Role of Complementary Medicine (Music, Acupuncture, Acupressure, TENS and Audio-Visual Distraction) in Shockwave Lithotripsy (SWL): A Systematic Review From EAU Sections of Urolithiasis (EULIS) and Uro-Technology (ESUT)

• Published in: Urology (Ridgewood, N.J.) Vol. 145; pp. 38 - 51
• Main Authors: Saraogi, M., Geraghty, RM, Hameed, BMZ, Rob, S., Pietropaolo, A., Sarica, K., Gozen, A., Liatsikos, E., Somani, BK
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-11-2020
• Subjects: Acupressure - statistics & numerical data; Acupuncture Therapy - statistics & numerical data; Analgesia; Anxiety - prevention & control; Audiovisual Aids - statistics & numerical data; Complementary Therapies - methods; Complementary Therapies - statistics & numerical data; Humans; Lithotripsy - psychology; Music Therapy - statistics & numerical data; Pain, Procedural - prevention & control; Patient Satisfaction; Randomized Controlled Trials as Topic; Transcutaneous Electric Nerve Stimulation - statistics & numerical data
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/j.urology.2020.06.035

We performed a systematic review to look at the role of alternative or complementary medicine such as music, acupressure, acupuncture, transcutaneous electrical nerve stimulation (TENS) and audiovisual distractions to decrease analgesia requirement and alleviate anxiety during SWL. Twenty-three papers(2439 participants) were included: Music (n = 1056.6%), Acupuncture (n = 517.7%), Acupressure (n = 13.8%), TENS (n = 617.2%), and audiovisual distraction (n = 14.6%). Most of the studies showed that complementary therapy, lowered pain, and anxiety with higher patient satisfaction and willingness to undergo the procedure. With its feasibility and convenience, urological guidelines need to endorse it, and more should be done to promote its use in outpatient urological procedures.