Standardized Counseling Tool for Returning to Sexual Activity After Pelvic Reconstructive Surgery.

Area of Science:

• Urology
• Gynecology
• Sexual Health

Background:

• Pelvic reconstructive surgery for pelvic organ prolapse or urinary incontinence can impact patients' sexual function.
• A need exists for standardized guidance on resuming sexual activity after these procedures.

Purpose of the Study:

• To develop and refine a patient-centered counseling tool for facilitating return to sexual activity post-pelvic reconstructive surgery.

Main Methods:

• An expert panel developed an initial tool based on qualitative research.
• Cognitive patient interviews were conducted with women who had undergone pelvic reconstructive surgery.
• The tool was iteratively refined based on patient feedback regarding clarity, importance, and relevance.

Main Results:

• Nineteen cognitive interviews led to three rounds of modifications.
• Redundant statements were merged, and unimportant statements were removed.
• Patients highly valued counseling statements concerning the safety of resuming intercourse and managing anticipated discomfort.

Conclusions:

• A novel, patient-centered counseling tool for return to sexual activity after pelvic reconstructive surgery was successfully developed.
• The tool addresses a critical aspect of patient recovery and provides surgeons with a concise, valuable resource.