Prevalence of chronic pain following suburethral mesh sling implantation for post-prostatectomy incontinence
BAUS ePoster online library. MacAskill F. 06/21/21; 319096; p5-8
Disclosure(s): I have received an unrestricted educational grant from Boston Sceintific
Mr. Findlay MacAskill
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Abstract
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Purpose:
To evaluate post-operative pain and complications following AdvanceTM / AdvanceXPTM male sling implantation.
Materials and Methods:
A multi-centre retrospective medical notes review of patients implanted for bothersome post-prostatecomy incontinence was conducted. All patients were telephoned to provide further information on pain or further complications related to their surgery. Statistical evaluation utilised logistical regression analysis. Additionally, a literature review was conducted reviewing pain outcomes following AdvanceTM / AdvanceXPTM implantation.
Results:
One-hundred and eighteen men were reviewed over an 8-year period. The mean age was 70 years, with mean follow up 52 months. Of those with mild stress urinary incontinence, 45 (79%) had a successful outcome compared to 42 (72%) in the moderate group. Twenty-nine (23%) men reported post-operative pain, with a mean maximal pain score of 6 (range 0-10). The majority of pain resolved within 4 weeks (19/29 men). A further 7 patients resolved by 3 months. Only 3 men (2.5%) had chronic pain greater than 3 months, which all resolved by 1 year. Men <65 years were more likely to suffer pain (p = 0.009). Acute urinary retention occurred in 23 (18%) men and correlated significantly with post-operative pain (p = 0.04). Overactive bladder symptoms, severity of incontinence or radiotherapy were not correlated with post-operative pain. In our cohort, there were no extrusions, divisions or explanations.
Conclusions:
Approximately a quarter of men experience pain in the early post-operative period. However, the severity and rates of chronic pain (>3 months) are low (2.5%) but all settle within a year.
To evaluate post-operative pain and complications following AdvanceTM / AdvanceXPTM male sling implantation.
Materials and Methods:
A multi-centre retrospective medical notes review of patients implanted for bothersome post-prostatecomy incontinence was conducted. All patients were telephoned to provide further information on pain or further complications related to their surgery. Statistical evaluation utilised logistical regression analysis. Additionally, a literature review was conducted reviewing pain outcomes following AdvanceTM / AdvanceXPTM implantation.
Results:
One-hundred and eighteen men were reviewed over an 8-year period. The mean age was 70 years, with mean follow up 52 months. Of those with mild stress urinary incontinence, 45 (79%) had a successful outcome compared to 42 (72%) in the moderate group. Twenty-nine (23%) men reported post-operative pain, with a mean maximal pain score of 6 (range 0-10). The majority of pain resolved within 4 weeks (19/29 men). A further 7 patients resolved by 3 months. Only 3 men (2.5%) had chronic pain greater than 3 months, which all resolved by 1 year. Men <65 years were more likely to suffer pain (p = 0.009). Acute urinary retention occurred in 23 (18%) men and correlated significantly with post-operative pain (p = 0.04). Overactive bladder symptoms, severity of incontinence or radiotherapy were not correlated with post-operative pain. In our cohort, there were no extrusions, divisions or explanations.
Conclusions:
Approximately a quarter of men experience pain in the early post-operative period. However, the severity and rates of chronic pain (>3 months) are low (2.5%) but all settle within a year.
Purpose:
To evaluate post-operative pain and complications following AdvanceTM / AdvanceXPTM male sling implantation.
Materials and Methods:
A multi-centre retrospective medical notes review of patients implanted for bothersome post-prostatecomy incontinence was conducted. All patients were telephoned to provide further information on pain or further complications related to their surgery. Statistical evaluation utilised logistical regression analysis. Additionally, a literature review was conducted reviewing pain outcomes following AdvanceTM / AdvanceXPTM implantation.
Results:
One-hundred and eighteen men were reviewed over an 8-year period. The mean age was 70 years, with mean follow up 52 months. Of those with mild stress urinary incontinence, 45 (79%) had a successful outcome compared to 42 (72%) in the moderate group. Twenty-nine (23%) men reported post-operative pain, with a mean maximal pain score of 6 (range 0-10). The majority of pain resolved within 4 weeks (19/29 men). A further 7 patients resolved by 3 months. Only 3 men (2.5%) had chronic pain greater than 3 months, which all resolved by 1 year. Men <65 years were more likely to suffer pain (p = 0.009). Acute urinary retention occurred in 23 (18%) men and correlated significantly with post-operative pain (p = 0.04). Overactive bladder symptoms, severity of incontinence or radiotherapy were not correlated with post-operative pain. In our cohort, there were no extrusions, divisions or explanations.
Conclusions:
Approximately a quarter of men experience pain in the early post-operative period. However, the severity and rates of chronic pain (>3 months) are low (2.5%) but all settle within a year.
To evaluate post-operative pain and complications following AdvanceTM / AdvanceXPTM male sling implantation.
Materials and Methods:
A multi-centre retrospective medical notes review of patients implanted for bothersome post-prostatecomy incontinence was conducted. All patients were telephoned to provide further information on pain or further complications related to their surgery. Statistical evaluation utilised logistical regression analysis. Additionally, a literature review was conducted reviewing pain outcomes following AdvanceTM / AdvanceXPTM implantation.
Results:
One-hundred and eighteen men were reviewed over an 8-year period. The mean age was 70 years, with mean follow up 52 months. Of those with mild stress urinary incontinence, 45 (79%) had a successful outcome compared to 42 (72%) in the moderate group. Twenty-nine (23%) men reported post-operative pain, with a mean maximal pain score of 6 (range 0-10). The majority of pain resolved within 4 weeks (19/29 men). A further 7 patients resolved by 3 months. Only 3 men (2.5%) had chronic pain greater than 3 months, which all resolved by 1 year. Men <65 years were more likely to suffer pain (p = 0.009). Acute urinary retention occurred in 23 (18%) men and correlated significantly with post-operative pain (p = 0.04). Overactive bladder symptoms, severity of incontinence or radiotherapy were not correlated with post-operative pain. In our cohort, there were no extrusions, divisions or explanations.
Conclusions:
Approximately a quarter of men experience pain in the early post-operative period. However, the severity and rates of chronic pain (>3 months) are low (2.5%) but all settle within a year.
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