PAIN
Volume 18, Issue 1 , Pages 97-101, January 1984

The effect of epidural morphine on ureteral colic and spasm of the bladder

  • David Olshwang

      Affiliations

    • Department of Anaesthesia, Hadassah University Hospital and Hebrew University-Hadassah Medical School, JerusalemIsrael
    • ,
  • Amos Shapiro

      Affiliations

    • Department of Urology, Hadassah University Hospital and Hebrew University-Hadassah Medical School, JerusalemIsrael
    • ,
  • Shaul Perlberg

      Affiliations

    • Department of Urology, Hadassah University Hospital and Hebrew University-Hadassah Medical School, JerusalemIsrael
    • ,
  • Florella Magora

      Affiliations

    • Corresponding Author InformationAddress for correspondence: Prof. F. Magora M.D., Department of Anaesthetics, Hadassah University Hospital, Jerusalem, Israel.
    • Department of Anaesthesia, Hadassah University Hospital and Hebrew University-Hadassah Medical School, JerusalemIsrael

Received 21 April 1983; accepted 22 June 1983.

Abstract 

Twenty-one patients suffering from severe pain associated with ureteric stones and spasm of the bladder which did not respond to repeated systemic injections of pethidine and papaverine received continuous epidural morphine. The morphine, 3–4 mg per dose, was injected into the lumbar-epidural space, and 15–20 min later all patients were pain free for at least 24 h. Administration of morphine was continued for periods ranging from 2 days to 2 weeks according to need. Eleven of the patients with ureterolithiasis passed the stone spontaneously. Epidural morphine analgesia is indicated for persistent ureteral colic and for spasm of the bladder when conventional treatment fails or systemic drugs are contraindicated. It abolishes pain and spasm for prolonged periods of time and does not interfere with the spontaneous elimination of stone.

No full text is available. To read the body of this article, please view the PDF online.

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: 0304-3959(84)90129-5

PAIN
Volume 18, Issue 1 , Pages 97-101, January 1984

Article Tools