Patient-led, liberal resumption of physical activity improves outcomes following prolapse surgery
In their multicentre, double-blind trial, 95 women who underwent minimally invasive sacrocolpopexy (n=58), vaginal suspension (n=27), or vaginal closure (n=9) were randomized to liberal (n=45) or restricted (n=50) activity recommendations for 3 months following surgery. Liberal activity was defined as activity resumed at the woman’s own pace with no restrictions on lifting or high-impact activities such as running or sit-ups; and restricted activity was defined as the avoidance of heavy lifting and of strenuous activities such as aerobics. Patient satisfaction was assessed by questionnaire after 3 months and scored using a 5-point Likert scale. Secondary outcomes, including anatomic results such as pelvic organ prolapse quantification and pelvic floor outcomes such as urinary symptoms, were also assessed after 3 months.
At study end, patient satisfaction with postoperative outcomes was high in both groups (98 percent vs 94 percent among women in the liberal and restricted activity groups, respectively; odds ratio, 0.36, 95 percent confidence interval, 0.036–3.55; p=0.619).
In addition, most anatomic outcomes did not differ. However, fewer women in the liberal activity group reported pelvic floor symptoms.