Abstract：
OBJECTIVES:To evaluate the analgesic effect and utility of prilocaine infiltration alone for minimal morbidity during extracorporeal shock wave lithotripsy. METHODS:A total of 114 patients with kidney stones, aged 18 to 69 years, were randomly separated into two groups. The 58 patients in group 1 received intramuscular diclophenac 30 minutes before extracorporeal shock wave lithotripsy, and the 56 patients in group 2 received prilocaine infiltration into the 30 cm2 area below the 12th rib right before the session. A visual analog scale (0 to 100 mm) was used to evaluate pain. RESULTS:The visual analog scale scores for group 2 were statistically lower at 1, 10, and 20 minutes compared with the scores for group 1 (P = 0.006, P = 0.005, and P = 0.006, respectively). However, no difference was detected at the end of the procedure. The requirement for additional analgesic was less in group 2 (P = 0.007). CONCLUSIONS:Prilocaine infiltration alone can be used for analgesic purposes efficiently and safely during extracorporeal shock wave lithotripsy with minimal morbidity.
journal_name
Urologyjournal_title
Urologyauthors
Yilmaz E,Batislam E,Basar M,Tuglu D,Yuvanc Edoi
10.1016/j.urology.2006.01.047subject
Has Abstractpub_date
2006-07-01 00:00:00pages
24-7issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(06)00117-8journal_volume
68pub_type
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