LOCAL-ANESTHESIA BEFORE LASER TREATMENT O F CERVICAL AND VULVARS LESIONS BY EMLA CREAM

The efficacy of the anesthesia by the Emla cream (a mixture of lydocai ne and prylocaine) has been tested on the cervix uteri and the vulva b efore laser treatment of warts and intraepithelial neoplasia. Five of the six women treated for vulvar warts did not feel any pain during la ser treatment after the application of the cream. On the cervix, the p ain was evaluated on a median of 9 on a visual scale going from 0 to 1 00, compared to a median of 25 for women treated without local anesthe sia. The efficacy of local anesthesia was best after 4 minutes. The lo cal anesthesia by the Emla cream seems to constitute a real progress i n the patient's tolerance of local destructive treatment of cervical a nd vulvar warts and intraepithelial neoplasia.