Outcomes of cystocele repair surgery in relation to different anesthesia methods
2010 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 89, no 7, 876-881 p.Article in journal (Refereed) Published
Objective: To investigate outcomes of cystocele surgery by different anesthesia and evaluation of patients’ satisfaction.
Design: Population-based, retrospective study.
Setting: All clinics including patients in the Swedish National Register for Gynecological Surgery.
Population: A total of 1364 women who underwent cystocele repair surgery from January 2006 to June 2009.
Methods: The study population was retrieved from the register among subjects who underwent surgery with complete information on concurrently used anesthesia. Clinical variables were compared. Peri- and postoperative complications were investigated. Multivariate logistic regression analysis was applied to identify independent factors for patient satisfaction.
Main outcome measures: Time to recovery, complications and patient satisfaction.
Results: We found a wide variation between hospitals with respect to use of local anesthesia in cystocele surgery. Length of hospital stay, duration of use of postoperative painkilling drugs, and patient-reported time to return to daily activity was shorter in the local anesthesia-group compared to the other two anesthesia forms. Postoperative complications did not differ between groups. Age (≥50 years) and patient-reported complications were independent factors related to patient satisfaction (OR 3.05; 95 %CI 1.36-6.82 and OR 0.21; 95 %CI 0.12-0.36 respectively). Patient satisfaction did not relate to methods of anesthesia.
Conclusion: Cystocele surgery can be performed safely using local anesthesia thus limiting use of more invasive anesthesia methods. Local anesthesia benefits patients and should be increased.
Place, publisher, year, edition, pages
Stockholm: NFOG , 2010. Vol. 89, no 7, 876-881 p.
Cystocele, anesthesia, national register, patient satisfaction
Obstetrics, Gynecology and Reproductive Medicine
Research subject Obstetrics and Gynaecology
IdentifiersURN: urn:nbn:se:umu:diva-35174DOI: 10.3109/00016349.2010.487515ISI: 000282892200003OAI: oai:DiVA.org:umu-35174DiVA: diva2:332261