Postoperative pain after adjustable single-incision or transobturator sling for incontinence: a randomized controlled trial
| Autor: | Eric Hallensleben, Dirk Gietelink, Hugo W F van Eijndhoven, Carl H. van der Vaart, Karlijn J. Schweitzer, Geert-Jan Cromheecke, Alfredo L. Milani |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Sling (implant) Visual analogue scale Urinary Incontinence Stress Analgesic Pain Urinary incontinence Stress Research Support law.invention Randomized controlled trial Interquartile range law medicine Journal Article Humans Single-Blind Method Comparative Study Postoperative Non-U.S. Gov't Pain Measurement Analgesics Pain Postoperative Suburethral Slings business.industry Research Support Non-U.S. Gov't Obstetrics and Gynecology Middle Aged Surgery Clinical trial Urinary Incontinence Treatment Outcome Randomized Controlled Trial Mann–Whitney U test Urologic Surgical Procedures Female medicine.symptom business |
| Zdroj: | Obstetrics and Gynecology, 125(1), 27. Lippincott Williams and Wilkins |
| ISSN: | 0029-7844 |
| Popis: | OBJECTIVE: To compare postoperative pain scores and assess efficacy between an adjustable single-incision sling and a standard transobturator sling for stress urinary incontinence (SUI). METHODS: This single-blinded randomized controlled trial involved 156 women with clinically proven SUI. Women were allocated to receive either an adjustable single-incision or a transobturator sling. The primary outcome was postoperative pain score on a visual analog scale. Secondary outcomes were objective and subjective cure rates at 12 months, symptom bother scores, quality of life, and complications. RESULTS: The mean pain score in the first week postoperatively was significantly lower at all time points in the adjustable single-incision sling group compared with the transobturator sling group. Maximum difference in pain score was reported on the evening of the day of surgery; median pain score was 1.0 (interquartile range 2.0) in the adjustable sling group and 3.0 (interquartile range 4.5) in the transobturator sling group (Mann Whitney U test P |
| Databáze: | OpenAIRE |
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