Table 2:
Surgical Data
| Control n=22 | Pudendal Block n=22 | p | |
|---|---|---|---|
| Prolapse surgery | |||
| Anterior Repair | 13 (59) | 19 (86) | 0.04 |
| Posterior Repair | 19 (86) | 17 (77) | 0.45 |
| Perineorrhaphy | 12 (55) | 10 (45) | 0.56 |
| USLS | 12 (55) | 10 (45) | 0.56 |
| SSLF | 9 (41) | 11 (50) | 0.48 |
| Other† | 1 (5) | 1 (5) | 1 |
| Mesh Sling | 6 (27) | 6 (27) | 1 |
|
| |||
| Vaginal pack placed postoperatively | 5(23) | 6(27) | 0.73 |
|
| |||
| MME Used Intraoperatively (mean[SD]) | 31 [±15] | 39 [±21] | 0.14 |
|
| |||
| Total bupivacaine used intraoperatively (including PNB) (mg) (mean[SD]) | 65.3 [±41] | 131.5 [±25] | <0.05 |
|
| |||
| Total lidocaine used intraoperatively (mg) (mean[SD]) | 110 [±70] | 142 [±37] | 0.44 |
|
| |||
| Postoperative Disposition | 0.29 | ||
| Same day surgery | 7 (32) | 10 (45) | |
| 23 hour observation | 11 (50) | 7 (32) | |
| >23 hour observation | 4 (18) | 5 (23) | |
|
| |||
| Postoperative Complications | 6 (27) | 8 (36) | 0.73 |
| Readmission | 0 (0) | 1 (5) | |
| Pudendal nerve entrapment | 0 (0) | 1 (5) | |
| Significant postoperative nausea | 1 (5) | 0 (0) | |
| Anesthetic complications (chest pain) | 1 (5) | 0 (0) | |
| Urinary retention at 48hr* | 4 (18) | 6 (27) | |
Other procedures include endometrial biopsy, labial biopsy.
This trend towards higher retention rates in the PNB group did not hold up in the per-protocol analysis