期刊论文详细信息
BMC Urology
Pain and satisfaction during rigid cystoscopic ureteral stent removal: a preliminary study
Research Article
Sun Young Park1  Mun Gyu Kim1  Dan Song2  Sung Woo Cho2  Hoon Choi3  Yun Seob Song4  Jae Heon Kim4 
[1] Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, Seoul, South Korea;Department of Surgery, Soonchunhyang University Hospital, Seoul, South Korea;Department of Urology, Korea University Hospital, Ansan, South Korea;Department of Urology, Soonchunhyang University Hospital, 657 Hannam-Dong, 140-743, Yongsan-Gu, Seoul, South Korea;
关键词: Stent;    Stent exchange;    Stent removal;    Cystscopy;    Urolithiasis;    Pain;   
DOI  :  10.1186/1471-2490-14-90
 received in 2014-03-16, accepted in 2014-10-23,  发布年份 2014
来源: Springer
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【 摘 要 】

BackgroundCystoscopy evokes discomfort and pain, especially in males. The cystoscopic retrograde approach is standard in the removal of ureteral stents. However the satisfaction and degree of pain during the procedure according to the use of several pain controlling methods are unclear.MethodsThis is a cross-sectional survey of 60 patients who underwent cystoscopic ureteral stent removal under intravenous analgesics (group 1, n = 20), midazolam induction (group 2, n = 20), and propofol (group 3, n = 20). Procedural pain and post-procedure satisfaction were determined, and cost differences between the approaches were clarified.ResultsGroup 2 and 3 showed significantly less pain than group 1 (P < 0.001) and significantly higher satisfaction rate than group 1 (P < 0.001). Comparison of groups 2 and 3 revealed showed significantly less pain and higher satisfaction rate in group 3 (P < 0.001 for both). In Group 1, 17 (85.0%) patients wanted other treatment modalities, compared to eight group 2 patients (40.0%) and no group 3 patients.ConclusionsConsidering the potential pain and dissatisfaction of rigid cystoscopic ureteral stent removal, procedures utilizing moderate sedation with midazolam or general anesthesia using propofol without muscle relaxation should be considered.Trial registrationKCT0001260.

【 授权许可】

Unknown   
© Kim et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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