Development of a Patient-Centered Pelvic Floor Complication Scale

Area of Science:

• Urogynecology
• Pelvic Reconstructive Surgery
• Patient-Reported Outcomes

Background:

• Pelvic reconstructive surgery (PRS) aims to treat pelvic floor disorders.
• Understanding patient perspectives on PRS complications is crucial for improving care.
• Existing complication scales may not fully capture patient experiences.

Purpose of the Study:

• To evaluate patient knowledge, perceptions, concerns, and fears regarding complications of pelvic reconstructive surgery (PRS).
• To lay the groundwork for a patient-centered Pelvic Floor Complication Scale.
• To incorporate both patient and surgeon perspectives in complication assessment.

Main Methods:

• Prospective study involving women over 18 years planning or having undergone PRS.
• Utilized open-ended questions and severity rankings for potential complications.
• Thematic analysis of qualitative data from interviews and focus groups.

Main Results:

• Thirty-three women (16 preop, 17 postop) participated.
• Common fears included surgical failure, anesthesia, mesh erosion, catheter discharge, and pain.
• Patients expressed high trust in surgeons, with risks not significantly impacting surgical decisions.

Conclusions:

• Patient perceptions of PRS complications offer valuable insights.
• Findings will inform the development of a patient-centered Pelvic Floor Complication Scale.
• This scale aims to enhance complication assessment from both patient and surgeon viewpoints.