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Return to Baseline Activity Following Vaginal Pelvic Organ Prolapse Repair
Erin E Mowers1, Pamela Moalli2,3, Lauren E Giugale2,3
1Department of Obstetrics & Gynecology, University of Illinois College of Medicine Peoria, Peoria, IL.
Urogynecology (Philadelphia, Pa.)
|November 20, 2025
Summary
Most women recover baseline activity within 1 week of vaginal prolapse repair surgery. Over 80% of patients regain normal function by 6 weeks, aiding recovery counseling.
Area of Science:
- Urogynecology
- Pelvic Floor Surgery
- Rehabilitation Medicine
Background:
- Pelvic organ prolapse (POP) repair is common.
- Limited data exists on recovery timelines post-surgery.
- Evidence-based patient counseling requires understanding recovery patterns.
Purpose of the Study:
- To define the recovery time course after vaginal native tissue prolapse repair.
- To identify factors influencing patient recovery.
- To establish benchmarks for functional return to activity.
Main Methods:
- Secondary analysis of a randomized controlled trial.
- Included 65 women (≥18 years) undergoing vaginal apical prolapse repair.
- Used the Activities Assessment Scale to measure functional recovery at 1, 2, 6, and 12 weeks.
Main Results:
- Over 50% of patients returned to baseline activity by 1 week.
- By 6 weeks, 84.1% of patients achieved baseline activity.
- Chronic obstructive pulmonary disease and higher intraoperative/postoperative opioid use were linked to slower recovery.
Conclusions:
- Vaginal native tissue prolapse repair allows rapid return to baseline activity for most women.
- Over 80% of patients recover functional capacity by 6 weeks post-surgery.
- Identifying factors like COPD and opioid use can help manage expectations and tailor care.
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