Abstract:
INTRODUCTION AND HYPOTHESIS:A variety of pharmacological and non-pharmacological interventions have been investigated, with the goal of relieving pain after post-episiotomy repair. We aimed to compare the efficacy of tramadol versus celecoxib orally in reducing pain after mediolateral episiotomy repair in obese primigravidae undergoing spontaneous vaginal delivery. METHODS:We conducted a randomized double-blinded trial in Cairo University hospital, Cairo, Egypt, from October 2018 to December 2019. We randomly assigned 200 women into two groups: group A (n = 100) received one tramadol tablet 100 mg orally whereas group B (n = 100) received one celecoxib tablet 200 mg orally. Our primary outcome was pain score using a 10-cm visual analog scale at different time intervals. Our secondary outcomes were the overall satisfaction score and drug side effects. RESULTS:After mediolateral episiotomy repair, the pain scores at 1, 2, and 4 h were significantly lower in the tramadol group than in the celecoxib group (p < 0.001). However, there were no significantly differences in pain scores at 8 and 12 h between the two groups (p = 0.50 and 0.48 respectively). Women's satisfaction score was significantly higher in the tramadol group than in the celecoxib group (p < 0.001). Fewer participants in the tramadol group needed additional analgesics than in the celecoxib group; however, the difference was not significant (p = 0.17). Drug adverse effects were comparable in the two groups. CONCLUSIONS:Primigravid women who received tramadol 100 mg orally after mediolateral episiotomy repair had lower pain scores and were more satisfied than women who received celecoxib 200 mg orally. Both drugs were well tolerated, with few side effects.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Latif D,Darweesh FF,Osman OM,Abdelhakim AM,Nabil H,Ashour ASAdoi
10.1007/s00192-020-04411-4subject
Has Abstractpub_date
2020-07-20 00:00:00eissn
0937-3462issn
1433-3023pii
10.1007/s00192-020-04411-4pub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:Hysterectomy can be performed during sacrocolpopexy, but there are limited studies comparing the effect of route of hysterectomy on adverse events. We hypothesized there would be no difference in adverse events or patient-reported outcomes in women who underwent minimally invasive sacrocolpo...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3790-4
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective of this video is to demonstrate a variety of available techniques that can be used in the management of acute presacral bleeding. METHODS:In this video, we demonstrate different methods for the management of presacral bleeding utilizing a fresh frozen cadaver. RESULTS:Presacr...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03995-w
更新日期:2020-01-01 00:00:00
abstract::We present the case of a female aged 16 years, suffering from cyclical menouria for the last 3 years. Clinical examination revealed the absence of a vagina. Cystoscopy performed while the patient was having menouria revealed an orifice (10 × 8 mm) in the supratrigonal region; blood clots were entering the urinary blad...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1356-1
更新日期:2011-08-01 00:00:00
abstract::An estimated 20-30% of adult women who experience an initial urinary tract infection (UTI) will have recurrent infection. In these patients, prophylaxis may be considered to improve their quality of life and control overuse of antibiotics. Despite this need, there is currently no Latin American consensus on the treatm...
journal_title:International urogynecology journal
pub_type: 共识发展会议,杂志文章,评审
doi:10.1007/s00192-019-04079-5
更新日期:2020-01-01 00:00:00
abstract::In July of 2011 the U.S. Food and Drug Administration (FDA) released a safety communication entitled "UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse." The stated purpose of this communication is to inform health care providers and patients that serious...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1581-2
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION:Recurrent urethral diverticulum has been reported in 23% of cases after primary repair and can be difficult to manage. The aim of this video is to demonstrate a surgical technique of repairing a recurrent diverticulum in a woman who had two previous procedures, one with a Martius labial fat pad graft. MET...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04357-7
更新日期:2020-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective was to compare clinical and anatomical outcomes between laparoscopic uterosacral ligament suspension (LUSLS) and vaginal colposuspension using the Uphold Lite™ mesh system for the treatment of apical prolapse. METHODS:We performed a comparative, retrospective cohort study. All...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04563-3
更新日期:2020-10-21 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:In order to assess the outcome following surgery for urinary incontinence (UI) and pelvic organ prolapse (POP) the importance of patient-reported outcome measures, in addition to the clinical objective measures, has been recognised. The International Consultation on Incontinence has initiate...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2840-4
更新日期:2016-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Preoperative urodynamic studies (UDS) are frequently performed before pelvic organ prolapse (POP) surgery to assess urethral and bladder function. The primary goal of this study is to examine how preoperative UDS are utilized and what value these studies have in patient treatment and/or coun...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04084-8
更新日期:2020-08-01 00:00:00
abstract::We report a case of vesicocervical fistula following intrauterine device (Lippes loop) erosion following insertion 45 years ago. Vesicocervical fistula was suspected clinically. Ultrasound and magnetic resonance imaging confirmed the presence of a foreign body. Biopsy and magnetic resonance imaging were performed to r...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2667-z
更新日期:2015-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study aims to determine what women with overactive bladder (OAB) perceive as 'cure', assesses treatment acceptability and adverse events. It also determines impact on quality of life (QoL) and correlates it with expectations from therapy. METHODS:In 153 women with predominant OAB sympt...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-1049-9
更新日期:2010-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To evaluate factors for vesicovaginal fistula (VVF) formation following incidental cystotomies during benign hysterectomies. METHODS:Hysterectomies performed at two university centers between January 1, 2000 and December 31, 2008 were reviewed. Demographic and operative data were abstracted...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s00192-011-1375-6
更新日期:2011-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:There is a difference of opinion in the literature as to whether pelvic organ prolapse (POP) is a direct cause of female sexual dysfunction (FSD). Sexual function in women is negatively impacted by the presence of urinary symptoms. Thus, sexual dysfunction (SD) might be improved, unchanged, ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3500-7
更新日期:2018-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Several modifications of sacrospinous ligament fixation (SLF) are described. METHODS:This study presents a standardised SLF technique. Perioperative course and outcome are compared retrospectively after surgery is performed by experienced surgeons or by residents. RESULTS:Two hundred three...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1341-8
更新日期:2011-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Objective outcome measures of the extent of laceration at delivery are needed. In this study we evaluated and describe here a method for learning perineal ultrasound measurement of the anovaginal distance (AVD). The learning period needed for examiners proficient in vaginal ultrasound examin...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3392-6
更新日期:2018-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Self-administered quality of life (QOL) questionnaires provide objective evaluation of an individual's symptoms. The Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) are condition-specific short form questionnaires. There are very few validate...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3318-3
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVES:Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic pain condition that requires multimodal management. The American Urologic Association includes sacral neuromodulation in the treatment algorithm for refractory IC/BPS. We sought to determine the rate of overall symptom improvement of IC/BPS sy...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04481-4
更新日期:2020-08-13 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of the study was to assess the interobserver and intraobserver reliability of translabial 3D ultrasound imaging of the urethral sphincter in non-pregnant nulliparous asymptomatic women. METHODS:A study using a 3D translabial ultrasound on thirty-seven women was performed. Urethral s...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1669-3
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:Our aim was to identify drivers of and barriers to help-seeking behaviour of older women with pelvic floor dysfunction (PFD) living independently in Australia . METHODS:Women aged ≥55 years were recruited to this cross-sectional study during July and August 2016. Bladder, bowel, pelvic organ prolapse (POP) a...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3618-2
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Postpartum urinary retention (PUR) is a well-known condition after childbirth. Often clinicians assume that this condition is transient, either through belief or by not being aware that its occurrence as measurement of post-void residual volume (PVRV) is often not routine. However, long last...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-014-2418-6
更新日期:2014-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:At our institution many symptomatic patients must wait months or years for surgery. Our aim was to determine the rates of clinically significant pelvic organ prolapse (POP) progression and identify risk factors associated with POP progression. METHODS:Data from a prospectively maintained da...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3450-0
更新日期:2018-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To examine changes in sexual function after abdominal and transvaginal pelvic organ prolapse repair. METHODS:Women enrolled in our prospective, longitudinal prolapse database with abdominal sacrocolpopexy (ASC) or transvaginal (TVR) pelvic organ prolapse (POP) repair with or without mesh, b...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3066-9
更新日期:2016-12-01 00:00:00
abstract:INTRODUCTION:Lower urinary tract symptoms (LUTS) in subjects with Mayer-Rokitansky-Küster-Hauser syndrome treated by Davydov's laparoscopic neo-vaginoplasty were measured. METHODS:Davydov's laparoscopic neo-vaginoplasty was undertaken at the Department of Obstetrics/gynecology, San Raffaele Hospital, Milan, Italy, fro...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04311-7
更新日期:2020-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Modern classifications of pelvic floor movements are based on pelvic floor assessment in a static midsagittal plane. This study presents a new and potentially useful 3D noninvasive tool for studying pelvic floor mobility in women with pelvic organ prolapse (POP). MATERIALS AND METHODS:Thirt...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
doi:10.1007/s00192-016-2948-1
更新日期:2016-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The Miya Model ™ (Miyazaki Enterprises, Winston-Salem, NC, USA) was designed as a realistic vaginal surgery simulation model. Our aim was to describe this model and present pilot data on validity and reliability of the model as an assessment tool of vaginal hysterectomy skills. METHODS:We v...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3761-9
更新日期:2019-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:A great variety of conservative and surgical procedures to correct vaginal vault prolapse have been reported. The aim of this study was to describe practice pattern variation-the difference in care that cannot be explained by the underlying medical condition-among Dutch gynecologists regardi...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3832-y
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Vaginal pessaries may offer symptomatic improvement for women with pelvic organ prolapse (POP) or urinary incontinence (UI). This study aimed to investigate multidisciplinary perspectives on vaginal pessary use in clinical practice and to understand the service organisation of vaginal pessar...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1985-7
更新日期:2013-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Rectocele is common in parous women but also seen in nulliparae. This study was designed to investigate the association between vaginal parity and descent of the rectal ampulla/rectocele depth as determined by translabial ultrasound (TLUS). METHODS:This retrospective observational study inv...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3552-8
更新日期:2018-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:A process of added qualification of transvaginal mesh (TVM) placement is desirable. METHODS:Through a physician-led partnership of specialty societies, centers of excellence, and industry, a core curriculum encompassing mesh/graft biology, technical skills, and safety can be coupled with cu...
journal_title:International urogynecology journal
pub_type: 共识发展会议,杂志文章
doi:10.1007/s00192-012-1679-1
更新日期:2012-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Some women with pelvic organ prolapse (POP) have occult urodynamic stress incontinence (OUSI) and might develop incontinence after POP surgery. Our aim was to determine predictive value of ring pessary test during urodynamics in identifying patients with OUSI, likely to develop stress urinar...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1253-7
更新日期:2011-02-01 00:00:00