What are the predictive factors of the pain during the treatment of kidney stones by extra-corporeal shockwave lithotripsy?

Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
K KtariH Saad

Abstract

Identify predictors for selecting patients who requires analgesia during lithotripsy. This is a prospective study over a period of 13 months, 100 patients with kidney stones treated by an electromagnetic lithotripter (siemens; lithoskop) were selected. For the study of subjective pain caused by the ESWL at different times of the session, a visual analog scale (VAS) was used at different times (T) of the session (T0 before shots, T1 at 500 shots, T2 at 1500 shots, T end of treatment). A session was considered painless if VAS≤3. To identify predictors, were investigated association between pain and the different characteristics of patients, kidney stones and the shock wave specifications. The analytical study showed that pain was correlated with female gender, anxiety score, skin distance stones, parietal distance and the energy of the shock wave. While age, waist circumference, the circumstance found, the projection of stones on the rib and the number of shots had no impact on the level of pain. Our study showed that even with an electromagnetic lithotripter third generation; ESWL is still painful leading to the interruption of the session in 29% of cases. Four major predictors of pain leading to the use of sedo-analgesia early ...Continue Reading

References

Aug 31, 2002·Scandinavian Journal of Urology and Nephrology·S OzcanA Apan
Oct 14, 2009·Journal of Endourology·Marc VergnollesGrégoire Robert
Mar 29, 2014·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·X CarpentierO Traxer

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Citations

Feb 26, 2016·Journal of Endourology·Mustafa KaralarHasmet Sarici

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