Female pelvic medicine & reconstructive surgery
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Female Pelvic Med Reconstr Surg · Mar 2012
Randomized Controlled Trial Comparative StudyA randomized comparison of bupivacaine versus saline during placement of tension-free vaginal tape.
To compare postoperative urinary retention and pain control when bupivacaine versus saline for hydrodissection is used while placing tension-free vaginal tape midurethral slings. ⋯ Bupivacaine was not seen to improve immediate postoperative pain after placement of a tension-free vaginal tape. It did not increase the risk of failing a postoperative voiding trial. Without an obvious benefit, the use of an additional medicine is not supported. We suggest saline alone be used for hydrodissection.
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Female Pelvic Med Reconstr Surg · Mar 2012
Randomized Controlled TrialBowel function after minimally invasive urogynecologic surgery: a prospective randomized controlled trial.
The goals of this study were to assess the effect of a standardized postoperative bowel regimen of over-the-counter medications on (1) time to first bowel movement (BM) and (2) pain level associated with first BM in subjects undergoing minimally invasive urogynecologic surgery. ⋯ Mean time to first postoperative BM after minimally invasive urogynecologic surgery is more than 3.5 days with use of docusate sodium alone and is only slightly shorter when combination therapy is used. First BM after surgery is considered to be painful despite the use of medications. Future studies targeting postoperative discomfort/pain with defecation could target preoperative bowel regimens or more aggressive postoperative interventions. Regimens should remain simple to increase compliance.