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Optimizing Postoperative Pain Management in Pelvic Floor Surgery

  • Dena Moskowitz
  • Una Lee
Reconstructed Bladder Function & Dysfunction (M Kaufman, Section Editor)
  • 8 Downloads
Part of the following topical collections:
  1. Topical Collection on Reconstructed Bladder Function & Dysfunction

Abstract

Purpose of Review

Surgical treatment of pelvic floor dysfunction is very common, and women who undergo surgery experience varying degrees of postoperative pain. Opioid pain medications have been the mainstay of postoperative pain control, but with the growing opioid epidemic, alternative pain management strategies are needed. This review examines the current literature on opioid use in pelvic floor surgery, non-opioid pain control strategies, and surgical approach as it pertains to postoperative pain.

Recent Findings

Over prescription of opioids is common in pelvic floor surgery and it poses a risk of developing long-term opioid dependence. Alternative pain control strategies include non-opioid medications, multimodal medication regimens, and local anesthetic. The type of surgical approach can have a bearing on the degree of postoperative pain.

Summary

Optimal pain control after pelvic floor surgery involves multiple components that should be individualized to each patient. The components should include minimizing opioid pain medications, shared decision-making in surgical approach, and a perioperative pathway that maximizes the recovery process. Future studies should continue to explore ways to improve patient comfort and satisfaction after pelvic floor surgery.

Keywords

Opioid Analgesia Pelvic floor Pelvic organ prolapse Midurethral sling Urinary incontinence 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Section of Urology and Renal TransplantationVirginia Mason Medical CenterSeattleUSA

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