations of heparin and alkalized lidocaine in interstitial cystitis. ( Homma, Y; Igawa, Y; Kume, H; Naruse, T; Niimi, A; Nishimatsu, H; Nomiya, A, 2013)
" No patients were admitted to hospital due to adverse events associated with hydrodistension."2.74Hydrodistension under local anesthesia for patients with suspected painful bladder syndrome/interstitial cystitis: safety, diagnostic potential and therapeutic efficacy. ( Aihara, K; Fujimoto, K; Hirao, Y; Hirayama, A; Tanaka, N; Yoshida, K, 2009)
"Six patients with long-standing interstitial cystitis (IC) were treated with intravesical electromotive drug-assisted (EMDA) therapy using lidocaine (1."2.68Electromotive administration of intravesical lidocaine in patients with interstitial cystitis. ( Griffith, DP; Gürpinar, T; Wong, HY, 1996)
"Bladder pain syndrome (BPS)/interstitial cystitis (IC) is a chronic symptom complex that may cause bothersome storage symptoms and pain or discomfort of the bladder, adversely affecting a patient's quality of life."2.58Advances in intravesical therapy for bladder pain syndrome (BPS)/interstitial cystitis (IC). ( Chuang, YC; Hsu, YC; Meng, E, 2018)
"Bladder pain syndrome/interstitial cystitis (BPS/IC) has various treatments; however, no standardized treatment has been established."2.53Treatment of bladder pain syndrome and interstitial cystitis: a systematic review. ( de Souza Mitidieri, AM; Gurian, MB; Pazin, C; Poli-Neto, OB; Rosa-E-Silva, JC; Silva, AP, 2016)
"Lidocaine has demonstrated properties that block the neuroinflammatory cycle associated with IC/BPS at many of the interactive points in this cycle."2.52Beyond a Simple Anesthetic Effect: Lidocaine in the Diagnosis and Treatment of Interstitial Cystitis/bladder Pain Syndrome. ( Cahill, CM; Henry, RA; Morales, A, 2015)
"Intravesical instillation of TRG-100 was found to be safe and efficient in reducing pain and irritative bladder symptoms in our study population."1.91Open Label, Pilot Evaluation of the Safety and Efficacy of Intravesical Sustained Release System of Lidocaine and Oxybutynin (TRG-100) for Patients With Interstitial Cystitis/Bladder Pain Syndrome, Overactive Bladder and Patients With Retained Ureteral St ( Ala-Adin, N; Chertin, B; Dothan, D; Gordon, A; Hatumi, S; Kafka, I; Malchi, N; Moldwin, R; Nassar, T; Perez, D; Raisin, G; Shenfeld, O; Touitou, D, 2023)
"Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic debilitating condition of unknown etiology."1.72Intravesical sustained release system of lidocaine and oxybutynin results from in vitro and animal study. ( Chertin, B; Dothan, D; Gordon, A; Malchi, N; Raisin, G; Touitou, D, 2022)
"Pelvic pain was assessed using von Frey filament stimulation to the pelvic region, and mice infected with PRV developed progressive pelvic pain."1.34Organ cross talk modulates pelvic pain. ( Chen, MC; Klumpp, DJ; Mongiu, AK; Rudick, CN, 2007)
"Healthy volunteers and patients with interstitial cystitis had similar lidocaine absorption profiles with a peak of 1."1.31Absorption of alkalized intravesical lidocaine in normal and inflamed bladders: a simple method for improving bladder anesthesia. ( Avery, N; Henry, R; Hunter, D; Morales, A; Nickel, JC; Patterson, L; Tanzola, R; Tod, D, 2001)
"Twenty-one female subjects with interstitial cystitis were treated with EMDA of lidocaine and dexamethasone, followed by cystodistension."1.30Electromotive drug administration of lidocaine and dexamethasone followed by cystodistension in women with interstitial cystitis. ( Dwyer, PL; Gibson, J; Rosamilia, A, 1997)
"Thirteen patients with interstitial cystitis diagnosed by the NIH criteria were treated with intravesical electromotive administration of lidocaine and dexamethasone followed by cystodistention."1.30Electromotive drug administration and hydrodistention for the treatment of interstitial cystitis. ( Knoll, M; Pflüger, H; Plas, E; Riedl, CR, 1998)

Research

Studies (32)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (12.50)18.2507
2000's10 (31.25)29.6817
2010's15 (46.88)24.3611
2020's3 (9.38)2.80

Authors

AuthorsStudies
Dothan, D2
Raisin, G2
Malchi, N2
Gordon, A2
Touitou, D2
Chertin, B2
Perez, D1
Ala-Adin, N1
Kafka, I1
Shenfeld, O1
Hatumi, S1
Moldwin, R3
Nassar, T1
Evans, R1
Kohan, A1
Radecki, D1
Geib, T1
Peters, KM1
Meng, E1
Hsu, YC1
Chuang, YC1
Offiah, I1
Dilloughery, E1
McMahon, SB1
O'Reilly, BA1
Almeida, FG1
Batezini, NSDS1
Simões, RS1
Bernardo, WM1
Nomiya, A1
Naruse, T1
Niimi, A1
Nishimatsu, H1
Kume, H1
Igawa, Y1
Homma, Y1
Takahashi, S1
Parsons, CL4
Koziol, JA1
Proctor, JG1
Zupkas, P2
Argade, S1
Henry, RA4
Morales, A3
Cahill, CM1
Pazin, C1
de Souza Mitidieri, AM1
Silva, AP1
Gurian, MB1
Poli-Neto, OB1
Rosa-E-Silva, JC1
Wein, AJ1
Nickel, JC3
Lee, S1
Davis, EL1
Wyllie, MG1
Aihara, K1
Hirayama, A1
Tanaka, N1
Fujimoto, K1
Yoshida, K1
Hirao, Y1
Taneja, R1
Matsuo, T1
Shida, Y1
Hayashida, Y1
Sakai, H1
Proctor, J1
Koziol, J1
Franklin, A1
Giesing, D2
Davis, E1
Lakin, CM1
Kahn, BS1
Garner, WJ1
Matsuoka, PK1
Haddad, JM1
Pacetta, AM1
Baracat, EC1
Lv, YS1
Zhou, HL1
Mao, HP1
Gao, R1
Wang, YD1
Xue, XY1
Jain, P1
Shore, N1
Anderson, J1
Lee, H1
Kim, G1
Daniel, K1
White, S1
Larrivee-Elkins, C1
Lekstrom-Himes, J1
Cima, M1
Rose, AE1
Payne, CK1
Azevedo, K1
Rudick, CN1
Chen, MC1
Mongiu, AK1
Klumpp, DJ1
Welk, BK1
Teichman, JM1
Gürpinar, T1
Wong, HY1
Griffith, DP1
Riedl, CR2
Knoll, M2
Plas, E2
Stephen, RL1
Pflüger, H2
Rosamilia, A1
Dwyer, PL1
Gibson, J1
Henry, R1
Patterson, L2
Avery, N1
Tanzola, R1
Tod, D1
Hunter, D1
Nickel, C1

Clinical Trials (12)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Multicenter, Randomized, Double-blind, Placebo-controlled Study Evaluating Safety and Efficacy of LiRIS® 400 mg in Females With Interstitial Cystitis/Bladder Pain Syndrome[NCT02411110]Phase 2131 participants (Actual)Interventional2015-05-21Completed
A Multicenter, Randomized, Double-blind, Placebo-controlled Study, Evaluating Safety and Efficacy of LiRIS® 400 mg in Females With Interstitial Cystitis With Hunner's Lesions[NCT02395042]Phase 259 participants (Actual)Interventional2015-04-15Completed
Intravesical Injection of Dextrose to Improve Lower Urinary Tract Symptoms Caused by Chronic Cystitis[NCT04821882]29 participants (Actual)Interventional2019-05-01Completed
A Randomized Trial of Bladder Instillations Versus Onabotulinumtoxin A for Treatment of Interstitial Cystitis/Bladder Pain Syndrome[NCT04401176]Phase 258 participants (Actual)Interventional2020-09-15Completed
Heparin Intraoperative Instillation for Lower Urinary Tract Symptoms After Benign Hysterectomy: A Randomized Controlled Trial[NCT03633994]Phase 2104 participants (Anticipated)Interventional2018-08-20Recruiting
Randomized Controlled Trial Comparing Two Different Bladder Instillation Treatments for Interstitial Cystitis/Bladder Pain Syndrome[NCT03463915]Phase 390 participants (Actual)Interventional2019-01-25Completed
Intraluminal Ureteric Injection of High Concentration Alkalinised Long-acting Local Anaesthetic and STeroid Post urEteroscopy: A Prospective Double Blinded Randomised Controlled Trial (LASTE Trial)[NCT03296189]150 participants (Anticipated)Interventional2018-11-01Not yet recruiting
The Effect of Intravesical Lidocaine Solution Versus Placebo as Anesthesia Prior to Intravesical Injection of Onabotulinum Toxin A. A Randomized, Double-blind, Placebo Controlled Cross-over Study[NCT05415865]Phase 350 participants (Anticipated)Interventional2022-09-12Recruiting
Use of Preemptive Pudendal Nerve Block Prior to Hydrodistension for the Treatment of Interstitial Cystitis/Painful Bladder Syndrome (IC/PBS): a Prospective, Double-blinded, Randomized Control Trial[NCT02517996]18 participants (Actual)Interventional2015-02-28Terminated (stopped due to Preliminary results were promising when interim analysis performed but terminated due to primary investigators left recruitment site.)
A Phase II Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Intravesical Alkalinized Lidocaine-Heparin for the Symptoms of Pelvic Pain and/or Urgency of Bladder Origin[NCT00256542]Phase 290 participants Interventional2006-01-31Completed
Effect of Intravesical Lidocaine on Urodynamic and Symptomatic Parameters of Interstitial Cystitis[NCT00823030]0 participants (Actual)Interventional2009-01-31Withdrawn
Intravesical Alkalized Lidocaine for the Treatment of Overactive Bladder (OAB), a Randomized, Double-blinded Controlled Trial[NCT00427648]Phase 322 participants (Actual)Interventional2006-03-31Terminated (stopped due to funding ran out, poor accrual.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in Daily Average Bladder Pain to Treatment 1 Week 4 Follow-up

The participant recorded their bladder pain over the previous 24-hour period in a 7-day pain assessment tool using an 11-point Numeric Rating Scale (NRS) (0 to 10) where 0=no pain to 10= worst pain. Pain data recorded over the 7-day period were averaged. A negative change from Baseline indicates improvement. An Analysis of Covariance (ANCOVA) model with baseline value as a covariate and treatment group and stratification factors (age group: < 40 years or ≥ 40 years and baseline bladder pain NRS: ≤ 6 or > 6) as factors was used for analysis. (NCT02411110)
Timeframe: Baseline (Days -7 to 0) to Treatment 1 Week 4

Interventionscore on a scale (Least Squares Mean)
LiRIS® (Treatment Period 1)-1.2
LiRIS Placebo (Treatment Period 1)-1.5

Change From Baseline in the Daily Average Bladder Pain Numeric Rating Scale (NRS)

The participant recorded their daily bladder pain score over the previous 24-hour period on a 7-day pain assessment tool as measured by an NRS on an 11-point scale where 0=no pain to 10=worst pain imaginable. The daily pain scores over the 7-day period were averaged. A negative change from Baseline indicates improvement. An analysis of covariance (ANCOVA) model with Baseline value as a covariate and treatment group and stratification (baseline bladder pain NRS: ≤ 5 or > 5) as factors was used for analysis. (NCT02395042)
Timeframe: Baseline (Day -7 to Day 0) to Week 4

Interventionscore on a scale (Least Squares Mean)
LiRIS Placebo, LiRIS Placebo (Tx 1)/LiRIS® (Tx 2)-1.6
LiRIS®, LiRIS® (Tx 1)/LiRIS® (Tx 2)-2.7
LiRIS Placebo, LiRIS® (Tx 1)/ LiRIS® (Tx 2)-2.5

Change From Baseline in the Number of Hunner's Lesions

During each cystoscopy, the investigator counted the number of lesions visible while performing the bladder scan. A negative change from Baseline indicates improvement (less lesions). An ANCOVA model with Baseline value as a covariate and treatment group and stratification (baseline bladder pain NRS: ≤ 5 or > 5) as factors was used for analysis. (NCT02395042)
Timeframe: Baseline (Day 0) to Week 4

InterventionHunner's lesions (Least Squares Mean)
LiRIS Placebo, LiRIS Placebo (Tx 1)/LiRIS® (Tx 2)0.8
LiRIS®, LiRIS® (Tx 1)/LiRIS® (Tx 2)-0.6
LiRIS Placebo, LiRIS® (Tx 1)/ LiRIS® (Tx 2)-0.2

Change From Baseline in Treatment Response as Measured by the Total Score on the O'Leary-Sant Questionnaire

Total scores range: 0-36 (0= no symptoms to 36= the most severe symptoms) (NCT03463915)
Timeframe: Assessed at baseline, 3 and 6 weeks; change from baseline to week 6 reported

Interventionscores on a scale (Mean)
Bladder Instillation WITH Triamcinolone Acetonide-6.7
Bladder Instillation WITHOUT Triamcinolone Acetonide-5.8

Change From Baseline in Treatment Response as Measured by the Visual Analogue Scale (VAS) for Pain

VAS is measured on marking on a 10-centimeter (cm) ruler (measured in cm, 0= no pain and 10= most severe pain possible) (NCT03463915)
Timeframe: Assessed at baseline, 3 and 6 weeks; change from baseline to week 6 reported

Interventionscore on a scale (Mean)
Bladder Instillation WITH Triamcinolone Acetonide-1.9
Bladder Instillation WITHOUT Triamcinolone Acetonide-1.8

Number of Participants With at Least One Adverse Event

Adverse events will only be those determined to be related to the study drug (NCT03463915)
Timeframe: End of study (6 weeks)

InterventionParticipants (Count of Participants)
Bladder Instillation WITH Triamcinolone Acetonide1
Bladder Instillation WITHOUT Triamcinolone Acetonide5

Overactive Bladder Questionnaire (OAB-q)

Total scores range: 0-100 (higher scores on the symptom-severity scale suggestive of greater severity of symptoms and higher scores on the quality-of-life scale suggestive of better quality of life) (NCT03463915)
Timeframe: Assessed at baseline, 3 and 6 weeks; change from baseline to week 6 reported

Interventionscore on a scale (Mean)
Bladder Instillation WITH Triamcinolone Acetonide-24.2
Bladder Instillation WITHOUT Triamcinolone Acetonide-18.8

Pelvic Floor Distress Inventory (PFDI)

20 question self-administered questionnaire on the presence and absence of pelvic floor symptoms. Score ranges from 0 (least distress) to 300 (most distress). (NCT03463915)
Timeframe: Assessed at baseline, 3 and 6 weeks; change from baseline to week 6 reported

Interventionscore on a scale (Mean)
Bladder Instillation WITH Triamcinolone Acetonide-5.3
Bladder Instillation WITHOUT Triamcinolone Acetonide-6.4

Pelvic Pain and Urgency/Frequency (PUF) Questionnaire

Total scores range: 0-35 (0= no symptoms to 35= the most severe symptoms) (NCT03463915)
Timeframe: Assessed at baseline, 3 and 6 weeks; change from baseline to week 6 reported

Interventionscore on a scale (Mean)
Bladder Instillation WITH Triamcinolone Acetonide-5.3
Bladder Instillation WITHOUT Triamcinolone Acetonide-2.7

Sexual Function Measured by the Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR) Questionnaire

Measures sexual function in women with pelvic floor disorders. Queries about arousal, orgasm, partner-related issues, sexual quality, and desire. The tool also takes into account those who are not sexually active. The questionnaire was used in the study solely to determine if patients had improved dyspareunia (as a categorical variable). (NCT03463915)
Timeframe: Assessed at baseline, 3 and 6 weeks; change from baseline to week 6 reported

Interventionparticipants (Number)
Bladder Instillation WITH Triamcinolone Acetonide4
Bladder Instillation WITHOUT Triamcinolone Acetonide4

Change in IC Symptom Index Questionnaire With Preemptive Pudendal Nerve Block Compared to Saline

"To determine the change in interstitial cystitis symptom index at baseline, 2 hours, 2 weeks, 6 weeks and 3 months after hydrodistention with preemptive pudendal nerve block (1% Lidocaine) compared to hydrodistention with placebo (saline).~The IC symptom index questionnaire consists of 4 questions on IC symptoms. 2 of the questions have 6 answer choices ranging from 0-never, to 5-almost always. 1 question has 6 answer choices ranging from 0-never to 5-usually. 1 question has 7 answer choices ranging from 0-never to 6-5 or more times. The numerical score for each question are added together, with a minimum score of 0 and a maximum score of 21. A higher score indicates greater severity of IC symptoms." (NCT02517996)
Timeframe: Baseline, 2 weeks, 6 weeks, 3 months (Up to 3 months)

,
Interventionscore on a scale (Mean)
Baseline2 weeks6 weeks12 weeks
1% Lidocaine12.511.4311.810
Normal Saline1098.675

Change in Pain Level as Assessed by the Visual Analog Scale (VAS)

"To determine the change in pain at 2 hours, 2 weeks, 6 weeks, and 3 months postoperatively in patients undergoing hydrodistention with preemptive pudendal nerve block (1% Lidocaine) compared to hydrodistention with placebo (saline) using the visual analog scale (VAS).~VAS consists of a 10cm horizontal line with the minimum endpoint labeled no pain (0) and maximum labeled worst pain ever (10). Patients placed a mark on the point that corresponds to the level of pain severity they felt. The cm distance from the low end of the VAS to the patient's mark is used as the numerical index of the intensity of pain. Pain scores of 3.0-5.4 cm are moderate, over 5.4 indicates severe pain." (NCT02517996)
Timeframe: Baseline, 2 hours, 2 weeks, 6 weeks, 3 months (Up to 3 months)

,
Interventionscore on a scale (Mean)
Pre operative VAS scorePost operative VAS score2 week post operative VAS scores6 week post operative VAS score12 weeks post operative VAS score
1% Lidocaine3.1253.752.732.6
Normal Saline4.554.84.332

Change in Pelvic Urgency, Pain, and Frequency (PUF) Questionnaire With Preemptive Pudendal Nerve Block Compared to Saline

"To determine the change in pelvic urgency, pain and frequency (PUF) questionnaire at baseline, 2 hours, 2 weeks, 6 weeks and 3 months after hydrodistention with preemptive pudendal nerve block (1% Lidocaine) compared to hydrodistention with placebo (saline).~The Pelvic Urgency, Pain, and Frequency Patient Symptom Scale asks 11 questions, 7 on PUF symptoms, 4 on how bothersome PUF symptoms are. Symptom questions include 3, 4, or 5 ranked answers, with higher answers indicating more voids, or greater frequency of pain. The bother questions each of 4 ranked answers from 0-never, to 3-always. The symptom score is added, the bother score is added, and then the total score is added. The total PUF score is then reported. The minimum score is 0 and the maximum score is 35, and a higher score indicates greater symptoms and higher bother from pelvic pain and frequency." (NCT02517996)
Timeframe: Baseline, 2 hours, 2 weeks, 6 weeks, 3 months (Up to 3 months)

,
Interventionscore on a scale (Mean)
Baseline2 weeks6 weeks12 weeks
1% Lidocaine22.6318.8318.217.2
Normal Saline1917.416.714

Change in Problem Index (O'Leary Sant) With Preemptive Pudendal Nerve Block Compared to Saline

"To determine the change in problem index (O'Leary Sant) at baseline, 2 hours, 2 weeks, 6 weeks and 3 months after hydrodistention with preemptive pudendal nerve block (1% Lidocaine) compared to hydrodistention with placebo (saline).~The IC problem index questionnaire consists of 4 questions on how much of a problem a patient's IC symptoms cause them. Each question has 5 answer choices ranging from 0-no problem, to 4-big problem. The numerical score for each question are added together, with a minimum score of 0 and a maximum score of 16. A higher score indicates that IC symptoms cause more problems for the patient." (NCT02517996)
Timeframe: Baseline, 2 hours, 2 weeks, 6 weeks, 3 months (Up to 3 months)

,
Interventionscore on a scale (Mean)
Baseline2 weeks6 weeks12 weeks
1% Lidocaine11.759.71109.6
Normal Saline9.438.67.336

Average Weekly NRS for Frequency at 6 Weeks

NRS - numerical rating scale, 0-10 is the range, and higher scores are worse frequency (NCT00427648)
Timeframe: 6 weeks

Interventionscore on a 0-10 scale (Median)
1/Xylocaine4
2/Normal Saline4

Cystometric Assessment of Maximal Bladder Capacity at 6 Weeks Only.

This is based on retrograde infusion of sterile water into the bladder using a catheter, the maximum tolerated volume serving to define how much distension a woman can tolerate. (NCT00427648)
Timeframe: 6 weeks

InterventionmL (Median)
1/Xylocaine316
2/Normal Saline275

Global Assessment of Change - Frequency at 6 Weeks

This is patient overall assessment of change in overactive bladder symptoms after treatment. 0% is no change, 100% is total resolution of symptoms (NCT00427648)
Timeframe: 6 weeks

Interventionpercent improvement (Median)
1/Xylocaine40
2/Normal Saline10

Median Number of Daily Voiding Episodes (by 3-day Voiding Diary) at Six Weeks.

(NCT00427648)
Timeframe: 6 weeks

Interventionvoids/day (Median)
1/Active9.5
2/Placebo9

Median Number of Daily Voiding Episodes at 12 Months.

(NCT00427648)
Timeframe: 12 months

Interventionvoids/day (Median)
1/Xylocaine7
2/Normal Saline8

OAB-q (Symptom Scale) at 6 Weeks

OAB-q SS is a 7 item overactive bladder symptom bother sub scale, ranging from 0-100, higher scores mean worse outcome for bother (NCT00427648)
Timeframe: 6 weeks

Interventionscore on a scale (Median)
1/Xylocaine15
2/Normal Saline28

SF-12 Physical at 6 Weeks

SF-12 physical is an abbreviated version of the SF-36 a widely used, general health care quality of life instrument. Scores range from 0-100, and higher scores are better outcomes. (NCT00427648)
Timeframe: 6 weeks

Interventionscore on scale (Median)
1/Xylocaine49
2/Normal Saline56

Reviews

7 reviews available for lidocaine and Bladder Pain Syndrome

ArticleYear
Advances in intravesical therapy for bladder pain syndrome (BPS)/interstitial cystitis (IC).
    Lower urinary tract symptoms, 2018, Volume: 10, Issue:1

    Topics: Acetylcholine Release Inhibitors; Administration, Intravesical; Anesthetics, Local; Anticoagulants;

2018
Interstitial cystitis - intravesical treatment.
    Revista da Associacao Medica Brasileira (1992), 2019, May-02, Volume: 65, Issue:4

    Topics: Administration, Intravesical; Botulinum Toxins, Type A; Brazil; Chondroitin Sulfates; Clinical Decis

2019
Beyond a Simple Anesthetic Effect: Lidocaine in the Diagnosis and Treatment of Interstitial Cystitis/bladder Pain Syndrome.
    Urology, 2015, Volume: 85, Issue:5

    Topics: Anesthetics, Local; Cystitis, Interstitial; Female; Humans; Lidocaine

2015
Treatment of bladder pain syndrome and interstitial cystitis: a systematic review.
    International urogynecology journal, 2016, Volume: 27, Issue:5

    Topics: Acetylcholine Release Inhibitors; Adjuvants, Immunologic; Administration, Intravesical; Anesthetics,

2016
[Intravesical therapy of heparin and lidocaine for interstitial cystitis : a case report].
    Hinyokika kiyo. Acta urologica Japonica, 2011, Volume: 57, Issue:9

    Topics: Administration, Intravesical; Cystitis, Interstitial; Female; Heparin; Humans; Lidocaine; Middle Age

2011
Intravesical treatment of painful bladder syndrome: a systematic review and meta-analysis.
    International urogynecology journal, 2012, Volume: 23, Issue:9

    Topics: Adjuvants, Immunologic; Administration, Intravesical; Anesthetics, Local; BCG Vaccine; Cystitis, Int

2012
Advances in the treatment of interstitial cystitis.
    Expert opinion on pharmacotherapy, 2006, Volume: 7, Issue:4

    Topics: Administration, Intravesical; Analgesics, Non-Narcotic; Anesthetics, Local; Anti-Inflammatory Agents

2006

Trials

12 trials available for lidocaine and Bladder Pain Syndrome

ArticleYear
Safety, tolerability, and efficacy of LiRIS 400 mg in women with interstitial cystitis/bladder pain syndrome with or without Hunner lesions.
    Neurourology and urodynamics, 2021, Volume: 40, Issue:7

    Topics: Adolescent; Adult; Cystitis, Interstitial; Double-Blind Method; Female; Humans; Lidocaine; Pelvic Pa

2021
Safety, tolerability, and efficacy of LiRIS 400 mg in women with interstitial cystitis/bladder pain syndrome with or without Hunner lesions.
    Neurourology and urodynamics, 2021, Volume: 40, Issue:7

    Topics: Adolescent; Adult; Cystitis, Interstitial; Double-Blind Method; Female; Humans; Lidocaine; Pelvic Pa

2021
Safety, tolerability, and efficacy of LiRIS 400 mg in women with interstitial cystitis/bladder pain syndrome with or without Hunner lesions.
    Neurourology and urodynamics, 2021, Volume: 40, Issue:7

    Topics: Adolescent; Adult; Cystitis, Interstitial; Double-Blind Method; Female; Humans; Lidocaine; Pelvic Pa

2021
Safety, tolerability, and efficacy of LiRIS 400 mg in women with interstitial cystitis/bladder pain syndrome with or without Hunner lesions.
    Neurourology and urodynamics, 2021, Volume: 40, Issue:7

    Topics: Adolescent; Adult; Cystitis, Interstitial; Double-Blind Method; Female; Humans; Lidocaine; Pelvic Pa

2021
On- and post-treatment symptom relief by repeated instillations of heparin and alkalized lidocaine in interstitial cystitis.
    International journal of urology : official journal of the Japanese Urological Association, 2013, Volume: 20, Issue:11

    Topics: Administration, Intravesical; Adult; Aged; Aged, 80 and over; Anesthetics, Local; Anticoagulants; Cy

2013
On- and post-treatment symptom relief by repeated instillations of heparin and alkalized lidocaine in interstitial cystitis.
    International journal of urology : official journal of the Japanese Urological Association, 2013, Volume: 20, Issue:11

    Topics: Administration, Intravesical; Adult; Aged; Aged, 80 and over; Anesthetics, Local; Anticoagulants; Cy

2013
On- and post-treatment symptom relief by repeated instillations of heparin and alkalized lidocaine in interstitial cystitis.
    International journal of urology : official journal of the Japanese Urological Association, 2013, Volume: 20, Issue:11

    Topics: Administration, Intravesical; Adult; Aged; Aged, 80 and over; Anesthetics, Local; Anticoagulants; Cy

2013
On- and post-treatment symptom relief by repeated instillations of heparin and alkalized lidocaine in interstitial cystitis.
    International journal of urology : official journal of the Japanese Urological Association, 2013, Volume: 20, Issue:11

    Topics: Administration, Intravesical; Adult; Aged; Aged, 80 and over; Anesthetics, Local; Anticoagulants; Cy

2013
Heparin and alkalinized lidocaine versus alkalinized lidocaine for treatment of interstitial cystitis symptoms.
    The Canadian journal of urology, 2015, Volume: 22, Issue:2

    Topics: Adult; Aged; Anesthetics, Local; Anticoagulants; Cystitis, Interstitial; Drug Therapy, Combination;

2015
Intravesical alkalinized lidocaine (PSD597) offers sustained relief from symptoms of interstitial cystitis and painful bladder syndrome.
    BJU international, 2009, Volume: 103, Issue:7

    Topics: Administration, Intravesical; Adolescent; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; D

2009
Intravesical alkalinized lidocaine (PSD597) offers sustained relief from symptoms of interstitial cystitis and painful bladder syndrome.
    BJU international, 2009, Volume: 103, Issue:7

    Topics: Administration, Intravesical; Adolescent; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; D

2009
Intravesical alkalinized lidocaine (PSD597) offers sustained relief from symptoms of interstitial cystitis and painful bladder syndrome.
    BJU international, 2009, Volume: 103, Issue:7

    Topics: Administration, Intravesical; Adolescent; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; D

2009
Intravesical alkalinized lidocaine (PSD597) offers sustained relief from symptoms of interstitial cystitis and painful bladder syndrome.
    BJU international, 2009, Volume: 103, Issue:7

    Topics: Administration, Intravesical; Adolescent; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; D

2009
Intravesical alkalinized lidocaine (PSD597) offers sustained relief from symptoms of interstitial cystitis and painful bladder syndrome.
    BJU international, 2009, Volume: 103, Issue:7

    Topics: Administration, Intravesical; Adolescent; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; D

2009
Intravesical alkalinized lidocaine (PSD597) offers sustained relief from symptoms of interstitial cystitis and painful bladder syndrome.
    BJU international, 2009, Volume: 103, Issue:7

    Topics: Administration, Intravesical; Adolescent; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; D

2009
Intravesical alkalinized lidocaine (PSD597) offers sustained relief from symptoms of interstitial cystitis and painful bladder syndrome.
    BJU international, 2009, Volume: 103, Issue:7

    Topics: Administration, Intravesical; Adolescent; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; D

2009
Intravesical alkalinized lidocaine (PSD597) offers sustained relief from symptoms of interstitial cystitis and painful bladder syndrome.
    BJU international, 2009, Volume: 103, Issue:7

    Topics: Administration, Intravesical; Adolescent; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; D

2009
Intravesical alkalinized lidocaine (PSD597) offers sustained relief from symptoms of interstitial cystitis and painful bladder syndrome.
    BJU international, 2009, Volume: 103, Issue:7

    Topics: Administration, Intravesical; Adolescent; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; D

2009
Hydrodistension under local anesthesia for patients with suspected painful bladder syndrome/interstitial cystitis: safety, diagnostic potential and therapeutic efficacy.
    International journal of urology : official journal of the Japanese Urological Association, 2009, Volume: 16, Issue:12

    Topics: Administration, Intravesical; Adult; Aged; Anesthesia, Local; Anesthetics, Local; Cystitis, Intersti

2009
Intravesical lignocaine in the diagnosis of bladder pain syndrome.
    International urogynecology journal, 2010, Volume: 21, Issue:3

    Topics: Administration, Intravesical; Adult; Anesthetics, Local; Cystitis, Interstitial; Female; Humans; Lid

2010
Alkalinized lidocaine and heparin provide immediate relief of pain and urgency in patients with interstitial cystitis.
    The journal of sexual medicine, 2012, Volume: 9, Issue:1

    Topics: Administration, Intravesical; Cross-Over Studies; Cystitis, Interstitial; Double-Blind Method; Drug

2012
Alkalinized lidocaine and heparin provide immediate relief of pain and urgency in patients with interstitial cystitis.
    The journal of sexual medicine, 2012, Volume: 9, Issue:1

    Topics: Administration, Intravesical; Cross-Over Studies; Cystitis, Interstitial; Double-Blind Method; Drug

2012
Alkalinized lidocaine and heparin provide immediate relief of pain and urgency in patients with interstitial cystitis.
    The journal of sexual medicine, 2012, Volume: 9, Issue:1

    Topics: Administration, Intravesical; Cross-Over Studies; Cystitis, Interstitial; Double-Blind Method; Drug

2012
Alkalinized lidocaine and heparin provide immediate relief of pain and urgency in patients with interstitial cystitis.
    The journal of sexual medicine, 2012, Volume: 9, Issue:1

    Topics: Administration, Intravesical; Cross-Over Studies; Cystitis, Interstitial; Double-Blind Method; Drug

2012
Intravesical hyaluronic acid and alkalinized lidocaine for the treatment of severe painful bladder syndrome/interstitial cystitis.
    International urogynecology journal, 2012, Volume: 23, Issue:12

    Topics: Adjuvants, Immunologic; Administration, Intravesical; Adult; Aged; Anesthetics, Local; Cystitis, Int

2012
Continuous intravesical lidocaine treatment for interstitial cystitis/bladder pain syndrome: safety and efficacy of a new drug delivery device.
    Science translational medicine, 2012, Jul-18, Volume: 4, Issue:143

    Topics: Administration, Intravesical; Adult; Cystitis, Interstitial; Female; Humans; Lidocaine; Middle Aged;

2012
Successful downregulation of bladder sensory nerves with combination of heparin and alkalinized lidocaine in patients with interstitial cystitis.
    Urology, 2005, Volume: 65, Issue:1

    Topics: Administration, Intravesical; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; Drug Therapy,

2005
Successful downregulation of bladder sensory nerves with combination of heparin and alkalinized lidocaine in patients with interstitial cystitis.
    Urology, 2005, Volume: 65, Issue:1

    Topics: Administration, Intravesical; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; Drug Therapy,

2005
Successful downregulation of bladder sensory nerves with combination of heparin and alkalinized lidocaine in patients with interstitial cystitis.
    Urology, 2005, Volume: 65, Issue:1

    Topics: Administration, Intravesical; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; Drug Therapy,

2005
Successful downregulation of bladder sensory nerves with combination of heparin and alkalinized lidocaine in patients with interstitial cystitis.
    Urology, 2005, Volume: 65, Issue:1

    Topics: Administration, Intravesical; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; Drug Therapy,

2005
Successful downregulation of bladder sensory nerves with combination of heparin and alkalinized lidocaine in patients with interstitial cystitis.
    Urology, 2005, Volume: 65, Issue:1

    Topics: Administration, Intravesical; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; Drug Therapy,

2005
Successful downregulation of bladder sensory nerves with combination of heparin and alkalinized lidocaine in patients with interstitial cystitis.
    Urology, 2005, Volume: 65, Issue:1

    Topics: Administration, Intravesical; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; Drug Therapy,

2005
Successful downregulation of bladder sensory nerves with combination of heparin and alkalinized lidocaine in patients with interstitial cystitis.
    Urology, 2005, Volume: 65, Issue:1

    Topics: Administration, Intravesical; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; Drug Therapy,

2005
Successful downregulation of bladder sensory nerves with combination of heparin and alkalinized lidocaine in patients with interstitial cystitis.
    Urology, 2005, Volume: 65, Issue:1

    Topics: Administration, Intravesical; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; Drug Therapy,

2005
Successful downregulation of bladder sensory nerves with combination of heparin and alkalinized lidocaine in patients with interstitial cystitis.
    Urology, 2005, Volume: 65, Issue:1

    Topics: Administration, Intravesical; Adult; Aged; Anesthetics, Local; Cystitis, Interstitial; Drug Therapy,

2005
Pilot study of the feasibility of in-office bladder distention using electromotive drug adminstration (EMDA).
    Neurourology and urodynamics, 2005, Volume: 24, Issue:3

    Topics: Adult; Anesthesia, Local; Anesthetics, Local; Cystitis, Interstitial; Cystoscopy; Feasibility Studie

2005
Electromotive administration of intravesical lidocaine in patients with interstitial cystitis.
    Journal of endourology, 1996, Volume: 10, Issue:5

    Topics: Administration, Intravesical; Adult; Anesthetics, Local; Cystitis, Interstitial; Dilatation; Epineph

1996

Other Studies

13 other studies available for lidocaine and Bladder Pain Syndrome

ArticleYear
Intravesical sustained release system of lidocaine and oxybutynin results from in vitro and animal study.
    International urology and nephrology, 2022, Volume: 54, Issue:9

    Topics: Administration, Intravesical; Animals; Cystitis, Interstitial; Delayed-Action Preparations; Lidocain

2022
Open Label, Pilot Evaluation of the Safety and Efficacy of Intravesical Sustained Release System of Lidocaine and Oxybutynin (TRG-100) for Patients With Interstitial Cystitis/Bladder Pain Syndrome, Overactive Bladder and Patients With Retained Ureteral St
    Urology, 2023, Volume: 178

    Topics: Administration, Intravesical; Cystitis, Interstitial; Delayed-Action Preparations; Humans; Lidocaine

2023
Prospective comparative study of the effects of lidocaine on urodynamic and sensory parameters in bladder pain syndrome.
    International urogynecology journal, 2019, Volume: 30, Issue:8

    Topics: Administration, Intravesical; Anesthetics, Local; Cross-Sectional Studies; Cystitis, Interstitial; F

2019
Editorial comment to on- and post-treatment symptom relief by repeated instillations of heparin and alkalized lidocaine in interstitial cystitis.
    International journal of urology : official journal of the Japanese Urological Association, 2013, Volume: 20, Issue:11

    Topics: Anesthetics, Local; Anticoagulants; Cystitis, Interstitial; Female; Heparin; Humans; Lidocaine; Male

2013
Re: Heparin and Alkalinized Lidocaine versus Alkalinized Lidocaine for Treatment of Interstitial Cystitis Symptoms.
    The Journal of urology, 2017, Volume: 197, Issue:1

    Topics: Anesthetics, Local; Cystitis, Interstitial; Heparin; Humans; Lidocaine; Pain Measurement

2017
Organ cross talk modulates pelvic pain.
    American journal of physiology. Regulatory, integrative and comparative physiology, 2007, Volume: 293, Issue:3

    Topics: Anesthetics, Local; Animals; Behavior, Animal; Capsaicin; Colon; Cystitis, Interstitial; Evans Blue;

2007
Dyspareunia response in patients with interstitial cystitis treated with intravesical lidocaine, bicarbonate, and heparin.
    Urology, 2008, Volume: 71, Issue:1

    Topics: Administration, Intravesical; Adult; Comorbidity; Cystitis, Interstitial; Drug Therapy, Combination;

2008
Re: Safety and efficacy of the use of intravesical and oral pentosan polysulfate sodium for interstitial cystitis: a randomized double-blind clinical trial. E. L. Davis, S. R. El Khoudary, E. O. Talbott, J. Davis and L. J. Regan. J Urol 2008; 179: 177-185
    The Journal of urology, 2008, Volume: 180, Issue:1

    Topics: Administration, Intravesical; Administration, Oral; Anesthetics, Local; Cystitis, Interstitial; Doub

2008
Intravesical electromotive drug administration for the treatment of non-infectious chronic cystitis.
    International urogynecology journal and pelvic floor dysfunction, 1997, Volume: 8, Issue:3

    Topics: Administration, Intravesical; Adult; Aged; Anesthetics, Local; Anti-Inflammatory Agents; Chronic Dis

1997
Electromotive drug administration of lidocaine and dexamethasone followed by cystodistension in women with interstitial cystitis.
    International urogynecology journal and pelvic floor dysfunction, 1997, Volume: 8, Issue:3

    Topics: Administration, Intravesical; Adult; Aged; Aged, 80 and over; Cystitis, Interstitial; Dexamethasone;

1997
Electromotive drug administration and hydrodistention for the treatment of interstitial cystitis.
    Journal of endourology, 1998, Volume: 12, Issue:3

    Topics: Administration, Intravesical; Adult; Aged; Anesthetics, Local; Anti-Inflammatory Agents; Cystitis, I

1998
Absorption of alkalized intravesical lidocaine in normal and inflamed bladders: a simple method for improving bladder anesthesia.
    The Journal of urology, 2001, Volume: 165, Issue:6 Pt 1

    Topics: Absorption; Adult; Anesthetics, Local; Buffers; Cystitis, Interstitial; Humans; Lidocaine; Pain Meas

2001
Absorption of alkalized intravesical lidocaine in normal and inflamed bladders: a simple method for improving bladder anesthesia.
    The Journal of urology, 2001, Volume: 165, Issue:6 Pt 1

    Topics: Absorption; Adult; Anesthetics, Local; Buffers; Cystitis, Interstitial; Humans; Lidocaine; Pain Meas

2001
Absorption of alkalized intravesical lidocaine in normal and inflamed bladders: a simple method for improving bladder anesthesia.
    The Journal of urology, 2001, Volume: 165, Issue:6 Pt 1

    Topics: Absorption; Adult; Anesthetics, Local; Buffers; Cystitis, Interstitial; Humans; Lidocaine; Pain Meas

2001
Absorption of alkalized intravesical lidocaine in normal and inflamed bladders: a simple method for improving bladder anesthesia.
    The Journal of urology, 2001, Volume: 165, Issue:6 Pt 1

    Topics: Absorption; Adult; Anesthetics, Local; Buffers; Cystitis, Interstitial; Humans; Lidocaine; Pain Meas

2001
Alkalinized intravesical lidocaine to treat interstitial cystitis: absorption kinetics in normal and interstitial cystitis bladders.
    Urology, 2001, Volume: 57, Issue:6 Suppl 1

    Topics: Administration, Intravesical; Anesthetics, Local; Buffers; Cystitis, Interstitial; Humans; Lidocaine

2001