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Pain Management Strategies for Patients with Kidney Stones
Remington T Lim1, Nicholas R Moll1, Alessandra C Bryan2
1Section of Urology, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA.
The Urologic Clinics of North America
|July 3, 2025
Summary
Managing pain from kidney stones and related surgeries remains challenging. This review explores strategies for effective pain control during renal colic and after procedures like ureteroscopy and lithotripsy.
Area of Science:
- Nephrology
- Pain Management
- Surgical Oncology
Background:
- Kidney stones cause severe pain, with inadequate pain control being a persistent clinical issue.
- Surgical interventions for kidney stones often involve significant perioperative pain.
- Ureteral stents, ureteroscopy, shock wave lithotripsy, and percutaneous renal surgery are common procedures associated with pain.
Purpose of the Study:
- To review the challenges in managing pain associated with kidney stones (renal colic).
- To explore strategies for controlling perioperative pain related to kidney stone surgical interventions.
- To provide an overview of pain management for common urological procedures.
Main Methods:
- Literature review of pain management strategies for kidney stones and related surgeries.
- Analysis of pain control in renal colic.
- Examination of perioperative pain associated with ureteral stents, ureteroscopy, shock wave lithotripsy, and PCNL.
Main Results:
- Pain control for renal colic is often inadequate.
- Perioperative pain is a significant concern following kidney stone procedures.
- Various surgical techniques present unique pain management challenges.
Conclusions:
- Effective pain management strategies are crucial for patients with kidney stones.
- Addressing perioperative pain is essential for improving patient outcomes after stone surgery.
- Further research and optimized protocols are needed for comprehensive pain control.
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