At a glance
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Do Liberal Versus Strict Postoperative Restrictions After Mid-urethral Slings Affect Outcomes?
In Brief
A clinical study evaluating No activity restrictions and Activity restrictions for Stress Urinary Incontinence and 2 related conditions. Completed, enrolled 156 participants across 1 site.
Detailed Summary
Postoperative restrictions are often based on expert opinion and "common sense". There is a wide variety in the recommended activity limitation amongst pelvic floor surgeons. Many patients undergo urogynecologic procedures to improve their quality of life, and these additional restrictions decrease their quality of life in the short term. Our hypothesis is that unrestricted activity after a mid-urethral sling will not negatively impact a patient's recovery or likelihood of surgical success. Eligible participants will be randomized to no postoperative instructions or traditional postoperative instructions. Patients will be followed up at 2 weeks, 6 weeks, and 6 months postoperatively. Data will be collected throughout the follow up period, but the primary endpoint is at 6 months. At the 6 month visit, subjects' activity level, leakage symptoms, and postoperative satisfaction will be assessed.
Study Details
Timeline
Interventions
Patients in the "No activity restrictions" group will be allowed to return to their normal activity immediately.
Patients in the "Activity restrictions" group will not be allowed to perform strenuous exercise or lift anything greater than 10lbs. "Strenuous exercise" will be defined as is any activity that requires so much exertion that one cannot have a conversation comfortably while doing it.