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.
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.
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Apical Suspension at the Time of Vaginal Hysterectomy, Female Pelvic Med Reconstr Surg; ePub 2019 Feb 21; Sheyn, et al