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Urolithiasis
Published in: Urolithiasis 5/2010

01-10-2010 | Review

Visceral pain originating from the upper urinary tract

Authors: Katja Venborg Pedersen, Asbjørn Mohr Drewes, Poul Christian Frimodt-Møller, Palle Jørn Sloth Osther

Published in: Urolithiasis | Issue 5/2010

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Abstract

Pain originating from the upper urinary tract is a common problem and stone colic is one of the most intense pain conditions that can be experienced in the clinic. The pain is difficult to alleviate and often leads to medical attention. In humans, pain mechanisms of the upper urinary tract pain are still poorly understood, which often leads to a trial and error approach in clinical pain management. Pain from the upper urinary tract seems to have all the characteristics of pure visceral pain, including referred pain with or without hyperalgesia/trophic changes in somatic tissues and viscero-visceral hyperalgesia. However, further studies are needed to better understand these visceral pain mechanisms with regard to optimising pain management. This review gives an introduction to visceral pain in general and upper urinary tract pain in particular, with special reference to pain pathways and pharmacological and non-pharmacological pain modulation.
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Metadata
Title
Visceral pain originating from the upper urinary tract
Authors
Katja Venborg Pedersen
Asbjørn Mohr Drewes
Poul Christian Frimodt-Møller
Palle Jørn Sloth Osther
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
Urolithiasis / Issue 5/2010
Print ISSN: 2194-7228
Electronic ISSN: 2194-7236
DOI
https://doi.org/10.1007/s00240-010-0278-1

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