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- Title
Patients of surgical educational course may have a poorer outcome for pelvic organ prolapse repair and higher complication rate: a case-control study in urogynecology.
- Authors
Porena, Massimo; Lazzeri, Massimo; Bini, Vittorio; Zucchi, Alessandro; del Zingaro, Michele; Costantini, Elisabetta
- Abstract
To investigate the outcome of the surgical educational course setting in patients undergoing urinary incontinence (UI)/pelvic organ prolapse (POP) repair. A case-control study of patients who underwent surgery for UI and/or POP during educational post-graduate courses (group A) or during routine hospital work (control—group B). The primary outcome measures were changes in the incontinence rate, presence/absence of POP, and complications. For 2 × 2 tables, χ2 test was used. Multivariate logistic regression models were developed. One hundred eighty-six patients belonged to group A and 158 to group B; median follow-up was 46.7 months. Failure, complication, and re-operation rates for UI repair were not significantly different in the two groups: p = 0.162, p = 0.110, p = 0.188, respectively. The logistic regression analysis for POP repair showed that group A has higher risk for failure (OR = 2.71; 95% CI: 1.31-5.61) and higher complication rate (OR = 2.38; 95% CI: 1.31-4.32). Patients who underwent surgery during educational course developed a poorer outcome after POP repair and higher complication rate.
- Subjects
URINARY incontinence treatment; PELVIC organ prolapse; UROGYNECOLOGY; UROGYNECOLOGIC surgery; HEALTH outcome assessment; SURGICAL complications
- Publication
International Urogynecology Journal, 2010, Vol 21, Issue 6, p693
- ISSN
0937-3462
- Publication type
Article
- DOI
10.1007/s00192-009-1086-4