The expectations of patients who undergo surgery for stress incontinence

被引:28
作者
Mallett, Veronica T. [1 ]
Brubaker, Linda [2 ]
Stoddard, Anne M. [3 ]
Borello-France, Diane [4 ]
Tennstedt, Sharon [3 ]
Hall, Lynn [5 ]
Hammontree, Lee [6 ]
机构
[1] Univ Tennessee, Reg Med Ctr, Hlth Sci Ctr, Dept Obstet & Gynecol, Memphis, TN 38138 USA
[2] Loyola Univ, Med Ctr, Dept Obstet & Gynecol & Urol, Maywood, IL 60153 USA
[3] New England Res Inst, Watertown, MA 02172 USA
[4] Duquesne Univ, Rangos Sch Hlth Sci, Dept Phys Therapy, Pittsburgh, PA 15219 USA
[5] Kaiser Permanente, San Diego, CA USA
[6] Univ Alabama Birmingham, Med Sch Birmingham, Dept Urol, Birmingham, AL USA
关键词
informed consent; patient expectation; surgical outcome;
D O I
10.1016/j.ajog.2007.09.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: The purpose of this study was to assess patient expectations of surgical outcome after preoperative counseling of surgical procedures in a randomized trial of 655 women in a comparison of the rectus fascial sling and Burch colposuspension. STUDY DESIGN: Women who selected surgery for treating stress incontinence and who consented to this randomized, surgical trial completed a preoperative questionnaire to assess expectations for the post-surgical effects of surgery on urinary incontinence-related symptoms, limitations, and emotions. Associations of expectations with a range of preoperative urinary incontinence measures were explored. RESULTS: The most frequent preoperative symptoms were urine leakage (98%), embarrassment (88%), frequency (74%), physical activity 72%), and urgency (70%). Sexual and social limitations were less frequent (<= 44%). Treatment expectations were higher for women who reported more symptom bother. As expected, most women (98%) had an expectation that urine leakage would be completely or almost completely eliminated. However, most women (92%) who reported urgency or frequency (83%) expected significant improvement of these symptoms after surgery. CONCLUSION: Patients who undergo stress incontinence surgery have high expectations regarding the outcome of incontinence surgery, which include the resolution of urgency and frequency.
引用
收藏
页码:308.e1 / 308.e6
页数:6
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