Abstract
Purpose: Ureteroscopic removal of stones (URS) has been widely used to treat ureteral stones because it is comparatively safe, has a high success rate, and enables patients to rapidly return to their daily routines. However, some patients experience pain after URS, but the incidence of acute post-URS pain remains largely unknown. This study aimed to investigate the incidence of acute postoperative pain after URS and the associated risk factors. Materials and Methods: Data for 143 consecutive patients who underwent URS from June 2008 to December 2010 were collected. After excluding 8 patients who developed intraoperative complications, the patients were divided into two groups according to postoperative pain on the first postoperative day. Acute postoperative pain was defined as a pain score greater than 4 on a visual analogue pain scale (normal range, 0 to 10). Various factors were analyzed to identify the risk factors that could predict acute postoperative pain after URS. Results: The stone-free rate without URS intraoperative complications was 95.5%. A total of 21 (14.6%) patients experienced postoperative pain on the first postoperative day. Young age, psychiatric illness, history of urinary tract infection, use of a stone basket, large stone size, and prolonged operation time were identified as risk factors for acute postoperative pain. Conclusions: The incidence of acute postoperative pain is not that low and should not be overlooked, because it is associated with postoperative complications that could result in an unscheduled hospital admission or visit. Active pain control should be contemplated after URS in young patients and in those with a history of urinary tract infection, psychiatric illness, large stone size, and prolonged operation time.
| Original language | English |
|---|---|
| Pages (from-to) | 34-39 |
| Number of pages | 6 |
| Journal | Korean Journal of Urology |
| Volume | 53 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2012 Jan 1 |
Fingerprint
Keywords
- Pain
- Postoperative
- Ureterolithiasis
- Ureteroscopy
ASJC Scopus subject areas
- Urology
Cite this
Acute postoperative pain after ureteroscopic removal of stone : Incidence and risk factors. / Ahn, Sun Tae; Kim, Jae Heon; Park, Jae Young; Moon, Du Geon; Bae, Jae Hyun.
In: Korean Journal of Urology, Vol. 53, No. 1, 01.01.2012, p. 34-39.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Acute postoperative pain after ureteroscopic removal of stone
T2 - Incidence and risk factors
AU - Ahn, Sun Tae
AU - Kim, Jae Heon
AU - Park, Jae Young
AU - Moon, Du Geon
AU - Bae, Jae Hyun
PY - 2012/1/1
Y1 - 2012/1/1
N2 - Purpose: Ureteroscopic removal of stones (URS) has been widely used to treat ureteral stones because it is comparatively safe, has a high success rate, and enables patients to rapidly return to their daily routines. However, some patients experience pain after URS, but the incidence of acute post-URS pain remains largely unknown. This study aimed to investigate the incidence of acute postoperative pain after URS and the associated risk factors. Materials and Methods: Data for 143 consecutive patients who underwent URS from June 2008 to December 2010 were collected. After excluding 8 patients who developed intraoperative complications, the patients were divided into two groups according to postoperative pain on the first postoperative day. Acute postoperative pain was defined as a pain score greater than 4 on a visual analogue pain scale (normal range, 0 to 10). Various factors were analyzed to identify the risk factors that could predict acute postoperative pain after URS. Results: The stone-free rate without URS intraoperative complications was 95.5%. A total of 21 (14.6%) patients experienced postoperative pain on the first postoperative day. Young age, psychiatric illness, history of urinary tract infection, use of a stone basket, large stone size, and prolonged operation time were identified as risk factors for acute postoperative pain. Conclusions: The incidence of acute postoperative pain is not that low and should not be overlooked, because it is associated with postoperative complications that could result in an unscheduled hospital admission or visit. Active pain control should be contemplated after URS in young patients and in those with a history of urinary tract infection, psychiatric illness, large stone size, and prolonged operation time.
AB - Purpose: Ureteroscopic removal of stones (URS) has been widely used to treat ureteral stones because it is comparatively safe, has a high success rate, and enables patients to rapidly return to their daily routines. However, some patients experience pain after URS, but the incidence of acute post-URS pain remains largely unknown. This study aimed to investigate the incidence of acute postoperative pain after URS and the associated risk factors. Materials and Methods: Data for 143 consecutive patients who underwent URS from June 2008 to December 2010 were collected. After excluding 8 patients who developed intraoperative complications, the patients were divided into two groups according to postoperative pain on the first postoperative day. Acute postoperative pain was defined as a pain score greater than 4 on a visual analogue pain scale (normal range, 0 to 10). Various factors were analyzed to identify the risk factors that could predict acute postoperative pain after URS. Results: The stone-free rate without URS intraoperative complications was 95.5%. A total of 21 (14.6%) patients experienced postoperative pain on the first postoperative day. Young age, psychiatric illness, history of urinary tract infection, use of a stone basket, large stone size, and prolonged operation time were identified as risk factors for acute postoperative pain. Conclusions: The incidence of acute postoperative pain is not that low and should not be overlooked, because it is associated with postoperative complications that could result in an unscheduled hospital admission or visit. Active pain control should be contemplated after URS in young patients and in those with a history of urinary tract infection, psychiatric illness, large stone size, and prolonged operation time.
KW - Pain
KW - Postoperative
KW - Ureterolithiasis
KW - Ureteroscopy
UR - http://www.scopus.com/inward/record.url?scp=84863015737&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84863015737&partnerID=8YFLogxK
U2 - 10.4111/kju.2012.53.1.34
DO - 10.4111/kju.2012.53.1.34
M3 - Article
C2 - 22323972
AN - SCOPUS:84863015737
VL - 53
SP - 34
EP - 39
JO - Korean Journal of Urology
JF - Korean Journal of Urology
SN - 2005-6737
IS - 1
ER -