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How painful are shockwave lithotripsy and endoscopic procedures performed at outpatient urology clinics?

Cited 0 time in webofscience Cited 11 time in scopus
Authors
Jeong, Byong Chang; Park, Hyoung Keun; Kwak, Cheol; Oh, Seong-June; Kim, Hyeon Hoe
Issue Date
2005-06-23
Publisher
Springer-Verlag
Citation
Urol Res. 2005 Aug;33(4):291-6. Epub 2005 Jun 22.
Keywords
AdolescentAdultAgedAged, 80 and overAmbulatory Care FacilitiesCystoscopy/*adverse effectsFemaleHumansLithotripsy/*adverse effectsLogistic ModelsMaleMiddle AgedPain/*etiologySex CharacteristicsStentsUreteroscopy/*adverse effectsUrography
Abstract
Our aim was to investigate the subjective pain felt by patients during shockwave lithotripsy (SWL) and endoscopic procedures such as cystoscopy, retrograde ureteral stenting, retrograde pyelography (RGP), and ureteroscopic lithotripsy performed in an outpatient clinic, and to identify how severe pain during such procedures is. We estimated subjective pain in 984 patients after SWL (186), cystoscopy (489), retrograde ureteral stenting (127), RGP (97), and ureteroscopic lithotripsy (85) performed by a single expert in an outpatient clinic using a prospective questionnaire with a ten point visual analog scale between January 2001 and December 2003. There was no premedication in any procedure except ureteroscopic lithotripsy for which an intramuscular injection of analgesics (pethidine HCl 50 mg) was used. The pain scale score in SWL was 6.62+/-2.27, the highest among the procedures (P<0.05). Pain scores for endoscopies were 4.48+/-2.07 in retrograde ureteral stenting, 3.81+/-2.06 in ureteroscopic lithotripsy, 3.72+/-1.75 in RGP, and 3.08+/-1.95 in cystoscopy. In this study, we observed that patients feel most pain in SWL without anesthesia, and that pain during ureteroscopic lithotripsy under local anesthesia is not high, compared with other endoscopic procedures.
ISSN
0300-5623 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15971086

http://hdl.handle.net/10371/15074
DOI
https://doi.org/10.1007/s00240-005-0474-6
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College of Medicine/School of Medicine (의과대학/대학원)Urology (비뇨기과학전공)Journal Papers (저널논문_비뇨기과학전공)
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