Patient experiences following prolapse surgery implementing a same-day discharge model: a prospective study.

Area of Science:

• Gynecologic Surgery
• Patient Experience Research
• Surgical Discharge Models

Background:

• Patient experiences with same-day discharge after major vaginal reconstructive surgery are not well-documented.
• Understanding patient perspectives is crucial for optimizing recovery and satisfaction.

Purpose of the Study:

• To describe patient experiences following major vaginal reconstructive surgery with a same-day discharge model.
• To identify common postoperative concerns and satisfaction levels in this patient group.

Main Methods:

• A descriptive study enrolled patients undergoing vaginal hysterectomy with pelvic reconstruction.
• Patients completed questionnaires on same-day discharge experience, surgical recovery, and advice.
• The primary outcome was patient willingness to undergo the surgery again, assessed via the Surgical Satisfaction Questionnaire.

Main Results:

• High satisfaction reported: 96% would have the surgery again, and 91% were satisfied with results at 12 weeks.
• Common postoperative concerns included urinary tract infection (17%), catheter issues (11%), and constipation (11%).
• Positive aspects of the surgical experience frequently cited office staff and physicians (51%).

Conclusions:

• Same-day discharge following vaginal hysterectomy with pelvic reconstruction is associated with high patient satisfaction.
• Key patient advice includes having home support and allowing adequate recovery time.
• This study provides unique insights into patient concerns and experiences in this surgical model.