Meditation Effects on Discomfort, Pain InTerference, and AnxieTy After urEteroscopy

Launched by CHILDREN'S HOSPITAL OF PHILADELPHIA · Jan 15, 2025

Keywords

ClinConnect Summary

Context:

Pain is common after surgery to remove urinary stones, and current options for post-operative pain management are limited. Pre-operative anxiety is a well-known clinical entity that is associated with a higher risk of post-operative pain. Meditation is an ancient discipline that has been used for a wide range of presumed benefits including improving pain and anxiety. Meditation has been studied in a variety of clinical settings, but its effects have not been assessed among patients having ureteroscopy to remove kidney and/or ureteral stones.

Objectives:

To determine the effect o...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Subjects age 12 years and older
• • 2. Diagnosis of unilateral or bilateral ureteral or renal stones
• • 3. Scheduled to undergo elective unilateral ureteroscopy for renal or ureteral stones in 2 or more weeks from initial clinic visit
• • 4. Parental/guardian permission (informed consent) and if appropriate, child assent.
• Exclusion Criteria:
• • 1. Participants \<12 years of age
• • 2. Subjects undergoing any other type of stone procedure (i.e. bilateral ureteroscopy, percutaneous nephrolithotomy, ESWL, staged ureteroscopy)
• • 3. Patients who are pre-stented at the initial clinic visit
• • 4. Non-English speaking participants
• • 5. Participants without functional e-mail address or phone
• • 6. Participants unable to use a computer/tablet independently
• • 7. Participants who will be undergoing ureteroscopy in less than 2 weeks from initial clinic visit
• • 8. Patients who are non-verbal or with cognitive delay that may impair ability to learn and adhere to intervention
• • 9. Patients with neurologic comorbidities that may alter sensation (eg. spinal cord injuries)
• • 10. Parents/guardians or subjects who, in the opinion of the investigator, may be non-compliant with study schedules or procedures