Pain intensity and sexual satisfaction: a comparison of cyanoacrylate adhesive glue and vicryl for episiotomy skin closure in Kano Nigeria


  • Usman Abba Department of Obstetrics and Gynaecology, State Specialist Hospital Damaturu, Yobe State, Nigeria
  • Abubakar Musa Department of Community Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
  • Ibrahim S. Abdullahi Department of Anaesthesia and intensive care, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
  • Muhammed K. Abdullahi Department of Obstetrics and Gynaecology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria



Episiotomy, Cyanoacrylate glue, Kano, Pain intensity and sexual satisfaction


Background: Episiotomy is a deliberate incision made on the perineum and posterior vaginal wall during vaginal delivery. Mothers that have a new baby are in great need for wound care and pain relief.  We assessed and compared pain intensity and sexual satisfaction using cyanoacrylate adhesive glue and vicryl for episiotomy skin closure at AKTH, Kano Nigeria.

Methods: A randomised control trial was conducted among 100 women who had spontaneous vaginal delivery in the labour ward of AKTH from June to October 2019 after randomization into study group I and control group II. Cyanoacrylate and vicryl were used for skin closure following episiotomy and the patients were followed up for pain and sexual satisfaction for 14 days. Data were analysed using SPSS version 21.0 and p<0.05 was set statistically significant.

Results: The mean±SD ages of the women in the study and control groups were 22.71±9.14 and 23.66±9.00 years, respectively. In group I 84% perceived no pain and 72% perceived mild pain in group II during cyanoacrylate adhesive glue procedures. At all-time intervals, pain intensity was lower in group I (p<0.05). A significant difference was observed regarding sexual function between group I and group II (p<0.001) but the difference was not significant in other cases.

Conclusions: Cyanoacrylate glue compared to Vicryl was found to be effective in reducing short-term pain, the need for analgesia and better sexual satisfaction following episiotomy after childbirth.


Mathias AE, Pitangui AC, Vasconcelos AM, Silva SS, Rodrigues PD, Dias TG. Perineal pain measurement in the immediate vaginal postpartum period. Revista Dor. 2015;16:267-71.

Angioli R, Gomez-malin O, Cantuaria G, Mary J, Severe perineal lacerations during vaginal delivery, the University of Miami experience. Am J Obstet Gynecol. 2000;182(5):1083-5.

Arulkumaran S, George E, Margan, Tamizian O. Emergencies in Obstetrics and Gynecology, 2nd ed. Canada: Oxford University Press; 2015.

Babaee N, Zabihi E, Mohseni S, Moghadamnia AA. Evaluation of the therapeutic effects of Aloe vera gel on minor recurrent aphthous stomatitis. Dent Res J. 2012;9(4):381.

Bochyńska AI, Hannink G, Grijpma DW, Buma P. Tissue adhesives for meniscus tear repair: an overview of current advances and prospects for future clinical solutions. J Mater Sci Mater Med. 2016;27(5):1-8.

Carroli G, Belizan J, Stamp G. Episiotomy policies in vaginal births. (Cochrane Review). In: Cochrane Library. Issue 2. Oxford; Update Software; 1998.

Carroli G, Luciano M. Episiotomy for vaginal births. Cochrane Database Systemat Rev. 2000;2.

Carroli G, Belizan J. Episiotomy for vaginal birth. Cochrane Database Systemat Rev. 1999(3).

Garba I, Ozegya MS, Abubakar IS, Ayyuba R, Episiotomy in Aminu Kano Teaching Hospital, Kano, Nigeria: A 3-Year Review. Arch Int Surg. 2016;6:17-21.

Hay‐Smith J. Therapeutic ultrasound for postpartum perineal pain and dyspareunia. Cochrane Database Systemat Rev. 1998(3).

Dalvi AA, Faria MM. Non-suture closure of wound using cyanoacrylate. Int J Curr Res Acad Rev. 2001;3(8):359-66.

Adoni A, Anteby E. The use of histoacryl for episiotomy repair. Br J Obstet Gynaecol. 1991;98(5):476-8.

Mota R, Costa F, Amaral A, Oliveira F, Santos CC, Campos D. Skin adhesive versus subcuticular suture for perineal skin repair after episiotomy-a randomized controlled trial. Act Obstet Gynecol Scand. 2009;88(6):660-6.

Bowen ML, Selinger M. Episiotomy closure comparing enbucrilate tissue adhesive with conventional sutures. Int J Gynecol Obstet. 2002;78(3):201-5.

Switzer EF, Dinsmore RC, North JH Jr. Subcuticular closure versus Dermabond: a prospective randomized trial. Am J Surg. 2003;69(5):4346.




How to Cite

Abba, U., Musa, A., Abdullahi, I. S., & Abdullahi, M. K. (2023). Pain intensity and sexual satisfaction: a comparison of cyanoacrylate adhesive glue and vicryl for episiotomy skin closure in Kano Nigeria. International Journal Of Community Medicine And Public Health, 10(2), 548–553.



Original Research Articles