title: Outcomes of cystocele repair surgery in relation to different anesthesia methods.
abstract: OBJECTIVE
  To investigate outcomes of cystocele surgery by different anesthesia and evaluation of patient satisfaction.
  
  
  METHODS
  Population-based, retrospective study.
  
  
  METHODS
  All clinics that included patients in the Swedish National Register for Gynecological Surgery.
  
  
  METHODS
  A total of 1,364 women who underwent cystocele repair from January 2006 to June 2009.
  
  
  METHODS
  The study population was retrieved from the Register among women who had surgery and where there was complete information on concurrently used anesthesia. Clinical variables were compared. Peri- and postoperative complications were investigated. Multivariate logistic regression analysis was applied to identify independent factors for patient satisfaction.
  
  
  METHODS
  Time to recovery, complications and patient satisfaction.
  
  
  RESULTS
  We found a wide variation between hospitals with respect to use of local anesthesia (LA) in cystocele surgery. Length of hospital stay, duration of use of postoperative painkilling drugs, and patient-reported time to return to daily activity were shorter in the LA group compared to the other two anesthesia forms. Postoperative complications did not differ between groups. Age (> or =50 years) and patient-reported complications were independent factors related to patient satisfaction (OR 3.05; 95%CI 1.36-6.82 and OR 0.21; 95%CI 0.12-0.36, respectively). Patient satisfaction did not relate to methods of anesthesia.
  
  
  CONCLUSIONS
  Cystocele surgery can be performed safely using LA thus limiting the use of more invasive anesthesia methods. LA benefits patients and should be increasingly used.
authors.affiliation: Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden. Mojgan.Pakbaz@obgyn.umu.se
authors.forename: Mojgan
authors.initials: M
authors.lastname: Pakbaz
authors.forename: Ingrid
authors.initials: I
authors.lastname: Mogren
authors.forename: Mats
authors.initials: M
authors.lastname: Löfgren
mesh_terms: D000368:Aged; D000704:Analysis of Variance; D000762:Anesthesia Recovery Period; D000768:Anesthesia, General / Q000009:adverse effects / Q000379:methods*; D000772:Anesthesia, Local / Q000009:adverse effects / Q000379:methods*; D003430:Cross-Sectional Studies; D052858:Cystocele / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay; D016015:Logistic Models; D008875:Middle Aged; D015999:Multivariate Analysis; D010147:Pain Measurement; D017060:Patient Satisfaction; D011336:Probability; D012042:Registries; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods