Differences of Dyspareunia in Primipara with 2nd Degree Perineal Laceration Sutured with Rapide Polyglactin 910 and Chromic Catgut Threads

Satrio Arief Wibowo, Yuli Trisetiyono, Herman Kristanto, Putri Sekar Wiyati, H. Tjahjanto, E. Erwinanto
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Abstract

BACKGROUND: Dyspareunia is persistent or recurrent pain during sexual intercourse. Perineal laceration, spontaneous or episiotomy, is one of the most common causes. Perineal lacerations that occur must be treated through suturing. Chromic catgut is a natural thread that is often used in medical practice, but this thread have a higher inflammatory response compared to Rapide Polyglactin 910. AIMS: To analyze the difference in the incidence of dyspareunia in primipara with 2nd degree perineal lacerations sutured with Rapide Polyglactin 910 and Chromic catgut threads METHOD: True experimental research with randomized controlled trial-single blinded method. The research was conducted at dr. Kariadi Semarang, RA Kartini Hospital and dr. Soeselo from August 2022 to February 2023. The research subjects were primipara with 2nd degree perineal lacerations which were divided into 2 groups, namely 45 subjects in the Chromic catgut group and 45 subjects in the Rapide Polyglactin 910 group. Evaluation of dyspareunia after 3 months was carried out using the Female Sexual Function Index (FSFI) RESULT:  Subjects sutured using Chromic catgut had a 2.7 times greater risk of experiencing dyspareunia when compared to using Rapide Polyglactin 910 (OR=2.7; 95% CI=1.1-6.6). A significant confounding factor was found, namely the act of episiotomy (p=0.047; OR=9.56; 95% CI=1.86 - 48.97). After controlling for these variables, the subjects who were sewn using Chromic had a significant risk (p=0.002, OR=5.39; 95% CI=1.76-16.50) CONCLUSION: Subjects with Chromic catgut have a higher risk of experiencing dyspareunia than using Rapide Polyglactin 910 threads after 3 months of suturing.
用 Rapide Polyglactin 910 和 Chromic Catgut 缝线缝合二度会阴裂伤的初产妇的排便障碍差异
背景:性交疼痛是指性交时持续或反复出现的疼痛。会阴撕裂伤、自发性撕裂伤或外阴切开术是最常见的原因之一。会阴裂伤必须通过缝合治疗。目的:分析使用 Rapide Polyglactin 910 和 Chromic catgut 缝线缝合二度会阴裂伤的初产妇发生排便困难的差异。方法:采用随机对照试验-单盲法进行真正的实验研究。研究于 2022 年 8 月至 2023 年 2 月在 Kariadi Semarang 医生、RA Kartini 医院和 Soeselo 医生进行。研究对象是会阴二度裂伤的初产妇,分为两组,即Chromic catgut组45人和Rapide Polyglactin 910组45人。结果:与使用 Rapide Polyglactin 910 相比,使用 Chromic catgut 缝合的受试者在 3 个月后出现性生活障碍的风险是使用 Rapide Polyglactin 910 的 2.7 倍(OR=2.7;95% CI=1.1-6.6)。研究还发现了一个重要的混杂因素,即外阴切开术(p=0.047;OR=9.56;95% CI=1.86 - 48.97)。在控制这些变量后,使用 Chromic 缝线的受试者有显著风险(p=0.002,OR=5.39;95% CI=1.76-16.50),结论:与使用 Rapide Polyglactin 910 缝线的受试者相比,使用 Chromic catgut 的受试者在缝合 3 个月后出现排便困难的风险更高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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