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Are women adequately informed before gynaecological surgery?
Mojgan Pakbaz1, Ewa Rolfsman2, Mats Löfgren3
1Department of Clinical Sciences, Obstetrics and Gynaecology, Umeå University, SE-901 87, Umeå, Sweden. Mojgan.Pakbaz@umu.se.
BMC Women'S Health
|August 27, 2017
Summary
Women undergoing common gynecological surgeries are often inadequately informed about potential impacts on bladder, bowel, and sexual function. Improved preoperative counseling is crucial for better patient outcomes and satisfaction.
Area of Science:
- Gynecological surgery outcomes
- Patient preoperative education
Background:
- Common gynecological surgeries like hysterectomy, pelvic organ prolapse, and urinary incontinence surgery can impact bladder, bowel, and sexual function.
- Preoperative patient information is linked to higher satisfaction and faster recovery, yet its quality and quantity before gynecological surgery are poorly understood.
Purpose of the Study:
- To investigate the extent and quality of preoperative information provided to women regarding the effects of gynecological surgery on bladder, bowel, and sexual function.
Main Methods:
- A prospective, cross-sectional study involving 972 women undergoing hysterectomy, prolapse surgery, or incontinence surgery.
- Participants were recruited from the Swedish National Register for Gynecological Surgery.
- A questionnaire was administered alongside the standard preoperative questionnaire.
Main Results:
- Approximately 50% of prolapse surgery patients received information on continence, bowel emptying, micturition, and sexual life.
- Only 25% of hysterectomy patients were informed about effects on sexual life and bladder function.
- Incontinence surgery patients received information on bladder and sexual function in 80% and 30% of cases, respectively.
Conclusions:
- Gynecological surgeries can significantly affect adjacent organ functions and sexual well-being.
- Current preoperative information provision is insufficient.
- Enhanced oral and written preoperative counseling is necessary to improve patient understanding and outcomes.
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