Factors effecting postoperative colic pain after semirigid ureterorenoscopic surgery without stenting

4th EULIS Meeting Vienna, Austria

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Factors effecting postoperative colic pain after semirigid ureterorenoscopic surgery without stenting Eur Urol Suppl 2017; 16(7);e2467

Yilmaz Ö. 1 , Ates F. 1 , Temel M.C. 1 , Malkoc E. 2 , Basal S. 3 , Ediz C. 4 , Cakmak S. 5 1 3

Haydarpasa Numune Hospital, Dept. of Urology, Istanbul, Turkey, 2Haydarpasa Numune Hospital, Dept. of Oncology, Üsküdar/İstanbul, Turkey,

Haydarpasa Numune Hospital, , Ankara, Turkey, 4Sultan Abdulhamid Han Education and Research Hospital, , Istanbul, Turkey, 5Sultan

Abdulhamid Han Education and Research Hospital, Dept. of Urology, Istanbul, Turkey Introduction & Objectives: Evaluating the factors that effect postoperative colic pain after uncomplicated stone removal with semirigid ureteroscopic surgery without stenting. Materials & Methods: Totally 32 patients underwent semirigid ureteroscopic surgery for stone and other reasons were included the study prospectively. Their data can be seen on table 1. Postoperative colic pain in 24 hour of the surgery and need for analgesia were also recorded and the factors that related with pain were analysed with SPSS 15.0. Table 1: Patients’ data

n

32

Mean age

49.8

Reason for

Lower ureteral stone

75%

Upper ureteral stone

9.4%

Diagnostic

15.6%

Male

25

Female

7

URS

Gender

Eur Urol Suppl 2017; 16(7);e2467

4th EULIS Meeting Vienna, Austria

Pain

Guidewire using

Lithotripsy with

Anaesthesia

Obstruction in

Hydronephrosis

(+)

46.9%

(-)

53.1%

(+)

90.6%

(-)

9.4%

No lithotripsy

27.6%

Pneumatic

51.7%

Laser

20.7%

Spinal

34.4%

Laryngeal mask

34.4%

General

31.2%

Ureter

17.2%

orifice

3.4%

(+)

46.8%

(-)

53.2%

Results: Totally 46.9% patients had postoperative colic pain that caused necessity of anaelgecic agent in 24 hours. The mean duration of pain was 1.3 hours. Any statistical significant relationship could not be found between postoperative colic pain and age, gender, reason for urs, type of anaesthesia, hydronephrosis status, guidewire using and lithotripsy type in multivariate analysis(p>0.05). Narrowness/edema of orifice did not have statistical significant effect on pain. Although 80% of patients with impacted ureteral stone/narrowing due to ureteral edema had pain after surgery, there was no statistical significance in this group(p:0.11).

Eur Urol Suppl 2017; 16(7);e2468

4th EULIS Meeting Vienna, Austria

Conclusions: Female gender, stone fragmantation with pneumatic lithotripsy, hydronephrosis and edema in ureter had some more effect on colic pain after urs without stenting in our study but any of them could not reach statistical significant level.

Eur Urol Suppl 2017; 16(7);e2469