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Persistent posthysterectomy pain: A prospective, observational study.

Satu M Pokkinen1, Kari Nieminen, Arvi Yli-Hankala

  • 1From the Department of Anaesthesia, Tampere University Hospital (SMP, MLK, AYH), University of Tampere, Medical School (AYH), and the Department of Obstetrics and Gynaecology, Tampere University Hospital, Tampere, Finland (KN).

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Summary
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Persistent post-hysterectomy pain affects 26% of patients, though most experience mild pain. Smoking is the strongest predictor of developing this pain after surgery.

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Area of Science:

  • Gynecologic Surgery
  • Pain Management
  • Surgical Outcomes

Background:

  • Persistent postsurgical pain varies significantly by surgical type.
  • Prevalence of persistent pain after hysterectomy remains unclear.

Purpose of the Study:

  • To determine the prevalence of persistent postsurgical pain 6 months after hysterectomy.
  • To assess pain intensity and identify predictors of persistent pain.

Main Methods:

  • Prospective, observational study of 242 women undergoing hysterectomy (laparoscopic or vaginal).
  • Pain questionnaires were mailed 6 months post-surgery.
  • Preoperative and acute pain data were sourced from prior studies.

Main Results:

  • 26.0% of patients reported persistent pelvic pain 6 months post-hysterectomy.
  • Most reported mild average pain; 6.9% reported severe worst pain.
  • Smoking, acute postoperative pain, and laparoscopic approach were associated with persistent pain.

Conclusions:

  • Persistent pain after hysterectomy is common but generally mild.
  • Smoking is the strongest predictor of persistent post-hysterectomy pain.
  • Most patients do not experience significant interference with daily activities.