Predicting Pain Levels Following Vaginal Reconstructive Surgery: Who Is at Highest Risk?

Female Pelvic Medicine & Reconstructive Surgery
Abigail Shatkin-MargolisRachel N Pauls

Abstract

An ability to anticipate individuals at increased risk of postoperative pain would improve coordination of care and patient satisfaction. We sought to describe predictive factors of postoperative pain following vaginal reconstructive surgery. This institutional review board-approved, retrospective study used previously collected data from research performed at 1 center from 2009 to 2015. Eligible trials enrolled subjects undergoing vaginal reconstructive surgery for pelvic organ prolapse. All studies used a validated visual analog scale (VAS) for pain on postoperative day 1. Other information collected included pain medication use, medical and surgical history, and demographics. Linear regression analyses, multiple regression analyses, Mann-Whitney U, and Kruskal-Wallis tests were used to analyze the relationship between VAS scores and other variables. Six studies were analyzed with a total of 364 patients. The median age was 60 years (interquartile range, 16 years), and the median pain score on postoperative day 1 was 35 mm on a 100-mm VAS. Patients younger than 60 years (P < 0.001), those who used tobacco (P = 0.014), those who used pain medication prior to surgery (P = 0.007), and those who did not have a concomitant miduret...Continue Reading

Associated Clinical Trials

References

Nov 1, 1996·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·F ChungJ Su
Oct 16, 2009·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Michael J ZvolenskyGordon J G Asmundson
Feb 9, 2010·Appetite·Jean-Philippe ChaputAnders M Sjödin
Aug 7, 2012·American Journal of Obstetrics and Gynecology·Catrina C CrispRachel N Pauls
Jun 3, 2015·American Journal of Obstetrics and Gynecology·Rachel N PaulsMaria Victoria Estanol
Jan 31, 2016·Female Pelvic Medicine & Reconstructive Surgery·Lauren B WestermannRachel N Pauls
Jan 10, 2017·Female Pelvic Medicine & Reconstructive Surgery·Lauren B WestermannRachel N Pauls
Jun 9, 2017·Obstetrics and Gynecology·Tonya N ThomasMatthew Barber

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Citations

Sep 3, 2020·International Urogynecology Journal·Eva Uustal
Jul 13, 2020·American Journal of Obstetrics and Gynecology·Marcella G Willis-GrayJennifer M Wu

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