Display options
Cite
Oğuz U, Şahin T, Şenocak Ç, et al. Factors associated with postoperative pain after retrograde intrarenal surgery for kidney stones. Turk J Urol. 2017;43(3):303-308doi: 10.5152/tud.2017.58997.
Oğuz, U., Şahin, T., Şenocak, �. �., Özyuvalı, E., Bozkurt, �. �. F., Reşorlu, B., & Ünsal, A. (2017). Factors associated with postoperative pain after retrograde intrarenal surgery for kidney stones. Turkish journal of urology, 43(3), 303-308. https://doi.org/10.5152/tud.2017.58997
Oğuz, Ural, et al. "Factors associated with postoperative pain after retrograde intrarenal surgery for kidney stones." Turkish journal of urology vol. 43,3 (2017): 303-308. doi: https://doi.org/10.5152/tud.2017.58997
Oğuz U, Şahin T, Şenocak Ç, Özyuvalı E, Bozkurt ÖF, Reşorlu B, Ünsal A. Factors associated with postoperative pain after retrograde intrarenal surgery for kidney stones. Turk J Urol. 2017 Sep;43(3):303-308. doi: 10.5152/tud.2017.58997. Epub 2017 Jul 31. PMID: 28861302; PMCID: PMC5562249.
Copy Download .nbib Format: NLM
Share it on

Turk J Urol. 2017 Sep;43(3):303-308. doi: 10.5152/tud.2017.58997. Epub 2017 Jul 31.

Factors associated with postoperative pain after retrograde intrarenal surgery for kidney stones.

Turkish journal of urology

Ural Oğuz, Tolga Şahin, Çağrı Şenocak, Ekrem Özyuvalı, Ömer Faruk Bozkurt, Berkan Reşorlu, Ali Ünsal

Affiliations

  1. Department of Urology, Giresun University School of Medicine, Giresun, Turkey.
  2. Clinic of Urology, Keçiören Training and Research Hospital, Ankara, Turkey.
  3. Depertment of Urology, Ondokuz May?s University School of Medicine, Samsun, Turkey.
  4. Department of Urology, Gazi University School of Medicine, Ankara, Turkey.

PMID: 28861302 PMCID: PMC5562249 DOI: 10.5152/tud.2017.58997

Abstract

OBJECTIVE: We aimed to investigate factors related to early postoperative pain after retrograde intrarenal surgery (RIRS).

MATERIAL AND METHODS: A prospective data analysis of 250 patients who underwent RIRS due to kidney stones was performed. Postoperative pain was evaluated in all patients by using visual analogue scale (VAS). Patients with severe pain (VAS score ≥7) were separated and included in Group I (n=46). While patients without pain or with insignificant pain were included in Group II (n=204). The impact of patient-related (age, gender, renal anomalies, shock wave lithotripsy history, preoperative hydronephrosis) stone-related (stone number, side, size, location and opacity) and operation-related (preoperative and postoperative ureteral J-stenting, ureteral injury, postoperative bleeding and fever, stone-free rates, size of access sheath, and sheath indwelling time) factors on early stage postoperative pain (if any) were investigated.

RESULTS: Female gender increased the risk for pain 3.6-fold (p<0.05). One millimeter increase in stone diameter increased the risk for postoperative pain 1.15-fold. Prolonged sheath time was another important factor which increased the risk for pain (p<0.05). Patients with high residual fragments were also prone to early postoperative pain.

CONCLUSION: According to our results, patient-, stone-and operation-related factors associated with postoperative pain after RIRS were female gender, stone size and sheath time.

Keywords: Postoperative pain; related factors; retrograde intrarenal surgery

Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

References

  1. Urolithiasis. 2013 Feb;41(1):79-83 - PubMed
  2. Urology. 2012 Sep;80(3):512-8 - PubMed
  3. Korean J Urol. 2010 Nov;51(11):777-82 - PubMed
  4. J Endourol. 2002 Feb;16(1):9-13 - PubMed
  5. J Endourol. 2012 May;26(5):489-93 - PubMed
  6. Indian J Urol. 2008 Oct;24(4):532-7 - PubMed
  7. Int Urol Nephrol. 2007;39(1):91-4 - PubMed
  8. J Endourol. 2014 May;28(5):544-8 - PubMed
  9. Pain Med. 2014 Aug;15(8):1390-404 - PubMed
  10. Urology. 2014 Feb;83(2):278-81 - PubMed
  11. BJU Int. 2015 Jun;115(6):946-50 - PubMed
  12. Arch Esp Urol. 2010 Dec;63(10):862-70 - PubMed
  13. Urolithiasis. 2013 Apr;41(2):169-77 - PubMed
  14. Urol Int. 2014;92(2):164-8 - PubMed
  15. World J Urol. 2012 Oct;30(5):605-11 - PubMed
  16. J Urol. 2013 Feb;189(2):580-4 - PubMed
  17. Urol Res. 2011 Jun;39(3):185-8 - PubMed
  18. Urology. 2014 May;83(5):1016-22 - PubMed

Publication Types