Could pain change position choice? Comparison of pain level, analgesic requirement and hospitalization time in supine and prone percutaneous nephrolithotomy

Purpose Investigation of how position affects postoperative pain levels and hospitalization in patients undergoing percutaneous nephrolithotomy (PNL) surgery. Methods Between August 2019 and December 2022, a total of 156 patients who underwent prone (pPNL) and supine percutaneous nephrolithotomy (sP...

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Published in:International urology and nephrology 2024-04, Vol.56 (4), p.1273-1280
Main Authors: Bulut, Ender Cem, Coşkun, Çağrı, Koparal, Murat Yavuz, Aydın, Uğur, Karabacak, Nihat
Format: Article
Language:English
Subjects:
Analgesics
Analgesics - therapeutic use
Body mass index
Fluoroscopy
Hemoglobin
Hospitalization
Humans
Kidney Calculi - surgery
Medicine
Medicine & Public Health
Nephrolithiasis
Nephrolithotomy, Percutaneous - adverse effects
Nephrolithotomy, Percutaneous - methods
Nephrology
Nephrostomy, Percutaneous - adverse effects
Nephrostomy, Percutaneous - methods
Pain
Pain, Postoperative
Surgery
Treatment Outcome
Urological surgery
Urology
Urology - Original Paper
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Summary:Purpose Investigation of how position affects postoperative pain levels and hospitalization in patients undergoing percutaneous nephrolithotomy (PNL) surgery. Methods Between August 2019 and December 2022, a total of 156 patients who underwent prone (pPNL) and supine percutaneous nephrolithotomy (sPNL) due to kidney stones were included in the study. Demographic data, preoperative CT scans, laboratory results, transfusion rates, operation durations, complication rates, stone-free rates, analgesic use, nephrostomy removal time, hospitalization duration, fluoroscopy time, hemoglobin decrease and postoperative Visual Analog Scale (VAS) scores were evaluated for all patients. By comparing these data between the sPNL and pPNL groups, the effect of position selection in PNL on pain control, analgesic requirement, and hospitalization duration was examined. Results In the comparison of the pPNL and sPNL groups, there was a significant difference between the two groups in body mass index, hounsfield unit, complication rate, analgesic rate, nephrostomy remove time, hospitalization time, operation time, fluoroscopy time and VAS score (p = 0.025, p 
ISSN:1573-2584
0301-1623
1573-2584
DOI:10.1007/s11255-023-03873-x