2023-06-03 01:05:56
No significant difference in prognosis
People who have had surgery for pelvic organ prolapse usually have to wait several weeks before they can start exercising once more. However, according to the research team at the Department of Obstetrics and Gynecology at Duke University in the United States, even if you start exercising immediately following surgery, there is no significant difference in anatomy or prognosis compared to restarting exercise following waiting a few weeks.
“For decades, doctors have been instructing their patients to avoid post-procedure surgery activities, and this study shows that this is an unnecessary practice,” said Dr.
Pelvic organ prolapse occurs when the muscles that support organs such as the uterus, bladder, and rectum become weak. The pressure on the abdomen weakens the muscles and causes the organs to flow down, through the vagina, or out of the vagina.
The name is different depending on the organ that escapes. When the intestine comes out, it is called rectocele, when the uterus comes out, it is called uterine prolapse, and when the bladder comes out, it is called cystocele. A combination of two or more may occur.
This disease is particularly affected by pregnancy and childbirth. A woman’s body experiences many changes during pregnancy and childbirth, one of which is a change in the structure of the pelvis. When the pelvic structure changes, the pelvic ligaments, fascia, and muscles that support the pelvic structure are damaged, which increases the risk of pelvic organ prolapse.
Usually, the pelvic support structure is damaged following experiencing dystocia, giving birth to a giant baby, or repeating multiple births. Childbirth is the most basic cause, but chronic constipation that increases abdominal pressure, abdominal obesity, frequent coughing, and repetitive lifting of heavy objects can also cause pelvic organ prolapse.
With pelvic organ prolapse, a heavy lump can be felt or come out of the vagina. This causes difficulty in walking, frequent urination, difficulty in urinating, or constipation, causing problems with bowel movements and urination. Pelvic pain also accompanies it.
To prevent this, you need to maintain an appropriate weight and improve your bowel movements and lifestyle. Treatment depends on how much of the organ is removed from the vaginal opening. In the early stages, symptoms can be improved with pelvic floor muscle strengthening exercises, but if the condition has progressed beyond the second stage, surgical treatment is required.
The Duke University research team conducted a clinical trial on 108 women who had undergone surgery for pelvic organ prolapse. The research team divided them into two groups, and one group followed standard postoperative guidelines, such as avoiding lifting more than 10 pounds for six weeks and not returning to work for two to six weeks.
The other group did not restrict activity or exercise and returned to work as soon as possible. As a result, there was no significant difference in anatomical and symptomatic problems between the two groups.
The results of this study (Standard Restrictions vs Expedited Activity After Pelvic Organ Prolapse Surgery A Randomized Clinical Trial) were published in ‘JAMA Surgery’.
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