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Related Experiment Videos

ESWL: Comparing two analgesic techniques. Our experience.

A Saita1, A Bonaccorsi, M Aquilino

  • 1University of Catania, Clinica Urologica II, Catania, Italy.

Urologia Internationalis
|May 11, 2004
PubMed
Summary
This summary is machine-generated.

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Topical Luan combined with intramuscular analgesia significantly improves extracorporeal shockwave lithotripsy (ESWL) success rates for kidney and ureteral stones. This combination therapy enhances patient outcomes and reduces treatment discomfort.

Area of Science:

  • Urology
  • Pain Management
  • Medical Devices

Background:

  • Extracorporeal shockwave lithotripsy (ESWL) is a common procedure for kidney and ureteral stones.
  • Pain and efficacy are key considerations in ESWL treatment.
  • Current analgesia protocols aim to optimize patient comfort and treatment success.

Purpose of the Study:

  • To compare the efficacy of intramuscular analgesia alone versus a combination of intramuscular and topical analgesia (Luan gel with 1% lidocaine) for ESWL.
  • To evaluate the impact of this combined approach on stone-free rates and treatment parameters.

Main Methods:

  • A study involving 300 patients undergoing ESWL for kidney or upper ureteral stones.
  • Group A received standard intramuscular analgesia (Ketorolac, Tramadol, Betamethasone).

Related Experiment Videos

  • Group B received the same intramuscular regimen plus topical Luan gel during the procedure.

    • Main Results:

    • The stone-free rate at 3 months was 61% in the intramuscular analgesia group (Group A) versus 79% in the combined therapy group (Group B).
    • Lower treatment energy levels were used in the combined therapy group.
    • The combined approach demonstrated a higher success rate.

    Conclusions:

    • Topical Luan combined with intramuscular analgesia is recommended for ESWL of kidney stones (≤20 mm) and ureteral stones (≤15 mm).
    • This strategy enhances ESWL efficacy and improves patient comfort.
    • The findings suggest a superior approach to pain management and treatment outcomes in ESWL.