Postoperative pain after adjustable single-incision or transobturator sling for incontinence: a randomized controlled trial.

Abstract:

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<.001). There was no statistical difference in analgesic use. The objective cure rates in the adjustable single-incision sling and in the transobturator sling group were 90.8% and 88.6% (P=.760), and the subjective cure rates were 77.2% and 72.9% (P=.577), respectively. No difference in the complication rate was found. CONCLUSION:An adjustable single-incision sling for the treatment of SUI is associated with lower early postoperative pain scores but shows comparable cure rates with a transobturator at 12 months of follow-up. CLINICAL TRIAL REGISTRATION:Netherlands Trial Register, http://www.trialregister.nl, NTR: 2558. LEVEL OF EVIDENCE:I.

journal_name

Obstet Gynecol

authors

Schweitzer KJ,Milani AL,van Eijndhoven HWF,Gietelink DA,Hallensleben E,Cromheecke GJ,van der Vaart CH

doi

10.1097/AOG.0000000000000604

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

27-34

issue

1

eissn

0029-7844

issn

1873-233X

pii

00006250-201501000-00007

journal_volume

125

pub_type

杂志文章,随机对照试验
  • Rapid B-scan (real-time) ultrasonography in the identification and evaluation of twin pregnancies.

    abstract::Real-time ultrasonography utilizing a hand-held linear array transducer provides a highly accurate method of identifying and evaluating the twin gestation. The rapidity of real-time scanning eliminates interpretational problems caused by fetal movements. Additionally, the versatility of transducer positioning facilita...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Levine SC,Filly RA

    更新日期:1978-02-01 00:00:00

  • A simple visual assessment technique to discriminate between menorrhagia and normal menstrual blood loss.

    abstract:OBJECTIVE:To validate a simple, highly predictive test to discriminate between menorrhagia and normal menstrual blood loss. METHODS:The sanitary wear of 489 menstrual bleeding episodes was collected by 288 women for objective measurement of menstrual blood loss (alkaline hematin method); the women made a subjective as...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/0029-7844(95)00062-V

    authors: Janssen CA,Scholten PC,Heintz AP

    更新日期:1995-06-01 00:00:00

  • Effect of glucocorticoids on fetal immunoglobulin production after premature rupture of membranes.

    abstract::Cord blood IgA and IgM levels were measured in newborns of mothers with prematurely ruptured membranes (PRM) who had also received prenatal glucocorticoid treatment to accelerate fetal lung maturity. Previous data show that some newborns of mothers with PRM had elevated IgA and/or IgM levels. This increase was also fo...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Cederqvist LL,Ekelund L,Litwin SD

    更新日期:1980-04-01 00:00:00

  • Reclosure of the disrupted laparotomy wound: a systematic review.

    abstract:OBJECTIVE:To review systematically all prospective, randomized trials published in English quantifying the success of reclosure of the disrupted laparotomy wound. DATA SOURCES:The MEDLINE/PubMed, EMBASE, CINAHL, and Cochrane databases were searched from 1966 to 2004. References were hand-searched and their authors con...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.AOG.0000171114.75338.06

    authors: Wechter ME,Pearlman MD,Hartmann KE

    更新日期:2005-08-01 00:00:00

  • Can amnio-polymerase chain reaction alone replace conventional cytogenetic study for women with positive biochemical screening for fetal Down syndrome?

    abstract::To determine whether amnio-polymerase chain reaction (amnio-PCR) can replace conventional cytogenetic study for confirming the karyotype of fetuses in women with positive biochemical screening for fetal Down syndrome. To check the accuracy of this technique in our laboratory, we first compared the amnio-PCR results wi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(03)00222-9

    authors: Leung WC,Lau ET,Lao TT,Tang MH

    更新日期:2003-05-01 00:00:00

  • Reduction by naproxen of excessive menstrual bleeding in women using intrauterine devices.

    abstract::Thirty-four patients using intrauterine contraceptive devices and experiencing excessive menstrual bleeding (more than 80 ml average loss for 2 cycles) were treated with the prostaglandin synthetase inhibitor naproxen. The trial was conducted according to a double-blind placebo-controlled crossover design. Each patien...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Davies AJ,Anderson AB,Turnbull AC

    更新日期:1981-01-01 00:00:00

  • Occult Uterine Sarcoma and Leiomyosarcoma: Incidence of and Survival Associated With Morcellation.

    abstract:OBJECTIVE:To estimate the incidence of occult uterine sarcoma and leiomyosarcoma in hysterectomies for leiomyomas and the risk associated with their morcellation. METHODS:We conducted a population-based cohort study. All uterine sarcomas from 2006-2013 in an integrated health care system were identified. Age- and race...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001187

    authors: Raine-Bennett T,Tucker LY,Zaritsky E,Littell RD,Palen T,Neugebauer R,Axtell A,Schultze PM,Kronbach DW,Embry-Schubert J,Sundang A,Bischoff K,Compton-Phillips AL,Lentz SE

    更新日期:2016-01-01 00:00:00

  • Perinatal mortality and antepartum risk scoring.

    abstract::A simplified, numerical form for antepartum risk scoring was introduced as a component of the prenatal record for use in all pregancies in a large geographic area under a variety of collection practices. In a population of approximately 1,000,000 with 16,733 deliveries, 19% of the pregnant population scored greater th...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Morrison I,Olsen J

    更新日期:1979-03-01 00:00:00

  • Combining vaginal ultrasonography and office endometrial sampling in the diagnosis of endometrial disease in postmenopausal women.

    abstract:OBJECTIVE:To investigate the value of the combined use of vaginal ultrasonography and endometrial sampling in the office for the diagnosis of endometrial disease in postmenopausal women. METHODS:One hundred forty consecutive postmenopausal women presenting with uterine bleeding or endometrial cells on cervical cytolog...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/0029-7844(94)00421-9

    authors: Van den Bosch T,Vandendael A,Van Schoubroeck D,Wranz PA,Lombard CJ

    更新日期:1995-03-01 00:00:00

  • Longitudinal analysis of a multisite clerkship.

    abstract::Monitoring the quality of well-established multisite clerkships can be aided by the use of trend analysis and graphic-oriented presentations. Five years of data on student performance, experience, and perceptions are reported for an obstetrics and gynecology clerkship offered at eight geographically dispersed sites. O...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Strand DA,Vontver LA,Stenchever MA,Hadac RR,Irby DM

    更新日期:1985-11-01 00:00:00

  • Management of the selected term breech presentation: assessment of the risks of selected vaginal delivery versus cesarean section for all cases.

    abstract::In this study, the concepts of decision theory have been applied to a clinical obstetric controversy--the management of the selected mature breech presentation. We have reviewed in detail the literature published since 1974 and estimated the probabilities of various outcomes after different treatment strategies. We co...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Bingham P,Lilford RJ

    更新日期:1987-06-01 00:00:00

  • Combination of pessary and periurethral collagen injections for nonsurgical treatment of uterovaginal prolapse and genuine stress urinary incontinence.

    abstract:BACKGROUND:The combination of severe uterovaginal prolapse and stress urinary incontinence in medically compromised patients in whom surgery is contraindicated is a difficult treatment dilemma. CASE:A 75-year-old woman with severe cardiac compromise and a history of pulmonary embolus presented with severe uterovaginal...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00260-3

    authors: Walters MD,Iannetta LT

    更新日期:1997-10-01 00:00:00

  • Preeclampsia and Long-term Renal Function in Women Who Underwent Kidney Transplantation.

    abstract:OBJECTIVE:Preeclampsia often complicates pregnancies after maternal kidney transplantation. We aimed to assess whether preeclampsia is associated with kidney function decline either during the pregnancy or in the long term. METHODS:We performed an international multicenter retrospective cohort study. Renal function at...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/AOG.0000000000002404

    authors: Vannevel V,Claes K,Baud D,Vial Y,Golshayan D,Yoon EW,Hodges R,Le Nepveu A,Kerr PG,Kennedy C,Higgins M,Resch E,Klaritsch P,Van Mieghem T

    更新日期:2018-01-01 00:00:00

  • Uterine contractility and placental histology in abortion by laminaria and metreurynter.

    abstract::Abortions by cervical dilatation with laminaria tents followed by placement of a metreurynter into the lower uterine cavity to provide a mechanical stretch (the method most often used in midterm abortions in Japan) was performed in 7 normal Japanese and American women, 19-24 weeks pregnant, to determine similarities ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Manabe Y,Nakajima A,Griggs JF

    更新日期:1973-05-01 00:00:00

  • A rapid modification of the beta-hCG radioimmunoassay. Use as an aid in the diagnosis of ectopic pregnancy.

    abstract::Over half the patients with proven ectopic pregnancies have negative urinary slide or tube pregnancy tests at the time they present with symptoms. Because of the morbidity and mortality associated with unrecognized ectopic pregnancy, the need for an accurate, rapid, sensitive, and specific method for measuring low lev...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Rasor JL,Braunstein GD

    更新日期:1977-11-01 00:00:00

  • Uterine rupture occurring during midtrimester abortion.

    abstract::Uterine rupture is an uncommon complication of midtrimester abortion, occurring more frequently in the older multiparous patient and with the use of high doses of oxytocic agents. The clinical presentation may vary from an unexplained drop in the hematocrit or persistent abdominal pain to profound shock and maternal d...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Graham D

    更新日期:1982-06-01 00:00:00

  • Effect of clonidine on hot flashes in postmenopausal women.

    abstract::The effectiveness of clonidine in suppressing the occurrence of postmenopausal hot flashes was examined using a dose-response study design and objective recordings of hot flashes. Patients with frequent flashes were studied before and after oral administration of placebo and 0.1, 0.2, and 0.4 mg of clonidine daily for...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Laufer LR,Erlik Y,Meldrum DR,Judd HL

    更新日期:1982-11-01 00:00:00

  • Reproductive correlates of depressive symptoms among low-income minority women.

    abstract:OBJECTIVE:To estimate the prevalence of depressive symptoms among women of reproductive age attending family planning clinics across southeast Texas in addition to demographic and reproductive characteristics associated with these symptoms. METHODS:A retrospective, self-reported, paper-and-pencil survey designed to as...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.obstetgynecol.2003.08.012

    authors: Berenson AB,Breitkopf CR,Wu ZH

    更新日期:2003-12-01 00:00:00

  • Subarachnoid phenol block for pain relief in gynecologic malignancy.

    abstract::One hundred and thirty-three subarachnoid phenol blocks were performed in 90 patients with intractable pain secondary to gynecologic cancer at the University of Iowa Hospitals in the period 1961 to 1975. Excellent to moderate pain relief was obtained in 77% of 117 evaluable blocks. Fifty-two percent of the blocks gave...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lifshitz S,Debacker LJ,Buchsbaum HJ

    更新日期:1976-09-01 00:00:00

  • Maternal blood C-reactive protein, white blood cell count, and temperature in preterm labor: a comparison with amniotic fluid white blood cell count.

    abstract:OBJECTIVE:To compare the diagnostic and prognostic performance of maternal blood C-reactive protein, white blood cell count (WBC), and temperature with that of amniotic fluid (AF) WBC in preterm labor. METHODS:One hundred two women with preterm labor and intact membranes were studied. Maternal blood was collected to m...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(95)00380-0

    authors: Yoon BH,Yang SH,Jun JK,Park KH,Kim CJ,Romero R

    更新日期:1996-02-01 00:00:00

  • Pelvic Organ Prolapse: ACOG Practice Bulletin Summary, Number 214.

    abstract::Pelvic organ prolapse (POP) is a common, benign condition in women. For many women it can cause vaginal bulge and pressure, voiding dysfunction, defecatory dysfunction, and sexual dysfunction, which may adversely affect quality of life. Women in the United States have a 13% lifetime risk of undergoing surgery for POP ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003520

    authors:

    更新日期:2019-11-01 00:00:00

  • Placenta accreta: a problem of increasing clinical significance.

    abstract::Placenta accreta in association with placenta previa and previous cesarean delivery is a condition of increasing clinical significance. A case report of a woman with placenta percreta is presented. Risk factors, incidence, and management are discussed. Recommendations for preoperative and intraoperative management are...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Weckstein LN,Masserman JS,Garite TJ

    更新日期:1987-03-01 00:00:00

  • Does standing up improve the predictive value of the supine pressor test for gestational hypertension?

    abstract::Fifty-six primigravid women at 28-32 weeks' gestation were studied prospectively to compare the roll-over test with the stand-up pressor test in the prediction of gestational hypertension. Blood pressures were measured in the different positions continuously using an automated machine. Twenty patients developed gestat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Okonofua FE,Onwudiegwu U,Odunsi AO,Hussain S,O'Brien PM

    更新日期:1990-09-01 00:00:00

  • Decreased plasma tryptophan in pregnancy.

    abstract:OBJECTIVE:To examine levels of serum tryptophan and its degradation product kynurenine in uncomplicated pregnancy, according to the week of pregnancy and the concentrations of neopterin. METHODS:Plasma was analyzed from 45 healthy pregnant women (15 in each trimester), 15 healthy puerperas, and 20 nonpregnant controls...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00084-1

    authors: Schröcksnadel H,Baier-Bitterlich G,Dapunt O,Wachter H,Fuchs D

    更新日期:1996-07-01 00:00:00

  • Aggressive angiomyxoma of the vulva.

    abstract::An unusual myxoid and vascular appearing neoplasm of the vulva, termed an aggressive angiomyxoma, is described in a 36-year-old Hispanic woman. The clinical presentation and recurrence pattern were typical for previously described neoplasms of the same cellular pattern. The histopathology, difficulties in determining ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hilgers RD,Pai R,Bartow SA,Aisenbrey G,Bowling MC

    更新日期:1986-09-01 00:00:00

  • Presence of an estrogen-regulated protein in endometrial cancer.

    abstract::The presence of an estrogen-regulated protein of Mr 24,000 (24K) was studied in 43 patients diagnosed as having endometrial adenocarcinoma. using an anti-24K monoclonal antibody, a modified immunoperoxidase system (avidinbiotin complex) was used to detect the presence of 24K in formalin-fixed, paraffin-embedded tissue...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Sledge GW Jr,Ramzy I,Dressler LG,Dorr FA,Adams DJ,McGuire WL

    更新日期:1985-09-01 00:00:00

  • Elective Female Genital Cosmetic Surgery: ACOG Committee Opinion Summary, Number 795.

    abstract::"Female genital cosmetic surgery" is a broad term that comprises numerous procedures, including labiaplasty, clitoral hood reduction, hymenoplasty, labia majora augmentation, vaginoplasty, and G-spot amplification. Both patient interest in and performance of cosmetic genital procedures have increased during the past d...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/AOG.0000000000003617

    authors:

    更新日期:2020-01-01 00:00:00

  • Is urinary incontinence a barrier to exercise in women?

    abstract:OBJECTIVE:To describe the prevalence of urinary incontinence during exercise in women, estimate whether exercise intensity is related to leakage severity, and report women's assessments of incontinence as a barrier to exercise. METHODS:Questionnaires were mailed to 5,130 women aged 18-60 years drawn from National Fami...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000168455.39156.0f

    authors: Nygaard I,Girts T,Fultz NH,Kinchen K,Pohl G,Sternfeld B

    更新日期:2005-08-01 00:00:00

  • Association of body mass index and morbidity after abdominal, vaginal, and laparoscopic hysterectomy.

    abstract:OBJECTIVE:To examine the association of body mass index (BMI) and operative time and perioperative morbidity after hysterectomy and determine whether the association varies among abdominal, laparoscopic, and vaginal approaches. METHODS:Data abstracted from the American College of Surgeons National Safety and Quality I...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000698

    authors: Shah DK,Vitonis AF,Missmer SA

    更新日期:2015-03-01 00:00:00

  • Maternal morbidity rates in a managed care population.

    abstract:OBJECTIVE:To identify and estimate prevalence rates of maternal morbidities by pregnancy outcome and selected covariates during the antepartum, intrapartum, and postpartum periods in a defined population of pregnant women. METHODS:We used electronic data systems of a large, vertically integrated, group-model health ma...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31816c441a

    authors: Bruce FC,Berg CJ,Hornbrook MC,Whitlock EP,Callaghan WM,Bachman DJ,Gold R,Dietz PM

    更新日期:2008-05-01 00:00:00