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Are patients' personal goals achieved after pelvic reconstructive surgery?
Anna L Pilzek1, Christina A Raker, Vivian W Sung
1Division of Urogynecology Women and Infants Hospital, Alpert Medical School Brown University, 695 Eddy Street, Providence, RI, 02903, USA, apilzek@wihri.org.
International Urogynecology Journal
|September 19, 2013
Summary
Surgical goals for pelvic floor dysfunction (PFD) focus on symptom relief. While many patients achieve improved function, persistent symptoms may still align with successful goal achievement post-surgery.
Area of Science:
- Urogynecology
- Pelvic Floor Reconstructive Surgery
Background:
- Pelvic floor dysfunction (PFD) significantly impacts women's quality of life.
- Understanding patient-specific treatment goals is crucial for evaluating surgical success.
Purpose of the Study:
- To describe patient-defined treatment goals before PFD surgery.
- To assess goal achievement 12 months post-surgery.
- To evaluate the link between postoperative symptoms and goal achievement.
Main Methods:
- Secondary analysis of a randomized trial comparing rectocele repair techniques.
- Categorization of patient-reported goals into symptom improvement and functional domains.
- Statistical analysis of goal achievement and its association with specific symptoms.
Main Results:
- The most common preoperative goals were bulge (26.7%), defecation (23.9%), and urinary incontinence (18.1%).
- Postoperative improvements were highest for urinary continence (70.5%), sexual function (58.8%), and bulge reduction (56.9%).
- Half of women with postoperative defecatory or incontinence symptoms still reported successful goal achievement in these areas.
Conclusions:
- Patient goals for PFD surgery are predominantly symptom-related and frequently achieved.
- Successful goal achievement can occur even with residual postoperative symptoms, highlighting the complexity of patient expectations.
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