Satisfaction and Regret Following Uterosacral Ligament Suspension and Sacrocolpopexy: A Prospective Multicenter Analysis From the Fellows' Pelvic Research Network.

Autor:	Bastawros D; From the Department of Female Pelvic Medicine and Reconstructive Surgery, Atrium Health, Charlotte, NC., Rabon H; University of North Carolina School of Medicine, Charlotte, NC., Noor N; Department of Female Pelvic Medicine and Reconstructive Surgery, Mount Auburn Hospital, Cambridge, MA., Florian-Rodriguez ME; Department of Female Pelvic Medicine and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, TX., Hobson D; Department of Female Pelvic Medicine and Reconstructive Surgery, University of Louisville, Louisville, KY., Tarr ME; From the Department of Female Pelvic Medicine and Reconstructive Surgery, Atrium Health, Charlotte, NC.
Jazyk:	angličtina
Zdroj:	Female pelvic medicine & reconstructive surgery [Female Pelvic Med Reconstr Surg] 2021 Jan 01; Vol. 27 (1), pp. e70-e74.
DOI:	10.1097/SPV.0000000000000812
Abstrakt:	Objectives: The primary objective was to compare levels of satisfaction, regret, and Patient Global Impression of Improvement (PGI-I) scores between women who underwent vaginal uterosacral ligament suspension (USLS) and minimally invasive sacrocolpopexy (SCP). Secondary objectives were to identify which preoperative counseling resources were most useful. Methods: This was a multicenter, retrospective cohort study through the Fellows' Pelvic Research Network that included women who underwent a USLS or SCP between January 2013 and January 2016 with 1-year follow-up. Women completed the Decision Regret Scale for Pelvic Floor Disorders, Satisfaction with Decision Scale for Pelvic Floor Disorders, and PGI-I. Data were also collected on usefulness of various educational preoperative resources. Results: A total of 175/367 (47.6%) women participated; 45 (25.7%) and 130 (74.3%) in the USLS and SCP groups, respectively. Mean Decision Scale for Pelvic Floor Disorders scores were 4.6 ± 0.8 and 4.5 ± 0.7 (P = 0.30) in the USLS and SCP groups, respectively, indicating a high level of satisfaction with surgical decision. The mean Decision Regret Scale for Pelvic Floor Disorders score was 1.5 ± 0.8 in USLS and 1.6 ± 0.8 in SCP (P = 0.53). The SCP group had higher PGI-I scores (1.7 ± 1.4 vs 2.0 ± 1.3, P = 0.02), indicating lower perceived postoperative improvement. Most women (151 [86.3%] of 175) reported that verbal counseling was sufficient and would not have found additional resources helpful. Conclusions: Women have high satisfaction and low regret with their decision to pursue surgical correction with USLS or SCP. Most are satisfied with only verbal preoperative counseling. Competing Interests: The authors have declared they have no conflicts of interest. (Copyright © 2019 American Urogynecologic Society. All rights reserved.)
Databáze:	MEDLINE
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