Effect of anesthesia type on perioperative outcomes with a midurethral sling

International Urogynecology Journal
Bhumy A DavéKimberly Kenton

Abstract

There is no consensus on the most appropriate type of anesthesia for placement of a midurethral sling. Our objective was to compare intra- and perioperative outcomes for this procedure performed under general anesthesia versus monitored anesthesia care. Retrospective cohort analysis of women undergoing outpatient placement of synthetic retropubic midurethral sling under general anesthesia (n = 141) or monitored anesthesia care (n = 84). Patients undergoing concomitant procedures were excluded. Primary outcome was operating room time. Secondary outcomes included surgical and recovery times, cost, discharge home with a catheter, and postoperative pain and/or nausea. In the general anesthesia group, both operating room time (mean ± SD, 67.6 ± 13.3 min vs 56.9 ± 11.8 min, p < 0.001) and recovery room time (240.0 ± 69.8 min vs 190.1 ± 78.3 min, p < 0.001) were longer, whereas there was no difference in surgical time (30.0 ± 8.9 min vs 29.0 ± 9.7 min, p = 0.43). Cost was significantly higher in the general anesthesia group ($4,095 ± 715 vs $3,877 ± 777, p = 0.03). There was no difference in rates of bladder perforation (6.4 % vs 11.9 %, p = 0.33). Patients who underwent general anesthesia had higher rates of discharge with a catheter...Continue Reading

References

Jan 1, 1996·International Urogynecology Journal and Pelvic Floor Dysfunction·U UlmstenG Varhos
Nov 14, 1997·Anesthesia and Analgesia·M M Sá RêgoP F White
Jan 3, 2001·Neurourology and Urodynamics·M P FitzGerald, L Brubaker
Apr 12, 2003·Obstetrics and Gynecology·M MurphyP J Culligan
Oct 4, 2003·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jacques Simon LeeGeorge A Wells
Jan 4, 2006·American Journal of Obstetrics and Gynecology·Steven E Schraffordt KoopsHarry A M Vervest
Jan 12, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Jonathan R A DuckettMaria Eaton
Feb 9, 2008·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·J R A DuckettN S Papanikolaou
Feb 23, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Francesco AracoEmilio Piccione
Oct 7, 2011·International Urogynecology Journal·Jennifer M WuAlison C Weidner
Jun 7, 2012·International Urogynecology Journal·Anne M SuskindBrent K Hollenbeck
Jul 24, 2012·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Itsik Ben-DorRon Waksman
Jul 23, 2013·Current Opinion in Obstetrics & Gynecology·Elizabeth J Geller, Jennifer M Wu

❮ Previous
Next ❯

Citations

Sep 18, 2020·Neurourology and Urodynamics·Eric G KatzLara S MacLachlan
Nov 15, 2017·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Leo Francisco LimbergerAlexandre Fornari
Feb 27, 2017·International Urogynecology Journal·Katie PropstPaul K Tulikangas
Mar 7, 2018·Female Pelvic Medicine & Reconstructive Surgery·Julia Geynisman-TanKimberly Kenton
Mar 14, 2019·International Urogynecology Journal·Pamela E SmithCatherine O Hudson
Jun 5, 2020·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·Y SalhiX Deffieux

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.