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Updated: Jul 29, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
What women want now!
Geetika S Shah1, Christian Phillips1
1Basingstoke and North Hampshire Hospital, NHS Foundation Trust, Aldermaston Road, RG24 9NA, United Kingdom.
Women with severe pelvic floor dysfunction (PFD) prefer surgery, while those with mild/moderate symptoms favor safer, non-surgical options. Patient choice balances symptom severity with treatment risks and recovery time.
Area of Science:
- Urogynecology
- Women's Health
- Pelvic Floor Disorders
Background:
- Stress urinary incontinence (SUI) and pelvic organ prolapse (POP) are prevalent conditions in women.
- Various conservative and surgical treatments exist for pelvic floor dysfunction (PFD).
Purpose of the Study:
- To investigate patient preferences for future PFD treatments, specifically POP and SUI.
- To determine acceptable success rates and how symptom severity influences treatment choices.
Main Methods:
- A service evaluation study involving 100 women attending a urogynaecology clinic.
- Participants completed a questionnaire comparing a high-success surgery (80% cure, 1-2 day stay, small risk) with a variable-success non-surgical option (70-25% improvement, no downtime, no safety issues).
Main Results:
- All women with severe PFD opted for surgery.
- Women with mild/moderate symptoms preferred non-surgical treatments with lower success rates but no long-term complications.
- A moderate correlation (r=0.46) was found between symptom severity and desired treatment success.
Conclusions:
- Patient demand is shifting towards treatments prioritizing safety and rapid recovery over maximum efficacy.
- Emerging technologies like energy-based devices may appeal to some women due to their safety profiles, despite lower success rates.
- Further research into these newer treatment modalities is warranted.
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