Altok M et al, 2016: Do anxiety, stress, or depression have any impact on pain perception during shock wave lithotripsy?
Altok M, Akpinar A, Güneş M, Umul M, Demirci K, Baş E.
Süleyman Demirel University, Faculty of Medicine, Department of Urology, Isparta, Turkey.
Süleyman Demirel University, Faculty of Medicine, Department of Psychiatry, Isparta, Turkey.
INTRODUCTION: The most important adverse effect during shock wave lithotripsy (SWL) is pain perception. In this study, we evaluated the effect of anxiety, stress, and depression on pain perception during SWL.
METHODS: From November 2013 to December 2014, 189 consecutive patients undergoing SWL for kidney stones were evaluated prospectively. Patient characteristics (age, sex, body mass index [BMI], urologic intervention history, the presence of a double-j catheter, and stone-related parameters) were also recorded. Anxiety, stress, and depression states were assessed before the first procedure using the Depression, Anxiety, and Stress Scales (DASS-42), which is a self-report scale. The degree of pain perception was evaluated with a 10-point Visual Analogue Scale (VAS) at the end of the first SWL session.
RESULTS: There were no statistically significant differences in terms of VAS scores during SWL between patients with and without anxiety, stress, or depression (p >0.05). Furthermore, no statistically significant relationships were found between VAS scores and patient age, sex, side of the stone, presence of a double-j stent, number of stones, and SWL experience (p >0.05).
CONCLUSIONS: According to our findings, anxiety, stress, or depression seemed to have no impact on pain perception during SWL.
Can Urol Assoc J. 2016 May-Jun;10(5-6):E171-E174. FREE ARTICLE
In the present study patients received 75 mg Diclofenac sodium i.m. 30 - 45 minutes before the ESWL session; the VAS score at the end of the ESWL session was 4.62 ± 1.45.
Two previous studies from Turkey reported was scores of 5.46 ± 2.58 and 6.3 respectively without any medication (1,2). The latter study is remarkable inasmuch as the VAS score was down to 2,83 when the patients could listen to music during the treatment.
1Ucer O et al. Effect of anxiety and pain on success of shockwave lithotripsy (SWL) for treatment of proximal ureteral and renal pelvic stones. Urolithiasis. 2016 Apr 4
2 Akbas A, et al. The effect of music therapy during shockwave lithotripsy on patient relaxation, anxiety, and pain perception Ren Fail. 2015 Oct 13:1-4.