Effect of Spinal and General Anesthesia on Postoperative Pain and Satisfaction in Ureteroscopic Lithotripsy (URSL).

IF 0.9 4区医学 Q3 UROLOGY & NEPHROLOGY

Urology Journal Pub Date : 2025-07-20 DOI:10.22037/uj.v22i.8405

Ali Tavoosian, Amirreza Shamshirgaran, Seyed Reza Hosseini, Farshid Alaedini, Seyed Mohammad Kazem Aghamir

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Abstract

Purpose: This study aimed to compare general anesthesia (GA) with spinal anesthesia (SA) regarding postoperative pain and satisfaction after Ureteroscopic Lithotripsy (URSL) Materials and Methods: Two hundred twenty-nine patients were analyzed in the study. Patients were assigned to two groups - "SA" and "GA." Demographic data, stone characteristics, operation time, and frequency of opioid analgesic use during the admission period were collected from the hospital medical records. Visual Analogue Scale (VAS) score at 6 hours and 24 hours after URSL were recorded. Complications according to the Clavien-Dindo classification and the experience of headaches after surgery (Yes/No) were documented after one month. Participants and surgeons were asked to rate their satisfaction on a scale of 1 to 10.

Results: Of 237 eligible patients, 229 completed the study. The incidence of headaches and VAS score (at 6h and 24h) were significantly higher in the SA group (P < 0.001). The satisfaction of patients and surgeons in the GA group was significantly higher (P < 0.001). Multivariate analysis showed that female gender is associated with lower opioid analgesic use during the admission period (OR = 0.47) and surgery time correlated with frequency of opioid use and headache (OR = 1.12 and OR= 1.11 respectively).

Conclusion: Our findings revealed that GA has a better effect on postoperative pain control after URSL surgery and is associated with higher satisfaction levels for both surgeons and patients.

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脊髓和全身麻醉对输尿管镜碎石术后疼痛和满意度的影响。

目的：比较全身麻醉（GA）和脊髓麻醉（SA）对输尿管镜碎石（URSL）术后疼痛和满意度的影响。患者被分为“SA”和“GA”两组。从医院病历中收集入院期间的人口统计数据、结石特征、手术时间和阿片类镇痛药使用频率。分别记录术后6 h和24 h的视觉模拟评分（VAS）。根据Clavien-Dindo分类的并发症和术后头痛的经历（是/否）在一个月后记录。参与者和外科医生被要求对他们的满意度进行1到10的评分。结果：在237例符合条件的患者中，229例完成了研究。SA组头痛发生率和VAS评分（6h和24h）显著高于对照组（P < 0.001）。GA组患者满意度和外科医生满意度显著高于对照组（P < 0.001）。多因素分析显示，女性与入院期间阿片类镇痛药使用较少相关（OR = 0.47），手术时间与阿片类药物使用频率和头痛相关（OR = 1.12和OR= 1.11）。结论：我们的研究结果表明，GA对URSL手术后疼痛的控制效果较好，并且外科医生和患者的满意度都较高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urology Journal UROLOGY & NEPHROLOGY-

CiteScore

2.60

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： As the official journal of the Urology and Nephrology Research Center (UNRC) and the Iranian Urological Association (IUA), Urology Journal is a comprehensive digest of useful information on modern urology. Emphasis is on practical information that reflects the latest diagnostic and treatment techniques. Our objectives are to provide an exceptional source of current and clinically relevant research in the discipline of urology, to reflect the scientific work and progress of our colleagues, and to present the articles in a logical, timely, and concise format that meets the diverse needs of today’s urologist. Urology Journal publishes manuscripts on urology and kidney transplantation, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. Accordingly, original articles, case reports, and letters to editor are encouraged.