Do Surgeons Anticipate Women’s Hopes and Fears Associated with Prolapse Repair? A Qualitative Analysis in the PROSPERE Trial

Women’s preoperative perceptions of pelvic-floor disorders may differ from those of their physicians. Our objective was to specify women’s hopes and fears before cystocele repair, and to compare them to those that surgeons anticipate. We performed a secondary qualitative analysis of data from the PROSPERE trial. Among the 265 women included, 98% reported at least one hope and 86% one fear before surgery. Sixteen surgeons also completed the free expectations-questionnaire as a typical patient would. Women’s hopes covered seven themes, and women’s fears eleven. Women’s hopes were concerning prolapse repair (60%), improvement of urinary function (39%), capacity for physical activities (28%), sexual function (27%), well-being (25%), and end of pain or heaviness (19%). Women’s fears were concerning prolapse relapse (38%), perioperative concerns (28%), urinary disorders (26%), pain (19%), sexual problems (10%), and physical impairment (6%). Surgeons anticipated typical hopes and fears which were very similar to those the majority of women reported. However, only 60% of the women reported prolapse repair as an expectation. Women’s expectations appear reasonable and consistent with the scientific literature on the improvement and the risk of relapse or complication related to cystocele repair. Our analysis encourages surgeons to consider individual woman’s expectations before pelvic-floor repair

Premiers résultats de la cure de prolapsus génital par prothèse vaginale en tension-free selon la technique Prolift® au CHU de Strasbourg

STRASBOURG-Medecine (674822101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Facteurs pronostiques de réséquabilité hystéroscopique des myomes sous-muqueux (à propos de 432 observations.)

STRASBOURG-Medecine (674822101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Mise en place de la chirurgie robotique dans un service de gynécologie (expérience du C.H.U. de Strasbourg)

STRASBOURG-Medecine (674822101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Peut-on traiter plus de 70% des grosesses extra-utérines médicalement ?

STRASBOURG-Medecine (674822101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Fertilité après grossesse extra-utérine (comparaison du traitement médical et du traitement chirurgical)

STRASBOURG-Medecine (674822101) / SudocSudocFranceF

IVG MEDICALE OU IVG CHIRURGICALE ? (A PROPOS D'UNE ETUDE D'OBSERVATION DE 750 CAS)

STRASBOURG-Medecine (674822101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Complications periopératoires de la colpospinofixation (à propos de 195 cas.)

STRASBOURG-Medecine (674822101) / SudocSTRASBOURG-Sc. et Techniques (674822102) / SudocSudocFranceF