Comparison of pain scores between first and second session ESWL treatment for kidney stone patients.

Abstract

Objective: To determine and compare pain scores between the first and second session ESWL treatment for kidney stone patients. Study Design: Descriptive, Case Series. Setting: Armed Forces Institute of Urology, Rawalpindi. Period: 1^st January 2021 to 30^th June 2021. Methods: A total of 133 patients with renal pelvis stone of 8-20 mm, 15 to 65 years old of the two sexual orientations were incorporated. Patients with stone in calycealdiverticulae with limited infundibulum, Renal ectopia or contortion, pregnancy, pyonephrosis and PUJO, claustrophobic and cardiovascular speed producer were prohibited. In the wake of taking informed assent, extracorporeal shock wave lithotripsy (ESWL) was finished in every patient. After this, anti-infection (infusion ceftriaxone 1gm IV x detail) and pain relieving (infusion dyclo IM x detail) was given to all patients before every meeting. Then extracorporeal shock wave lithotripsy (ESWL) was finished in every patient by single specialist (something like 3 years of post-cooperation experience). In all patients, two meetings were finished and torment score after first and second meeting (in no less than 10 days) was noted. Results: Age range in this study was from 15 to 65 years with mean time of 41.17 ± 8.83 years. Larger part of the patients 76 (57.14%) were between 15 to 40 years old. Out of 133 patients, 84 (63.16%) were male and 49 (36.84%) were females with male to female proportion 1.6:1. In our review, mean agony score after first meeting of ESWL was 5.29 ± 0.79 and after second meeting of ESWL was 3.75 ± 0.89 with p-worth of 0.0001. Conclusion: This study concluded that VAS scores is significantly lower in the second session of ESWL.