You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Female Incontinence: Therapy II1 Apr 2017PD50-12 HIGH CATASTROPHIZING IN PATIENTS WITH SELF-REPORTED PAINFUL MESH COMPLICATIONS HAVE POORER OUTCOMES Juzar Jamnagerwalla, Karyn S. Eilber, Jennifer T. Anger, and A. Lenore Ackerman Juzar JamnagerwallaJuzar Jamnagerwalla More articles by this author , Karyn S. EilberKaryn S. Eilber More articles by this author , Jennifer T. AngerJennifer T. Anger More articles by this author , and A. Lenore AckermanA. Lenore Ackerman More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2224AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The pain catastrophization scale (PCS) was developed to help identify those patients likely to have an exaggerated negative mental thought process in response to pain. Catastrophizing has been shown to be a risk factor for chronicity of pain, disability, and depression. Patients who catastrophize after surgery have worse outcomes and longer duration of pain. Given this, we sought to identify the rate of catastrophizing in cohort of patients with mesh complications and chronic pain. METHODS Patients throughout the US with self-described complications of vaginal mesh were recruited through advertisements to complete an internet-based anonymous survey. All patients filled out the PCS and the Genitourinary Pain Index (GUPI) questionnaire. The PCS is a 13-question survey with scores ranging from 0-52. Previous studies have established distribution of scores from subjects with chronic pain, with a score of 30 or higher representing the highest quartile, thus a score ≥30 was used to define high pain catastrophizing. Additional data was abstracted including age, number of previous pelvic surgeries, and intent to sue. Statistical analysis was performed using χ2 test and t-test for categorical and continuous variables, respectively. RESULTS A total of 133 patients were included in the study, of which 78 patients (59%) were found to have high pain catastrophizing. There was no significant difference between baseline age, intent to sue, or number of previous pelvic surgeries between those who catastrophized and did not. Patients who catastrophized were significantly more likely to have a higher GUPI score (33.8 vs. 27.7, p<0.001) along with significant differences in pain (16.3 vs. 13.0, p<0.001) and quality of life (10.8 vs. 9.1, p<0.001) subdomains. Furthermore, patients who catastrophized tended to have less hope that they would recover (38.5% vs. 23.6%) which approached but did not reach statistical significance (p=0.072). CONCLUSIONS Patients with self-described mesh complications have a high rate of pain catastrophizing, which is associated with significantly worse quality of life and pain scores. Given that previous studies have also shown catastrophizing is associated with higher pain intensity, disability, and psychological distress (Weber et al, 2001), identifying high catastrophizing patients in the setting of chronic pelvic pain from mesh complications may help guide treatment and be an indicator for early or adjunctive psychosocial intervention. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e983-e984 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Juzar Jamnagerwalla More articles by this author Karyn S. Eilber More articles by this author Jennifer T. Anger More articles by this author A. Lenore Ackerman More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...