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Related Experiment Video

Updated: Jun 18, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)

Published on: January 27, 2010

Standardized Episiotomy Using a Blade-Based Device Reduces Long-Term Perineal Pain and Improves Sexual Function: A

Sabahattin Anil Ari1, Seyda Ceylan Ari2, Semra Karaman3

  • 1Department of Obstetrics and Gynecology, Faculty of Medicine, İzmir Bakırçay University, İzmir, Türkiye.

International Urogynecology Journal
|June 17, 2026
PubMed
Summary

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A standardized blade-based episiotomy technique significantly reduced persistent perineal pain and improved sexual function at six months postpartum compared to conventional scissors. This finding offers a better approach for mediolateral episiotomies when clinically indicated.

Area of Science:

  • Obstetrics and Gynecology
  • Pelvic Floor Surgery
  • Women's Health

Background:

  • Mediolateral episiotomy is sometimes necessary during vaginal delivery.
  • Incision techniques may impact postpartum pelvic floor morbidity.
  • Current methods lack standardization, potentially leading to varied outcomes.

Purpose of the Study:

  • To compare a standardized blade-based episiotomy technique with conventional scissors.
  • To evaluate the impact on persistent perineal pain at six months postpartum.
  • To assess changes in postpartum sexual function.

Main Methods:

  • Randomized controlled trial involving 60 nulliparous women requiring mediolateral episiotomy.
  • Intervention group received episiotomy with a standardized blade-based device (BasIQ-4).
Keywords:
BasIQ-4EpisiotomyPerineal painRandomized controlled trialSexual function

Related Experiment Videos

Last Updated: Jun 18, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)

Published on: January 27, 2010

  • Control group received episiotomy with conventional scissors; pain and sexual function were assessed at 2 hours, 48 hours, and 6 months postpartum.

    • Main Results:

    • The blade-based group showed lower pain scores at 2 hours postpartum.
    • Persistent perineal pain at six months was significantly lower in the blade-based group (6.7% vs. 50.0%).
    • Female Sexual Function Index (FSFI) scores were significantly higher in the blade-based group, particularly in pain-related domains.

    Conclusions:

    • Standardized blade-based episiotomy significantly reduces long-term perineal pain.
    • This technique improves pain-related aspects of sexual function after mediolateral episiotomy.
    • Blade-based standardization is recommended for mediolateral episiotomies when indicated.