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Complementary approaches to decreasing discomfort during shockwave lithotripsy (SWL)

Complementary approaches to decreasing discomfort during shockwave lithotripsy (SWL)
Complementary approaches to decreasing discomfort during shockwave lithotripsy (SWL)

Shock wave lithotripsy (SWL) is an established treatment for renal stones. Although non-invasive, it can cause significant pain and anxiety during the procedure. Our purpose was to review the literature to look at the effect of complimentary therapy in patients undergoing SWL and whether it led to a reduction in the requirement of analgesics and anxiolytics. A systematic review was performed on the use of acupuncture, auricular acupressure, transcutaneous electrical nerve stimulation (TENS) and music during SWL. Only prospective randomized controlled trials were selected. Two reviewers independently extracted the data from each study. Outcomes relating to analgesia requirement, anxiety and stone-free rates (SFR) were compared. Seven papers were identified reporting on 591 patients (acupuncture-3, TENS-1 and music-3). Pain control/analgesia requirement was significantly better in four studies (music-2, acupuncture-1, TENS-1). Significantly lower anxiety was noted in one study with music and two using acupuncture. No difference in SFR was noted with the use of complementary therapy. No major or minor side effects were noted. Complementary therapy for SWL can help lower analgesia requirement and the anxiety associated with it. However, it does not have any effect on the SFR.

Acupuncture Analgesia, Acute Pain, Complementary Therapies, Humans, Lithotripsy, Music Therapy, Transcutaneous Electric Nerve Stimulation, Journal Article, Review
2194-7228
189-193
Ngee-Ming, Goh
ef38c37b-dc41-4cc3-9511-9068d2896194
Tamsin, Drake
e6a0bec4-f111-45ed-b169-939fb5b00f73
Rai, B P
e1156207-bfd1-4f89-b0aa-9e55fc54235b
Somani, B K
ab5fd1ce-02df-4b88-b25e-8ece396335d9
Ngee-Ming, Goh
ef38c37b-dc41-4cc3-9511-9068d2896194
Tamsin, Drake
e6a0bec4-f111-45ed-b169-939fb5b00f73
Rai, B P
e1156207-bfd1-4f89-b0aa-9e55fc54235b
Somani, B K
ab5fd1ce-02df-4b88-b25e-8ece396335d9

Ngee-Ming, Goh, Tamsin, Drake, Rai, B P and Somani, B K (2014) Complementary approaches to decreasing discomfort during shockwave lithotripsy (SWL). Urolithiasis, 42 (3), 189-193. (doi:10.1007/s00240-014-0655-2).

Record type: Review

Abstract

Shock wave lithotripsy (SWL) is an established treatment for renal stones. Although non-invasive, it can cause significant pain and anxiety during the procedure. Our purpose was to review the literature to look at the effect of complimentary therapy in patients undergoing SWL and whether it led to a reduction in the requirement of analgesics and anxiolytics. A systematic review was performed on the use of acupuncture, auricular acupressure, transcutaneous electrical nerve stimulation (TENS) and music during SWL. Only prospective randomized controlled trials were selected. Two reviewers independently extracted the data from each study. Outcomes relating to analgesia requirement, anxiety and stone-free rates (SFR) were compared. Seven papers were identified reporting on 591 patients (acupuncture-3, TENS-1 and music-3). Pain control/analgesia requirement was significantly better in four studies (music-2, acupuncture-1, TENS-1). Significantly lower anxiety was noted in one study with music and two using acupuncture. No difference in SFR was noted with the use of complementary therapy. No major or minor side effects were noted. Complementary therapy for SWL can help lower analgesia requirement and the anxiety associated with it. However, it does not have any effect on the SFR.

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More information

e-pub ahead of print date: 20 March 2014
Published date: June 2014
Keywords: Acupuncture Analgesia, Acute Pain, Complementary Therapies, Humans, Lithotripsy, Music Therapy, Transcutaneous Electric Nerve Stimulation, Journal Article, Review

Identifiers

Local EPrints ID: 419115
URI: https://eprints.soton.ac.uk/id/eprint/419115
ISSN: 2194-7228
PURE UUID: 63a9f873-3bd6-4e7e-ac7f-16f652980756

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Date deposited: 05 Apr 2018 16:30
Last modified: 13 Mar 2019 18:44

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Contributors

Author: Goh Ngee-Ming
Author: Drake Tamsin
Author: B P Rai
Author: B K Somani

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