IP Journal of Urology, Nephrology and Hepatology Science

Comparison of tramadol drip versus local application of prilocaine for ESWL

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Article Type : Original Article

Author Details: Anuj Mahajan,Prashanth Adiga,Aaron Fernandes*,John Joseph S Martis

Volume : 4

Issue : 1

Online ISSN : XXXX

Print ISSN : XXXX

Article First Page : 4

Article End Page : 6

Abstract

Background: Calculus of the urinary tract affects a large amount of population.  Extracorporeal shock-wave lithotripsy (ESWL) has become the treatment of choice in patients with renal calculus .However pain diring the procedure is one of the major limitations of the procedure.
Aims: This study was aimed to compare IV drip of tramadol versus local application of prilocaine as the choice of analgesic during ESWL procedure.
Materials and Methods: This was a prospective, double blind study conducted in a tertiary care hospital of Karnataka .Patients who met the inclusion criteria were randomized into two groups of 18 each.Primary and secondary outcomes were compared. 
Results: Patients in Group A tolerated the procedure well with better stone clearance rates.
Conclusions: IV Tramadol achieves a better stone fragmentation rate with less pain and decreased dutaion than local application of prilocaine.

Keywords: Eswl, Tramadol, Prilocaine, Renal calculi.

Doi No:-10.18231