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Randomized Controlled Trial
. 2014 Jan;25(1):41-6.
doi: 10.1007/s00192-013-2184-x. Epub 2013 Aug 3.

Surgical preparation: are patients "ready" for stress urinary incontinence surgery?

L Brubaker  1 , H J Litman, L Rickey, K Y Dyer, A D Markland, L Sirls, P Norton, E Casiano, M F R Paraiso, C Ghetti, D D Rahn, J W Kusek
Affiliations
Randomized Controlled Trial

Surgical preparation: are patients "ready" for stress urinary incontinence surgery?

L Brubaker et al. Int Urogynecol J. 2014 Jan.

Abstract

Introduction and hypothesis: Patient preparedness for stress urinary incontinence (SUI) surgery is associated with improvements in post-operative satisfaction, symptoms and quality of life (QoL). This planned secondary analysis examined the association of patient preparedness with surgical outcomes, treatment satisfaction and quality of life.

Methods: The ValUE trial compared the effect of pre-operative urodynamic studies with a standardized office evaluation of outcomes of SUI surgery at 1 year. In addition to primary and secondary outcome measures, patient satisfaction with treatment was measured using a five-point Likert scale (very dissatisfied to very satisfied) that queried subjects to rate the treatment's effect on overall incontinence, urge incontinence, SUI, and frequency. Preparedness for surgery was assessed using an 11-question Patient Preparedness Questionnaire (PPQ).

Results: Based on PPQ question 11, 4 out of 5 (81 %) of women reported they "agreed" or "strongly agreed" that they were prepared for surgery. Selected demographic and clinical characteristics were similar in unprepared and prepared women. Among SUI severity baseline measures, total UDI score was significantly but weakly associated with preparedness (question 11 of the PPQ; Spearman's r = 0.13, p = 0.001). Although preparedness for surgery was not associated with successful outcomes, it was associated with satisfaction (r s = 0.11, p = 0.02) and larger PGI-S improvement (increase; p = 0.008).

Conclusions: Approximately half (48 %) of women "strongly agreed" that they felt prepared for SUI. Women with higher pre-operative preparedness scores were more satisfied, although surgical outcomes did not differ.

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Figures

Figure 1
Figure 1
Patient Preparedness Questionnaire
Figure 2
Figure 2
Patients’ preparedness for the planned surgery (responses from questions 6-11 listed in Figure 1)
Figure 3
Figure 3
Patients’ understanding of the planned surgery (responses from questions 1-5 listed in Figure 1)
See this image and copyright information in PMC

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