Meta-analysis of risk factors for postoperative pain in patients undergoing ureteroscopic lithotripsy
HE Shengjie
TU Jing
XU Ying
OUYANG Yuhui
ZHU Likun
Abstract：Objective:To systematically evaluate the risk factors for postoperative pain in patients undergoing ureteroscopic lithotripsy.Methods:Studies on risk factors for postoperative pain in patients undergoing ureteroscopic lithotripsy were retrieved from CNKI,Wanfang Database,VIP Database,SinoMed,Web of Science,PubMed,Embase,and the Cochrane Library,with the search period spanning from inception to September 26,2023.Literature quality was assessed using the Newcastle-Ottawa Scale(NOS),and data analysis was performed using RevMan 5.4 software.Results:Indwelling ureteral stent[OR=5.09,95％CI(2.59,10.00),P＜0.000 1],24 cmdouble-J stent[OR=10.82,95％CI(4.48,26.15),P＜0.000 01],26 cm double-J stent[OR=11.36,95％CI(4.60,28.05),P＜0.000 01],residual stones[OR=2.92,95％CI(1.69,5.06),P＜0.000 1],and urinary tract infection[OR=2.75,95％CI(1.40,5.42),P=0.003]were identified as risk factors for postoperative pain in patients undergoing ureteroscopic lithotripsy.Conclusions:Multiple factors influence postoperative pain in patients undergoing ureteroscopic lithotripsy.Enhanced awareness of pain is more conducive to its prevention and control.There is an urgent need for large-sample,multicenter studies to comprehensively explore the risk factors for postoperative pain following ureteroscopic lithotripsy and to develop predictive models.
Keywords：ureteroscopic lithotripsypostoperative painrisk factorssystematic reviewMeta-analysis
Publication Date：2025-03-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 997-1001 )