Page last updated: 2024-10-24

bupivacaine and Urogenital Prolapse

bupivacaine has been researched along with Urogenital Prolapse in 3 studies

Bupivacaine: A widely used local anesthetic agent.
1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide : A piperidinecarboxamide obtained by formal condensation of the carboxy group of N-butylpipecolic acid with the amino group of 2,6-dimethylaniline.
bupivacaine : A racemate composed of equimolar amounts of dextrobupivacaine and levobupivacaine. Used (in the form of its hydrochloride hydrate) as a local anaesthetic.

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's2 (66.67)24.3611
2020's1 (33.33)2.80

Authors

AuthorsStudies
Evans, SKL1
Abimbola, O1
Myers, EM1
Tarr, ME1
Yeung, J1
Crisp, CC1
Mazloomdoost, D1
Kleeman, SD1
Pauls, RN1
Propst, K1
O'Sullivan, DM1
Steinberg, AC1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Barbed Suture Versus Non-Barbed Suture for Posterior Colporrhaphy: A Randomized Controlled Trial[NCT04658784]72 participants (Actual)Interventional2020-08-14Completed
Does Liposomal Bupivacaine Improve Pain Following Robotic Sacrocolpopexy and Rectocele Repair for Pelvic Organ Prolapse? A Randomized Placebo Controlled Trial[NCT02449915]Phase 470 participants (Actual)Interventional2015-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Patients With Early Anatomic Recurrence

To evaluate anatomical failure of posterior compartment using a standard definition of anatomical cure will be defined as Ba or Bp at NCT04658784)
Timeframe: Week 6

InterventionParticipants (Count of Participants)
Intervention0
Control0

Suture Burden

To evaluate amount of suture burden present at time of surgery in posterior by compartment by measuring total amount of delayed absorbable suture used for posterior colporrhaphy in centimeters. (NCT04658784)
Timeframe: At time of surgery (Intraoperative)

Interventioncentimeters (Median)
Intervention10.5
Control26.9

American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) 30-day Postoperative Complications.

To evaluate differences in adverse outcomes, using number of adverse events (AEs) as defined by the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) 30-day postoperative complications criteria. These criteria were reviewed at the week 6 data collection time interval. (NCT04658784)
Timeframe: 30 days

,
InterventionAdverse events (Number)
Urinary tract infection (UTI)Surgical site infection (SSI)ReadmissionReturn to the operating room (OR)Unplanned reintubation
Control31001
Intervention50110

Change in Bowel Function Scores

To evaluate change in bowel function using the Pelvic Floor Distress Inventory- 20 (PFDI-20) sub-scale Colorectal-Anal Distress Inventory-8 (CRADI-8). Total score (range 0 to 100) with the higher the score the more distress. (NCT04658784)
Timeframe: Baseline, Week 6, and month 6

,
Interventionscore on a scale (Mean)
baseline6 weeksChange from baseline to 6 weeks6 monthsChange from baseline to 6 months
Control36.618.1-18.69.6-27.9
Intervention36.418.1-18.212.3-24.1

Change in Pelvic Organ Prolapse Symptoms

To evaluate change in pelvic organ prolapse symptoms using the Pelvic Floor Distress Inventory- 20 (PFDI-20) sub-scale the Pelvic Organ Prolapse Distress Inventory- 6 (POPDI-6). Total score (range 0 to 100) with the higher the score the more distress. (NCT04658784)
Timeframe: Baseline, Week 6, and Month 6

,
Interventionscore on a scale (Mean)
baseline6 weekschange from baseline to 6 weeks6 monthsChange from baseline to 6 months
Control52.111.2-40.98.3-43.1
Intervention53.413.8-39.67.2-46.7

Change in Postoperative Sexual Function Scores

To evaluate postoperative sexual function using the Pelvic Organ Prolapse-Urinary Incontinence Sexual Function Questionnaire (PISQ-12). Total score (range 0 to 48) with a lower score associated with poorer/worse sexual function. (NCT04658784)
Timeframe: Month 6

,
Interventionscore on a scale (Mean)
Baseline6 monthsChange from baseline to 6 months
Control26.931.74.6
Intervention28.133.13.9

Number of Patients With Subjective Failure

"To evaluate subjective failure of posterior compartment using a negative response on POPDI-6 portion of the PFDI-20 questionnaire to questions: Do you usually have a sensation of bulging or protrusion from the vaginal area? and Do you usually have a bulge or something falling out that you can see or feel in the vaginal area?" (NCT04658784)
Timeframe: Week 6 and Month 6

,
InterventionParticipants (Count of Participants)
6 weeks6 months
Control02
Intervention01

Operative Time

To evaluate operative time for posterior repair in minutes. (NCT04658784)
Timeframe: Time of Surgery

,
InterventionMinutes (Median)
Total procedure surgical timePosterior repair surgical time
Control16820.5
Intervention14621

Surgery Specific Adverse Events (AEs) Measured at 6-months.

To evaluate differences in adverse outcomes, using number of surgery specific adverse events. (NCT04658784)
Timeframe: month 6

,
InterventionAdverse events (Number)
de novo dyspareunianew or worsening pelvic pain >3monthsNew or worsening constipation > 3 monthsNew fecal incontinenceNerve injuryOtherClassified as Severe Adverse Event (SAE)
Control5411001
Intervention4121111

Visual Analog Scales (VAS) for Pain at 18 Hours Postoperatively

VAS is a validated 100 millimeter scale with no pain as 0 mm and worst pain as 100 mm. Subjects drew a vertical line on the scale corresponding to their pain level. (NCT02449915)
Timeframe: 18 hours after surgery

Interventionmm (Median)
Bupivacaine Arm15.0
Placebo Arm20.5

Trials

3 trials available for bupivacaine and Urogenital Prolapse

ArticleYear
A Novel Injection Technique for Extended-Release Local Anesthetic After Posterior Colporrhaphy and Perineorrhaphy: A Randomized Controlled Study.
    Female pelvic medicine & reconstructive surgery, 2021, 06-01, Volume: 27, Issue:6

    Topics: Aged; Anesthesia, Local; Anesthetics, Local; Bupivacaine; Delayed-Action Preparations; Double-Blind

2021
Liposomal Bupivacaine During Robotic Colpopexy and Posterior Repair: A Randomized Controlled Trial.
    Obstetrics and gynecology, 2018, Volume: 131, Issue:1

    Topics: Adult; Aged; Anesthetics, Local; Bupivacaine; Colposcopy; Female; Follow-Up Studies; Humans; Liposom

2018
Randomized double-blind trial of short- versus long-acting analgesia at the sacrospinous ligament.
    International urogynecology journal, 2019, Volume: 30, Issue:1

    Topics: Aged; Aged, 80 and over; Anesthesia, Local; Anesthetics, Local; Bupivacaine; Double-Blind Method; Fe

2019