BEKİR ARAS, Fatih URUÇ, Hasan ERÇELİK, MEHMET KORKMAZ, Mehmet SEVİM, MEHMET ÖZGÜR YÜCEL

Ürolitiazise bağlı renal kolik tedavisinde hızlı ve etkin bir yaklaşım: İntrakütan steril su enjeksiyonu etkinliğinin araştırılması

Amaç: Bu çalışmada ürolitiyazise bağlı renal kolik tedavisinde intrakütan distile steril su enjeksiyonunun etkinliğini değerlendirdik. Gereç ve Yöntem: Üroloji polikliniğine renal kolik tanısı konulan hastalara çalışmaya alındı.Tüm hastalara işlem öncesi bilgilendirilmiş onam verildi ve enjeksiyondan önce ve sonra Visüel Analog Skala (VAS) skorlaması yapıldı. Yapılan enjeksiyon tarif edilerek intrakutan distile su enjeksiyonu yapıldı. İşlem sonrası ek olarak, katılımcılara tekrarlayan renal kolik olması durumunda enjeksiyonun tekrar edilebilirliği ve hasta memnuniyet düzeylerini soruldu. Bulgular: Hastaların yaş ortalaması 36.8 idi. Tedavi öncesi ve sonrası VAS skorları sırasıyla 9.25 ve 0.75 idi. Tüm hastaların 25’inde (% 80.65) tedaviden sonra herhangi bir tekrarlayan ağrı görülmezken, altı hastada (% 19.35) tekrarlayan ağrı mevcuttu. Aynı tedaviyi tekrarlayan ağrı için tekrar kabul edip etmeyeceği sorulduğunda, % 87 (n = 27) hasta olumlu yanıt verirken, % 13 (n = 4) hasta tekrar enjeksiyonu yaptırmayacağını belirtti. Sonuç: Ürolitiazise bağlı renal kolik tedavisinde intrakütan distile su enjeksiyonunun hızlı, uygulanabilir ve etkili bir tedavi yaklaşımı olduğunu göstermektedir.

Anahtar Kelimeler:

Ağrı, Renal Kolik, Steril Su Enjeksiyonu, Ürolitiyazis, VAS

investigation of the effect of intracutaneous sterile water injection: A rapid and effective approach in urolithiasis-related renal colic treatment

Objective: We have achieved a retrospective analysis of 31 patients who were treated with intracutaneous injections of distilled water for renal colic in order to evaluate the efficacy of intracutaneous sterile water injection in urolithiasis-related renal colic pain. Materials: Whole patients were given informed consent prior to the treatment. Visual Analog Scale (VAS) scoring was performed before and after the injection. In addition, participants were asked whether they would consider the injection as treatment again in case of recurrent pain, to determine patient satisfaction levels. Results: The mean age of the patients was 36.8 years. VAS scores were 9.25 and 0.75 before and after the treatment respectively. Of the whole patients, 25 (80.65%) have had no recurrent pain after the treatment, whereas there was a recurrent pain in six (19.35%). When questioned about the likelihood of accepting the same treatment again for recurrent pain, 87% (n=27) replied that they would, while 13% (n=4) said they would not. Conclusion: Gathered data suggest that intracutaneous distilled water injection is a quick, feasible and effective treatment approach in urolithiasis-related renal colic pain.

Keywords:

Pain, Renal Colic, Steril Water Injection, Urolithiasis, VAS,

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