Feasibility and patient satisfaction with pelvic organ prolapse and urinary incontinence day surgery

Abstract

We performed a prospective cohort study to characterize the feasibility of urinary stress incontinence and pelvic organ prolapse surgery in day care. Two hundred and one women were prepared for day surgery by a standardised protocol; 132 women underwent a single Tension-free Vaginal Tape/Tension-free Vaginal Tape-Obturator procedure, and 69 women had additional or only pelvic organ prolapse surgery. The main outcome measures were complications, satisfaction score and recommendation to others, recorded after 3 days and 6-10 weeks. We found that it is feasible and safe to perform pelvic organ prolapse and urinary incontinence surgery in day care. Patients' satisfaction is high in all aspects of care and the majority would recommend it to others. In multivariate logistic regression analysis, only dissatisfaction with the care provided by the staff of the surgical ward was significantly associated with a negative recommendation to others (odds ratio 7.3, 95% confidence interval 1.6-33.5).

Outcomes associated with the use of midurethral slings for stress incontinence surgery according to the type of hospitalization

“…Using a Likert scale approach, Van der Vaart et al [14] found that more than 98.5% of their patients were satisfied. The factors associated with a negative recommendation for day surgery were not related to the surgeon's performance, but to the patients' appreciation of the private clinic staff.…”

“…Only a few studies have specifically analyzed ambulatory SUI procedures, and most published reports describing the use of MUS procedures involved inpatient management or did not report the length of the patients' stay. A prospective study analyzing the feasibility of day-case SUI surgery [14] included 132 patients who underwent a TVT procedure, of whom only 2 (1.6%) required hospitalization while 111 (84.1%) had no complication. A retrospective study [7] reported that 22.1% (37/167) of patients undergoing a transobturator tape procedure required hospitalization.…”

Assessment Of Sexual Function in Patients Urogynecology

“…(23,24) . Ü‹ prevelans›n›n dünya popülasyonunda ortalama %17 ile %58.4 oran›nda oldu¤u tahmin edilmektedir (25)(26)(27) . Türkiye'de Ü‹ prevalans› %25.8 ile %68.8 aras›nda de¤iflmektedir (28)(29)(30) .…”

“…POP prevalans› yap›lan birçok çal›flmada ortalama %41' dir. Bu oran›n %34'nü sistosel, %19'nu rektosel ve %14'nü ise uterine prolapsusu içermektedir (26,27,31) . Gerek genital organ prolapsusu, gerekse Ü‹'a ba¤l› mortalite olas›l›¤› son derece düflük olsa da her iki sorun ciddi morbiditeye neden olmaktad›r (11) .…”

Day surgery: an evidenced-based practice

“…Patient satisfaction and quality of life have also been studied, showing in general reassuring results [16,17]. Minor complaints are, however, not infrequent.…”