Postoperative Vaginal Compression After Prolapse Surgery - an RCT

A Randomized Controlled Trial on Postoperative Vaginal Compression After Prolapse Surgery

The goal of this clinical trial is to learn if omitting postoperative vaginal compression (packing) can facilitate a more efficient recovery after elective surgery for uterovaginal prolapse. The main questions it aims to answer are: Will the omission of vaginal compression result in a non-inferior (unchanged) rate of prolapse recurrence within the first three months after surgery? Does the omission of vaginal compression lead to a shorter hospital stay and a faster return of normal bladder function? Researchers will compare a group that receives no postoperative vaginal compression to a control group that receives standard vaginal gauze packing for two hours to see if skipping the packing leads to shorter hospital stays and faster bladder emptying without increasing the risk of the prolapse returning.

Inclusion criteria:

• Planned anterior colporrhaphy, posterior colporrhaphy, or cervical amputation at the day surgery department, Nordsjællands Hospital, Capital Region, Denmark

• Age 18 years and older

  . Cognitively capable patient

• Received information material as described in the protocol

Exclusion criteria:

• Failure to pause blood-thinning medication on the day of surgery, if this was planned
• Failure to discontinue regular intake of fish oil or ginger extract four weeks prior to the procedure
• Immunosuppressed patients
• Planned perineorrhaphy
• Surgery involving more than two compartments
• Non-Danish speaking patients