Final answer:
The main concern for surgical repair of pelvic organ prolapse (POP) is the recurrence of prolapse. This is because subsequent surgeries after the initial repair can be more difficult and have higher risks.
Step-by-step explanation:
The main concern for surgical repair of pelvic organ prolapse (POP) is the recurrence of prolapse. Pelvic organ prolapse occurs when the muscles and ligaments supporting a woman's pelvic organs weaken, allowing the organs to drop lower in the pelvis and create a bulge in the vagina. Surgical repair aims to provide long-term support to the pelvic organs. However, even with successful surgery, there is a risk that the prolapse can recur. This is a particular concern because after the initial surgery, subsequent surgeries may be more challenging and carry a higher risk of complications. The risk of recurrence is influenced by various factors, including the type of surgery performed, the severity of prolapse, and the patient's overall health and activity level.
While postoperative pain, vaginal bleeding, and urinary tract infections can occur after surgical repair of POP, these issues are typically manageable and not the primary concern, which is the long-term effectiveness of the procedure and the possibility of requiring additional surgeries.