Vaginal prolapse – perceptions and healthcare‐seeking behavior among women prior to gynecological surgery

Pakbaz, Mojgan; Rolfsman, Ewa; Mogren, Ingrid; Löfgren, Mats

doi:10.1111/j.1600-0412.2011.01225.x

Cited by 27 publications

(32 citation statements)

References 25 publications

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“…The complementary questionnaire consisted of open-ended and multiplechoice questions (Additional files 1 and 2). The questionnaire included items requesting the women's own description of POP and its causes, and the source of information on their own condition for which they contacted the gynaecology department [12]. In addition, the questionnaire included questions about whether they have been informed by the physician about the surgery and its effect on sexuality, urinary function (ability of being/staying continent and micturition), and bowel function (emptying bowel) with a "yes" or "no" answer.…”

Section: Methodsmentioning

confidence: 99%

“…Previous studies have suggested that women, particularly those with vaginal prolapse, have little access to publicly available information on prolapse [3,12]. Informing women not only about the expected positive effects but also about conceivable side effects of an operation is an essential part of the decision-making that may lead to surgery [13,14], since there is evidence that well-informed patients are more satisfied with the results of surgery and recover faster [13].…”

Section: Introductionmentioning

confidence: 99%

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Are women adequately informed before gynaecological surgery?

2017

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Background: Surgery for pelvic organ prolapse, urinary incontinence, and hysterectomy are the most common gynaecological surgeries that can affect the function of the bladder and bowel as well as one's sexual life. There is evidence that adequate patient information given preoperatively regarding expected outcomes of surgery is important because well-informed patients are more satisfied with the results of surgery and recover faster. However, there is little known about the amount and quality of information given to women before surgery. This study investigates whether women received information before gynaecological surgery on the effect of surgery with respect to the functioning of the bladder (micturition, ability to stay continent) and the bowel (empty bowel) as well as the surgery's effect on sexual functioning. Methods: A prospective, cross-sectional study was conducted. Women undergoing hysterectomy, surgery for vaginal prolapse, or surgery for urinary incontinence (n = 972) and included in the Swedish National Register for Gynaecological Surgery participated in the study. A questionnaire was developed and distributed to the women along with the preoperative questionnaire from the register. Results: About 50% of the women undergoing prolapse surgery were supplied with information regarding the effect of the surgery with respect to remaining continent, to emptying bowels, micturitaion, and sexual life. One out of four women undergoing hysterectomy received information about the effect of the surgery on the sexual life and bladder function. In the incontinence group, the given information about the surgery's effect on bladder function and sexual function was 80 and 30%, respectively. Conclusion: Surgery in the vagina and the genital organs may affect function of the organs close to the surgical area (i.e., bladder and bowel) and may affect sexual function. According to this study, women are inadequately informed before surgery. Access to information via oral and written counselling needs to be improved.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Are women adequately informed before gynaecological surgery?

2017

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“…Pelvic floor disorders and their impact on women are addressed in different ways and women's awareness of this condition is widely variable 3–6 . While some women may not seek medical care or wait for several years before seeking medical care for POP, 7,8 some women only disclose relevant information when asked questions directly about their symptoms and their impact on the quality of life, which also appears highly variable 9–13 . The impact on individual patients but also on clinical practice and research is therefore highly variable.…”

Section: Introductionmentioning

confidence: 99%

A systematic review and meta‐synthesis of qualitative studies on pelvic organ prolapse for the development of core outcome sets

Rada

Jones

Falconi

et al. 2020

Neurourology and Urodynamics

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Aims In the current climate of evidence‐based health care, the aim of this meta‐synthesis was to collect and systematically analyse data from primary qualitative studies on pelvic organ prolapse (POP), to identify patient‐centered perspectives on the natural course of POP. Information acquired in this study may be useful for ongoing research towards the development of core outcome sets (COS) in pelvic floor disorders. Methods A CHORUS Working Group performed a standardized search of three different databases (Medline, Embase, Scopus), from inception to October 2019. We selected qualitative studies on women's perspectives on POP that were published in the English language. Three reviewers independently evaluated the quality of eligible papers and highlighted recurrent themes based on patient perspectives. Results Eighteen qualitative studies including a total of 497 patients were assessed in this analysis. Our study revealed five superordinate themes, recurrently encountered in qualitative studies on POP: awareness of POP (6 studies), communication (9 studies), treatments (10 studies), effects on quality of life (6 studies), and self‐image (3 studies). Five out of 10 quality criteria were met by all the studies included, based on an assessment performed using the critical appraisal skills program. Conclusions This is the first synthesis of qualitative studies that address POP‐related experiences of women, highlighting five superordinate themes, of which treatment was the most commonly reported one. This synthesis' findings may guide quantitative research priorities and will hopefully contribute to the development of a COS for POP.

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“…26 Our study suggests that at least some of the women with symptomatic mild prolapse who do not consult their physician on their own initiative can benefit from PFMT. Our advice to physicians would therefore be to adopt a proactive attitude regarding pelvic floor symptoms and prolapse.…”

Section: Interpretation Of Resultsmentioning

confidence: 91%

Two‐year effects and cost‐effectiveness of pelvic floor muscle training in mild pelvic organ prolapse: a randomised controlled trial in primary care

Panman

Wiegersma

Kollen

et al. 2016

BJOG

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Vaginal prolapse – perceptions and healthcare‐seeking behavior among women prior to gynecological surgery

Abstract: There appeared to be a lack of information on pelvic organ prolapse in the public domain. Healthcare professionals have a significant role to play in informing women about symptoms related to the condition and the available treatment options.

Cited by 27 publications

References 25 publications

Are women adequately informed before gynaecological surgery?

Are women adequately informed before gynaecological surgery?

A systematic review and meta‐synthesis of qualitative studies on pelvic organ prolapse for the development of core outcome sets

Two‐year effects and cost‐effectiveness of pelvic floor muscle training in mild pelvic organ prolapse: a randomised controlled trial in primary care

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