Pain management strategies for urogynecologic surgery: A review

Sarah A. Collins, Girish Joshi, Lieschen H. Quiroz, Adam C. Steinberg, Mikio A. Nihira

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Objectives: The objectives of this study were to review the recent literature on surgical pain management strategies and to identify those pertinent to urogynecologic surgery. Methods: A literature search using Pubmed and MEDLINE was performed for trials on pain management in gynecologic surgery. Evidenced-based recommendations for preoperative, intraoperative, and postoperative pain control strategies for gynecologic procedures by various surgical routes were identified. Articles specifically describing urogynecologic procedures were sought, but quality, randomized trials on pain management modalities in other gynecologic procedures were also included. Results: Although few randomized trials on pain management strategies in urogynecologic surgery exist, quality evidence suggests that several preemptive and multimodal analgesia strategies reduce pain and opioid-related adverse events in abdominal, laparoscopic, and vaginal surgery. Evidence supporting these strategies is outlined. Many are likely applicable to urogynecologic procedures. Conclusions: Evidence guiding pain management in specific urogynecologic procedures is sparse and should be sought in future studies. When possible, procedure-specific strategies, including preemptive and multimodal techniques, should be implemented.

Original languageEnglish (US)
Pages (from-to)310-315
Number of pages6
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume20
Issue number6
DOIs
StatePublished - 2014

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Keywords

  • Analgesia
  • Gynecologic surgery
  • Multimodal analgesia
  • Pain management
  • Postoperative pain
  • Preemptive analgesia
  • Urogynecologic surgery

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Surgery
  • Urology

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