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- Title
Comparative analyses of attitude, knowledge, and recollection of preoperative counseling regarding pelvic mesh among women with or without a mesh-related complication.
- Authors
Hobson, Deslyn T. G.; Kinman, Casey L.; Gaskins, Jeremy T.; Francis, Sean L.; McKenzie, Collin M.; Stewart, J. Ryan; Gupta, Ankita S.; Meriwether, Kate V.
- Abstract
Purpose: Our objective was to compare the recollection of preoperative counseling regarding mesh for pelvic organ prolapse (POP) and/or stress urinary incontinence (SUI) among women with or without a mesh-related complication (MRC). We hypothesized that the patients who had MRC would better recollect counseling regarding complications associated with mesh. Methods: We conducted a retrospective cohort study among women who had prior implantation of synthetic, non-absorbable mesh for POP and/or SUI at least 3 months prior who presented with or without a MRC. The primary outcome was the proportion of women who recalled being counseled preoperatively about the risk of mesh exposure. Results: Ninety-six women were included in the final analysis (50 MRC; 46 no MRC). MRC women presented further in time from the index surgery [median 69 months [IQR 26–115] vs 12 months (IQR 6–64), p < 0.01]. After adjustment for time since surgery and age, MRC women were significantly less likely to recall being counseled about the possibility of any MRC [19/50 (38%) vs 32/44 (73%), aOR 0.29, 95% CI 0.11–0.79, p = 0.01]. They were also less likely to report they would undergo the same surgery again 5-point Likert scale [median 3 (IQR 1–4) vs 5 (IQR 3–5), 5-point Likert scale, p < 0.01], less satisfied with their mesh surgery [median 1 (IQR 1–3) vs 5 (IQR 3–5), 5-point Likert scale, p < 0.01] and recommended improved preoperative counseling [27/50 (54%) vs 6/46 (13%), p < 0.01]. Conclusion: Women who experienced MRC were less likely to recall being counseled about the possibility of MRC and report more unmet needs regarding perioperative counseling than women without MRC.
- Subjects
PELVIC examination; COUNSELING; URINARY stress incontinence; PELVIC organ prolapse; RECOLLECTION (Psychology); LIKERT scale; LONG-acting reversible contraceptives
- Publication
Archives of Gynecology & Obstetrics, 2021, Vol 303, Issue 5, p1263
- ISSN
0932-0067
- Publication type
Article
- DOI
10.1007/s00404-020-05919-2