Email this article Pelvic organ prolapse in women: what are the patient expectations of the prospective treatment?
- Authors: Korshunov M.Y.1
-
Affiliations:
- FSBEI HE “Academician I.P. Pavlov First St Petersburg State Medical University”
- Issue: Vol 66, No 4 (2017)
- Pages: 40-45
- Section: Articles
- URL: https://bakhtiniada.ru/jowd/article/view/6917
- DOI: https://doi.org/10.17816/JOWD66440-45
- ID: 6917
Cite item
Full Text
Abstract
Background. Personalized approach to the issue of pelvic organ prolapse in women assumes a detailed analysis of the patient’s expectations from the surgical treatment ahead.
Aim: detailing the treatment goals for patients with POP.
Materials and methods: Four hundred eighty six patients (mean age 54.3 ± 9.5 years) participated in a survey designed based on content from verbal reports of women with POP seeking medical help.
Results: Out of 9 presented options patients indicated 2–7 treatment goals. The most frequently specified main goals of the treatment were: cure of urinary incontinence (48.6%), correction of vaginal wall prolapse (27.1%), and improvement of quality of sexual life (10.3%).
Conclusion. Patients with POP indicate numerous objectives of surgical treatment. Treatment of urinary incontinence is the most frequently sought out main goal.
Full Text
##article.viewOnOriginalSite##About the authors
Mikhail Yu. Korshunov
FSBEI HE “Academician I.P. Pavlov First St Petersburg State Medical University”
Author for correspondence.
Email: mkorshunov@mail.ru
PhD, associated professor; Department of Obstetrics, Gynecology and Reproductology
Russian Federation, 6/9, Lva Tolstogo street, St. Petersburg, 197089References
- Краснопольский В.И., Буянова С.Н., Щукина Н.А., Попов А.А. Оперативная гинекология. – М.: МЕДпресс-информ, 2017. [Krasnopol’skiy VI, Buyano va SN, Shchukina NA, Popov AA. Operativnaya gine ko logiya. Moscow: MEDpress-inform; 2017. (In Russ.)]
- DeLancey JOL. The hidden epidemic of pelvic floor dysfunction: Achievable goals for improved prevention and treatment. Am J Obstet Gyn. 2005;192(5):1488-95. doi: 10.1016/j.ajog.2005.02.028.
- Davila GW. Optimizing safety and appropriateness of graft use in pelvic reconstructive surgery: introduction to the 2nd IUGA grafts roundtable. Int Urogynecol J. 2012;23(suppl. 1):3-6. doi: 10.1007/s00192-012-1676-4.
- Doaee M, Moradi-Lakeh M, Nourmohammadi A, et al. Management of pelvic organ prolapse and quality of life: a systematic review and meta-analysis. Int Urogynecol J. 2014;25(2):153-63. doi: 10.1007/s00192-013-2141-8.
- Schmid C, Maher C, Feiner B, et al. Cochrane review; surgical management of pelvic organ prolapse. 37th IUGA Annual Meeting. NY; 2012; Abstract 6.
- Шаболтас А.В. Психологические основы превенции ВИЧ-инфекции. – СПб.: Скифия-принт, 2015. [Shaboltas AV. Psikhologicheskie osnovy preventsii VICh-infektsii. Saint Petersburg: Skifiya-print; 2015. (In Russ.)]
- Brubaker L, Khullar V, Piault E, et al. Goal attainment scaling in patients with lower urinary tract symptoms: development and pilot testing of the Self-Assessment Goal Achievement (SAGA) questionnaire. Int Urogynecol J. 2011;22(8):937-46. doi: 10.1007/s00192-011-1382-7.
- Гусев А.Н., Уточкин И.С. Психологические измерения: теория, методы: общепсихологический практикум. – М.: Аспект Пресс, 2011. [Gusev AN, Utochkin IS. Psikhologicheskie izmereniya: teoriya, metody: obshchepsikhologicheskiy praktikum. Moscow: Aspekt Press; 2011. (In Russ.)]
- Романов К.М., Гагарина Ж.Г. Практикум по общей психологии. – М.: МПСИ, 2002. [Romanov KM, Gagarina ZhG. Praktikum po obshchey psikhologii. Moscow: MPSI; 2002. (In Russ.)]
- Новик А.А., Ионова Т.И., Кайнд П. Концепция исследования качества жизни в медицине. – СПб.: Элби, 1999. [Novik AA, Ionova TI, Kaynd P. Kontseptsiya issledovaniya kachestva zhizni v meditsine. Saint Petersburg: Elbi; 1999. (In Russ.)]
- Hullfish KL, Bovbjerg VE, Gibson J, Steers WD. Patient-centered goals for pelvic floor dysfunction surgery: What is success, and is it achieved? Am J Obstet Gyn. 2002;187(1):88-92. doi: 10.1067/mob.2002.124838.
- Elkadry EA, Kenton KS, FitzGerald MP, et al. Patient-selected goals: A new perspective on surgical outcome. Am J Obstet Gyn. 2003;189(6):1551-8. doi: 10.1016/S0002-9378(03)00932-3.
- Lowenstein L, FitzGerald MP, Kenton K, et al. Patient-selected goals: the fourth dimension in assessment of pelvic floor disorders. Int Urogynecol J. 2008;19(1): 81-4. doi: 10.1007/s00192-007-0390-0.
- Большой психологический словарь / Под ред. Б.Г. Мещерякова, В.П. Зинченко. – М.: Прайм-Еврознак, 2009. [Bol’shoy psikhologicheskiy slovar’. Ed by B.G. Meshcheryakov, V.P. Zinchenko. Moscow: Praym-Evroznak; 2009. (In Russ.)]
- Оксфордский толковый словарь по психологии: пер. с англ. / Под ред. А. Ребера. – М.: Вече АСТ, 2003. [Oksfordskiy tolkovyy slovar’ po psikhologii. Ed by A Reber. Moscow: Veche AST; 2003. (In Russ.)]
- Mahajan ST, Elkadry EA, Kenton KS, et al. Patient-centered surgical outcomes: The impact of goal achievement and urge incontinence on patient satisfaction one year after surgery. Am J Obstet Gyn. 2006;194(3):722-8. doi: 10.1016/j.ajog.2005.08.043.
Supplementary files
