Pedro Alvarez, Cem Demirkiran, Leslie Rickey, Lisbet Lundsberg, Oz Harmanli
{"title":"中尿道悬吊后活动限制：一项随机对照试验。","authors":"Pedro Alvarez, Cem Demirkiran, Leslie Rickey, Lisbet Lundsberg, Oz Harmanli","doi":"10.1097/SPV.0000000000001679","DOIUrl":null,"url":null,"abstract":"<p><strong>Importance: </strong>Postoperative activity restrictions can affect patient satisfaction after midurethral sling (MUS) surgery.</p><p><strong>Objective: </strong>The aim of the study was to assess the effect of a duration of postoperative activity restrictions on patient satisfaction and surgical outcomes after MUS surgery for stress urinary incontinence.</p><p><strong>Study design: </strong>Women undergoing MUS surgery alone for stress urinary incontinence were enrolled in this provider-blinded, randomized clinical trial. Randomization to either 3- or 6-weeks' duration of activity restrictions was assigned. Restrictions included abstaining from lifting greater than 20 pounds, high-impact activity, or strenuous exercise. Primary outcome was patient satisfaction with surgery, using a 5-point Likert patient satisfaction scale. Satisfaction scores were analyzed in a \"complete satisfaction\" (\"completely\" satisfied only) and a \"higher satisfaction\" approach (both \"completely\" and \"mostly\" satisfied). Secondary outcomes included objective and subjective assessment of incontinence symptoms and activity assessment.</p><p><strong>Results: </strong>Ninety-eight women underwent MUS surgery between July 2021 and September 2022, and 88 were randomized. Of them, 41 and 43 women with 3- and 6-week restrictions had patient satisfaction data, respectively. Baseline characteristics did not differ between groups. At the 6-month postoperative visit, overall patient satisfaction (\"completely\" and \"mostly\" satisfied) was very high at 92%. Complete satisfaction was significantly higher in the 3-week (73.2%) versus the 6-week restriction group (51.2%) (P = 0.04). \"Higher satisfaction\" did not reach a statically significant difference between groups (P = 0.11). Subjective urinary incontinence indices did not differ between groups.</p><p><strong>Conclusions: </strong>Return to normal activities 3 weeks after MUS surgery resulted in significantly higher satisfaction scores at 6 months compared to a 6-week restriction without compromising subjective and objective surgical success.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.8000,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Activity Restrictions After Midurethral Sling: A Randomized Controlled Trial.\",\"authors\":\"Pedro Alvarez, Cem Demirkiran, Leslie Rickey, Lisbet Lundsberg, Oz Harmanli\",\"doi\":\"10.1097/SPV.0000000000001679\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Importance: </strong>Postoperative activity restrictions can affect patient satisfaction after midurethral sling (MUS) surgery.</p><p><strong>Objective: </strong>The aim of the study was to assess the effect of a duration of postoperative activity restrictions on patient satisfaction and surgical outcomes after MUS surgery for stress urinary incontinence.</p><p><strong>Study design: </strong>Women undergoing MUS surgery alone for stress urinary incontinence were enrolled in this provider-blinded, randomized clinical trial. Randomization to either 3- or 6-weeks' duration of activity restrictions was assigned. Restrictions included abstaining from lifting greater than 20 pounds, high-impact activity, or strenuous exercise. Primary outcome was patient satisfaction with surgery, using a 5-point Likert patient satisfaction scale. Satisfaction scores were analyzed in a \\\"complete satisfaction\\\" (\\\"completely\\\" satisfied only) and a \\\"higher satisfaction\\\" approach (both \\\"completely\\\" and \\\"mostly\\\" satisfied). Secondary outcomes included objective and subjective assessment of incontinence symptoms and activity assessment.</p><p><strong>Results: </strong>Ninety-eight women underwent MUS surgery between July 2021 and September 2022, and 88 were randomized. Of them, 41 and 43 women with 3- and 6-week restrictions had patient satisfaction data, respectively. Baseline characteristics did not differ between groups. At the 6-month postoperative visit, overall patient satisfaction (\\\"completely\\\" and \\\"mostly\\\" satisfied) was very high at 92%. Complete satisfaction was significantly higher in the 3-week (73.2%) versus the 6-week restriction group (51.2%) (P = 0.04). \\\"Higher satisfaction\\\" did not reach a statically significant difference between groups (P = 0.11). Subjective urinary incontinence indices did not differ between groups.</p><p><strong>Conclusions: </strong>Return to normal activities 3 weeks after MUS surgery resulted in significantly higher satisfaction scores at 6 months compared to a 6-week restriction without compromising subjective and objective surgical success.</p>\",\"PeriodicalId\":75288,\"journal\":{\"name\":\"Urogynecology (Hagerstown, Md.)\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2025-03-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Urogynecology (Hagerstown, Md.)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/SPV.0000000000001679\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urogynecology (Hagerstown, Md.)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/SPV.0000000000001679","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Activity Restrictions After Midurethral Sling: A Randomized Controlled Trial.
Importance: Postoperative activity restrictions can affect patient satisfaction after midurethral sling (MUS) surgery.
Objective: The aim of the study was to assess the effect of a duration of postoperative activity restrictions on patient satisfaction and surgical outcomes after MUS surgery for stress urinary incontinence.
Study design: Women undergoing MUS surgery alone for stress urinary incontinence were enrolled in this provider-blinded, randomized clinical trial. Randomization to either 3- or 6-weeks' duration of activity restrictions was assigned. Restrictions included abstaining from lifting greater than 20 pounds, high-impact activity, or strenuous exercise. Primary outcome was patient satisfaction with surgery, using a 5-point Likert patient satisfaction scale. Satisfaction scores were analyzed in a "complete satisfaction" ("completely" satisfied only) and a "higher satisfaction" approach (both "completely" and "mostly" satisfied). Secondary outcomes included objective and subjective assessment of incontinence symptoms and activity assessment.
Results: Ninety-eight women underwent MUS surgery between July 2021 and September 2022, and 88 were randomized. Of them, 41 and 43 women with 3- and 6-week restrictions had patient satisfaction data, respectively. Baseline characteristics did not differ between groups. At the 6-month postoperative visit, overall patient satisfaction ("completely" and "mostly" satisfied) was very high at 92%. Complete satisfaction was significantly higher in the 3-week (73.2%) versus the 6-week restriction group (51.2%) (P = 0.04). "Higher satisfaction" did not reach a statically significant difference between groups (P = 0.11). Subjective urinary incontinence indices did not differ between groups.
Conclusions: Return to normal activities 3 weeks after MUS surgery resulted in significantly higher satisfaction scores at 6 months compared to a 6-week restriction without compromising subjective and objective surgical success.
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