Participants were given conservative or liberal postoperative instructions and the liberal group experienced fewer prolapse and urinary symptoms at 3 months postoperatively but there was no difference in satisfaction between groups.
Bladder sling trial#
Findings from a single randomized trial challenge standard activity restrictions following pelvic organ prolapse repair.
Very little medical evidence exists, however, to support these activity restrictions which can have a negative impact on satisfaction and quality of life. The historical rationale behind these instructions was to prevent disruption of vaginal incisions, promote wound healing, decrease recurrence risk and prevent complications such as mesh exposure.
Women are typically instructed to avoid strenuous physical activity and vaginal penetration for 6 weeks following synthetic mid-urethral sling procedures. The lifetime risk of surgery for stress urinary incontinence in women is 13.6%. Patient Satisfaction Female Sexual Dysfunctionīehavioral: Early restriction release Behavioral: Standard restriction recommendation The purpose of this research study is to understand if the "standard" 6-week restriction on vaginal penetration/intercourse after mid-urethral sling affects patient satisfaction Condition or disease It is important to develop evidenced-based recommendations on post-operative sexual activity restrictions. This study did not evaluate the impact of early versus later return to sexual activity on wound complications, mesh exposure rates, pain or satisfaction. This study reported an earlier return to intercourse in the 3-week group than in the retrospectively collected control group where 6-weeks of restriction were advised. There is a single cohort study examining expedited recovery following vaginal prolapse repair which advised 3-weeks of vaginal penetration restrictions. There are no prospective, randomized studies addressing vaginal penetration restrictions following mid-urethral slings. Why Should I Register and Submit Results?.
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