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][68]​​​​ Women with a more severe prolapse are more likely to have a recurrence.[69][70]​​ Among patients with stage 2 POP, recurrence rates following uterosacral ligament suspension and sacrocolpopexy are comparable.[70]​ Among women with higher stage apical prolapses, abdominal sacrocolpopexy is the most durable surgical repair procedure; the anatomic success rate ranges from 76% to 100%.[22][55][57]​​[70][71]​​​[72][73]​​​​​​​[74]​​​​ Vaginal procedures may have a relatively lower success rate. The 5-year success rates of vaginal uterosacral procedures range from 87% to 89%.[75][76]​​​ There is no evidence that any specific postsurgical activity restrictions reduce the risk of recurrence. Nonetheless, some physicians restrict patients from heavy lifting (10 lb), and from vaginal intercourse for 6 weeks following surgery.

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