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Updated: Jun 17, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
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Published on: October 25, 2024

Expectations Versus Experience in Urogynecologic Surgery: A Qualitative Study.

Antonella M D'Ascanio1, Helen Y Zhang2, Dominique Malacarne Pape3,4

  • 1Department of Obstetrics and Gynecology, New York Medical College, Valhalla, NY.

Urogynecology (Philadelphia, Pa.)
|June 16, 2026
PubMed
Summary

Patients undergoing urogynecologic surgery often have unmet expectations. Improving preoperative education and communication can reduce anxiety and enhance satisfaction with the surgical experience.

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Last Updated: Jun 17, 2026

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Published on: September 13, 2022

Area of Science:

  • Urogynecology
  • Surgical Patient Experience
  • Qualitative Research

Background:

  • Patients frequently report feeling unprepared for surgery, experiencing anxiety and distress.
  • There is a need to understand how preoperative expectations differ from actual surgical and postoperative experiences.

Purpose of the Study:

  • To explore patient perspectives on the surgical experience.
  • To identify discrepancies between expectations and reality in urogynecologic surgery.
  • To find ways to improve perioperative care.

Main Methods:

  • Qualitative study involving semistructured interviews with 21 patients post-hysterectomy with apical suspension.
  • Thematic analysis using grounded theory.
  • Data analysis supported by Dedoose Software.

Main Results:

  • Five key themes emerged: preoperative preparations, interpersonal interactions, perioperative stressors, postoperative expectations, and validation of surgical decisions.
  • Common preoperative concerns included anesthesia fear and recovery anxiety.
  • Unexpected stressors involved medication access, staffing, and pain; however, patients reported improved quality of life and would recommend the surgery.

Conclusions:

  • Significant discrepancies exist between patients' preoperative expectations and their perioperative experiences.
  • Enhanced patient education and communication are crucial for mitigating preoperative anxiety.
  • Addressing these gaps can lead to improved patient satisfaction in urogynecologic surgery.