Editorial: The ultrasound-guided paravertebral block vs. intravenous tramadol for pain control in percutaneous nephrolithotomy

Document Type: Editorial


1 Jiroft University of Medical Sciences, Tehran, Iran

2 Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran



Editorial: Percutaneous nephrolithotomy (PCNL) is a standard treatment method for large choroidal stones (over 2 and a half centimeters) with a shorter hospital stay than surgical procedures. After PCNL, a nephrostomy tube is placed for better discharge urine, prevent bleeding, and allow for further possible operations, which is can be the major cause of pain and discomfort for the patient. The resulting pain, in addition to the patient's discomfort and dissatisfaction, can lead to cardiovascular and cardiovascular problems for the patient. Therefore, it is important to employ appropriate methods to reduce pain and managing the pain after PCNL in the best way.
The effective treatment of postoperative pain can reduce complications, hospital stay, recovery time and costs. The most common treatment to reduce post-operative PCNL pain is the use of non-steroidal anti-inflammatory drugs (NSAIDs) or opioids that can be linked with some side effects. Therefore, alternative approaches such as the use of topical pain reduction can be a good alternative to opioids and NSAIDs.Paravertebral block (PVB) is a successful, non-complicating local anesthetic that is used in many surgical procedures to manage pain.