Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Activity Restriction After Reconstructive Pelvic Surgery

Obstet Gynecol; ePub 2017 Mar 6; Mueller, et al

Women who were instructed to liberally resume activities 3 months after prolapse surgery and those instructed to restrict postoperative activities reported equally high satisfaction rates, a recent study found. This multicenter, randomized, double-blind clinical trial from September 2014 to December 2015 included 130 women who were screened and 108 who were randomized. Most women underwent a minimally invasive sacrocolpopexy (n=58) followed by a vaginal suspension (n=27) or vaginal closure procedure (n=9). Researchers found:

  • Rates of satisfaction were similarly high in the liberal and restricted recommendations groups (98% vs 94%; OR, 0.36).
  • Anatomic outcomes did not differ between groups.
  • However, fewer pelvic floor symptoms were reported in the liberal group.

Citation:

Mueller MG, Lewicky-Gaupp C, Collins SA, Abernethy MG, Alverdy A, Kenton K. Activity restriction recommendations and outcomes after reconstructive pelvic surgery. [Published online ahead of print March 6, 2017]. Obstet Gynecol. doi:10.1097/AOG.0000000000001924.