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Local analgesia before prolapse surgery may not be needed to reduce postop pain

Key clinical point: Preoperative pelvic floor muscle injections and pudendal nerve blocks with bupivacaine and dexamethasone did not significantly improve pain control after vaginal apical prolapse repair, compared with placebo or bupivacaine alone.

Major finding: The median numeric rating scale pain score on the day after surgery did not significantly differ between treatment groups (3.75 in the placebo group, 4 in the bupivacaine group, and 3 in the bupivacaine plus dexamethasone group).

Study details: A randomized controlled trial that included 75 patients in three treatment arms.

Disclosures: The researchers had no relevant financial disclosures.


Giugale L et al. SGS 2020, Abstract 10.