Prognosis

The risk of pelvic organ prolapse (POP) recurrence after surgical reconstruction is not uncommon. Up to 30% of women undergoing one POP procedure have at least one more procedure, although recent studies suggest a lower recurrence rate (near 10% of patients requiring reoperation).[21][66]​​​​ Women with a more severe prolapse are more likely to have a recurrence.[67][68]​​ Among patients with stage 2 POP, recurrence rates following uterosacral ligament suspension and sacrocolpopexy are comparable.[68]​ Among women with higher stage apical prolapses, abdominal sacrocolpopexy is the most durable surgical repair procedure; the anatomical success rate ranges from 76% to 100%.[22][55][57]​​[68][69][70][71]​​​​​​[72]​​​ Vaginal procedures may have a relatively lower success rate. The 5-year success rates of vaginal uterosacral procedures range from 87% to 89%.[73][74]​​​ There is no evidence that any specific post-surgical activity restrictions reduce the risk of recurrence. Nonetheless, some physicians restrict patients from heavy lifting (4.5 kg or 10 lb), and from vaginal intercourse for 6 weeks following surgery.

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