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Published on: November 12, 2021
Postoperative pain and perceptions of recuperation after suture- and mesh-based apical sacrospinous ligament
Carolyn Botros1, Juraj Letko2, Adam Gafni-Kane1
1Division of Urogynecology, NorthShore University Health System, Skokie, IL, USA.
Objective:
To compare the incidence of postoperative pain after suture- or mesh-based sacrospinous ligament suspension (SSLS).
Methods:
In a retrospective study, data were reviewed from patients who underwent suture- or mesh-based SSLS at a center in Skokie, IL, USA, between 2006 and 2011. The primary outcome was self-reported postoperative pain scores (range 0-10) on the day of surgery (day 0) and 1 day later (day 1).
Results:
Overall, 90 women were included in the study: 66 underwent mesh-based SSLS and 24 underwent suture-based SSLS. Day-0 mean pain score was 4.65 ± 1.57 in the mesh group and 5.24 ± 1.44 in the suture group (adjusted P=0.159). Day-1 mean pain score was 4.06 ± 1.78 in the mesh group and 4.31 ± 1.21 in the suture group (adjusted P=0.596).
Conclusion:
Postoperative pain did not differ between patients undergoing suture-based and those undergoing mesh-based SSLS. These observations should be considered in preoperative counseling of patients.
