Postoperative Active Recovery

Oregon Health & Science University (OHSU)

Status: Completed

Conditions: Pelvic Floor Disorders

Treatments: Other: Active Recovery; Other: Standard of Care

Study type: Interventional

Funder types: Other

Identifiers

NCT05950633

OHSU IRB 25625

Details and patient eligibility

About

This is a study evaluating a novel active recovery program in the immediate postoperative period following pelvic reconstructive surgery.

Full description

This is a randomized controlled trial comparing usual care postoperative restrictions and a novel new active recovery program to look at differences in pelvic floor function, patient quality of life, and mental health in between groups.

Enrollment: 72 patients

Sex: Female

Ages: 18 to 89 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Between the ages of 18 and 89
2. Undergoing minimally invasive apical prolapse reconstructive procedure at OHSU. This includes laparoscopic and robotic-assisted sacrocolpopexy, laparoscopic and vaginal uterosacral ligament suspension, and vaginal sacrospinous ligament fixation. We will include patients undergoing concomitant procedures such as hysterectomy and incontinence procedures.
3. Have access to reliable email for communication and questionnaires.

Exclusion criteria

1. Unable to consent
2. Unable to read and complete questionnaires in English
3. Unable to sustain 30 minutes of moderate walking/activity at baseline (self-reported)
4. Use a mobility assistance device such as a walker/cane at baseline
5. Balance or stability problems
6. Patients on chronic opioids

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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72 participants in 2 patient groups

Standard of Care

Active Comparator group

Description:

Participants will receive standard postoperative instructions only

Treatment:

Other: Standard of Care

Active Recovery

Active Comparator group

Description:

Participants will receive active recovery instructions with specific walking goals, abdominal strengthening exercises, and pelvic floor exercises

Treatment:

Other: Active Recovery