Pain Assessment After Vaginal Reconstructive Surgeries For Pelvic Organ Prolapse | ||
| Evidence Based Women's Health Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 13 October 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ebwhj.2025.385079.1461 | ||
| Author | ||
| Nora Ibrahim* | ||
| Mansoura University | ||
| 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. Objective: 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. 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. 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). Conclusions: 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. | ||
| Keywords | ||
| Pelvic organ prolapse; vaginal reconstructive surgery; post-operative pain; total vaginal hysterectomy; functional recovery | ||
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