This study has demonstrated that a full RCT is feasible and should focus on the length of hospital stay in a subgroup of patients undergoing vaginal surgery where SA may help to facilitate enhanced recovery or day surgery.

Use of botulinum toxin for chronic pelvic pain "It has been suggested that up to 85% of women with chronic pelvic pain have dysfunction of the musculoskeletal system..."

No abstract

Patients with complications following mesh-removal risk a variety of symptoms, and can view medical-intervention negatively. This study explored patient-acceptability of a Multidisciplinary Team (MDT), and whether the presence of a Counsellor would be accepted and effective. Twenty consecutively-referred women, who had undergone mesh-removal but experienced complications, were interviewed about their experiences, and completed the Queensland scale for pelvic-floor symptoms, McGill Pain Questionnaire, and Hospital Anxiety and Depression Scales, before and after treatment. Patients had high levels of pelvic-floor symptoms, sensory and affective pain, anxiety, and depression. 70% reported a positive MDT-experience; predicted by higher anxiety, and lower depression. 60% elected to receive Counselling, which commenced within one week of referral, typically lasted 1-4 sessions, and reduced pelvic-floor symptoms, affective pain, anxiety, and depression. Results suggest that the MDT-approach is generally acceptable for this patient group, and that meshremoval patients accept and benefit from input by a Counsellor.