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Surgical Pain After Transobturator & Retropubic Slings

Obstet Gynecol; 2017 Jul 4; Thomas, Siff, et al

Transobturator and retropubic slings are associated with low prevalence of any surgical pain, with any such pain resolved quickly in both groups, a recent study found. The secondary analysis of the Trial of Mid-Urethral Slings compared retropubic and transobturator sling outcomes in 597 women from 2006 to 2008. Postoperative pain prevalence and severity were compared. Researchers found:

  • Postoperative prevalence of any surgical pain, pain severity, and pain medication was not different between transobturator and retropubic slings.
  • Transobturator sling was associated with greater prevalence of groin pain at 2 weeks, while retropubic sling was associated with greater prevalence of suprapubic pain at 2 weeks.
  • Surgical pain resolved quickly in both groups.

Citation:

Thomas TN, Siff LN, Jelovsek JE, Barber M. Surgical pain after transobturator and retropubic midurethral sling placement. Obstet Gynecol. 2017;130(1):118-125. doi:10.1097/AOG.0000000000002068.