MP30-06 LISTENING TO PATIENTS: WHAT IS IMPORTANT TO WOMEN REGARDING MID URETHRAL SLING SURGERY

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Female Incontinence: Therapy I (MP30)1 Apr 2020MP30-06 LISTENING TO PATIENTS: WHAT IS IMPORTANT TO WOMEN REGARDING MID URETHRAL SLING SURGERY Pansy Uberoi*, Wai Lee, Donna Berry, Kathleen Kobashi, Alvaro Lucioni, and Una Lee Pansy Uberoi*Pansy Uberoi* More articles by this author , Wai LeeWai Lee More articles by this author , Donna BerryDonna Berry More articles by this author , Kathleen KobashiKathleen Kobashi More articles by this author , Alvaro LucioniAlvaro Lucioni More articles by this author , and Una LeeUna Lee More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000869.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Existing stress urinary incontinence (SUI) research focuses on clinical outcomes, overlooking key concepts of importance to patients. When patient perspectives are sought, an understanding regarding what is most important to them is gained. We sought to understand patient experiences including knowledge, attitudes, and beliefs regarding their mesh mid urethral sling (MUS) surgery and outcomes. METHODS: Patients who had undergone placement of a mesh MUS in the past 10 years at a single institution by one of three female pelvic medicine and reconstructive surgery specialists were invited to participate in semi-structured focus groups or individual interviews. Discussions were recorded and transcribed. Four investigators individually analyzed data for themes using inductive content analysis aided by NVivo software. RESULTS: Twelve women participated. Themes and illustrative quotes are listed in Table 1. Women recounted specific events that led to their decision to pursue intervention for SUI. Incontinence physiology and surgical anatomy was not well understood. Levels of pain experienced postoperatively were higher than expected. Sensations during intercourse changed in a negative manner. Despite the absence of mesh-specific complications, women described feeling the MUS vaginally.Some patients had high hopes for perfect outcomes and were disappointed by anything less, while others understood the limits of the surgery. Some women expressed improvement in stress specific symptoms, but many did not distinguish between urgency and stress incontinence. Voiding behaviors changed after surgery. CONCLUSIONS: Appreciating patients’ knowledge, concerns and expectations can inform us how to better meet their needs and improve patient understanding. Expanding our insight into what matters to patients can help improve the MUS informed consent process and surgical counseling. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e440-e440 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Pansy Uberoi* More articles by this author Wai Lee More articles by this author Donna Berry More articles by this author Kathleen Kobashi More articles by this author Alvaro Lucioni More articles by this author Una Lee More articles by this author Expand All Advertisement PDF downloadLoading ...