Most Read Articles
17 days ago
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Patient-led, liberal resumption of physical activity improves outcomes following prolapse surgery

2 months ago
Women who liberally engage in activities such as heavy lifting, aerobics, running, and sit-ups once they feel capable of doing so may have improved pelvic floor outcomes compared with those who avoid such activities for 3 months after prolapse surgery, according to US-based researchers.

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.
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Most Read Articles
17 days ago
Regardless of dosing, nonvitamin K antagonist oral anticoagulants (NOACs) are more effective than warfarin for atrial fibrillation and safer in Asian than in non-Asian populations, a new meta-analysis shows.
4 days ago
Nonalcoholic fatty liver diseases (NAFLD) and serum concentrations of alanine transaminase (ALT), aspartate transaminase (AST), gamma-glutamyltransferase (GGT) and alkaline phosphatase (ALP) are independent predictors of incident type 2 diabetes, a new prospective study shows.
3 days ago
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3 days ago
There is a growing number of targeted therapies being approved for use in cancer therapy in the home setting, and this poses a potential risk among family member and caregivers, particularly those of reproductive risk age, a recent study suggests.