Title

Changes in physical activity after abdominal sacrocolpopexy for advanced pelvic organ prolapse

DOI

10.1016/j.ajog.2008.01.044

Document Type

Journal Article

Publication Date

1-1-2008

Publication Title

American Journal of Obstetrics and Gynecology

Volume

198

Issue

5

First Page

5.70E+03

Last Page

5.70E+07

ISSN

29378

Keywords

exercise, pelvic organ prolapse, physical activity, sacrocolpopexy

Abstract

Objective: The objective of the study was to describe changes in physical activity 1 year after sacrocolpopexy for pelvic organ prolapse. Study Design: This was a prospective cohort of 301 randomized trial participants. Results: Compared with baseline, 1 year after surgery, 36% increased, 18% decreased, and 47% did not change preoperative exercise intensity level. In contrast, women were more likely to reduce (24%) than increase (11%) the frequency of major effort activities, like heavy lifting. Of 99 women who reported preoperatively that prolapse interfered substantially with doing exercise or recreation, house/yard work, or work outside the home, 83 (84%) reported no substantial interference 1 year later. After surgery, women reporting substantial interference from prolapse or treatment had similar rates of interval treatment for stress incontinence or prolapse as women not reporting substantial interference. Conclusion: After sacrocolpopexy, one third of women increased exercise intensity, few increased major effort activities, and most reported that prolapse no longer interfered with activities. © 2008 Mosby, Inc. All rights reserved.

Open Access

Green Accepted

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