Acupuncture for pain in extracorporeal shockwave lithotripsy

Rogenhofer, Sebastian and Wimmer, K. and Blana, A. and Roessler, W. and Wieland, W. F. and Filbeck, T. (2004) Acupuncture for pain in extracorporeal shockwave lithotripsy. JOURNAL OF ENDOUROLOGY, 18 (7). pp. 634-637. ISSN 0892-7790, 1557-900X

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Abstract

Background and Purpose: In most cases, analgesia is required for extracorporeal shockwave lithotripsy (SWL) treatment. Commonly, a combination of a sedative and a synthetic opioid is used, with a wide range of undesirable side effects. To provide an alternative analgesic especially for outpatients, we performed a prospective trial investigating the usefulness of acupuncture. Patients and Methods: A series of 90 patients were included in the study, 49% of whom presented with renal calculi and 10% with proximal-, 10% with middle-, and 31% with distal-ureteral stones. Pain control was performed by acupuncture in the traditional Asian method. The intensity of pain and patient satisfaction were assessed a visual analog scale (VAS). Patients with previous SWL under conventional analgesia also were asked about differences in pain and satisfaction. Results: No significant side effects occurred. The median pain score on the VAS was 2/10 (interquartile range 1). Six patients (6.6%) specified a pain intensity of >4, and in 4 patients (4.4%), a conventional analgesic had to be given to finish SWL. The median satisfaction level was 2/5 (interquartile range 1). Nearly all (93.4%) of the patients would opt again for acupuncture in case of repeated SWL. Conclusion: In many patients, acupuncture achieves satisfactory pain control for SWL. Further randomized multi-institutional studies are needed to confirm this conclusion.

Item Type: Article
Uncontrolled Keywords: WAVE LITHOTRIPSY; ANESTHESIA; ANALGESIA;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Urologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 30 Jun 2021 08:51
Last Modified: 30 Jun 2021 08:51
URI: https://pred.uni-regensburg.de/id/eprint/37269

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