Document Type : Original Article
Authors
1
Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Cairo, Egypt
2
Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Cairo, Egypt.
10.21608/ebwhj.2025.385079.1461
Abstract
Background: Pelvic organ prolapse (POP) is a common condition affecting women, often requiring vaginal reconstructive surgery to restore pelvic support and improve symptoms. Post-operative pain remains a significant concern, impacting recovery, functional activities, and quality of life. While several studies have evaluated surgical outcomes, limited research has explored the correlation between pain severity, prolapse type, and surgical technique across various daily activities.
Aim: This work aimed to assess post-operative pain experiences in women undergoing vaginal reconstructive surgery for POP and determine whether prolapse severity or surgical techniques influence pain severity. Additionally, the study evaluates pain across multiple activities to provide a functional perspective on post-operative recovery.
Materials and Methods: A total of 69 women diagnosed with POP underwent various vaginal reconstructive procedures, including total vaginal hysterectomy (TVH), perineorrhaphy, anterior colporrhaphy, posterior repair fascia, and sacrospinous fixation. Post-operative pain was assessed across multiple activities, including urination, bowel movements, walking, running, lifting, working, and sleeping. Statistical analysis was conducted to examine the relationship between pain severity, prolapse stage, and surgical type.
Results: Post-operative pain was reported across all assessed activities, with the highest pain levels noted during lifting (49.3%), running (50.7%), and bowel movements (45.5%). Pain was also a significant concern during sleep, affecting 71% of participants. However, no significant correlation was found between pain severity and prolapse type or surgical technique (p>0.05 for all comparisons). These findings suggest that individual factors, rather than surgical approach or prolapse severity, may influence pain perception and recovery.
Conclusion: Post-operative pain following vaginal reconstructive surgery for POP is multifaceted and affects various daily activities, but it is not significantly associated with the type of surgery or prolapse severity. This highlights the need for individualized pain management strategies, considering factors beyond surgical technique. Future research should include larger sample sizes, long-term follow-ups, and preoperative pain assessments to improve post-operative care and patient outcomes.
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