title: Feasibility and patient satisfaction with pelvic organ prolapse and urinary incontinence day surgery.
abstract: We performed a prospective cohort study to characterize the feasibility of urinary stress incontinence and pelvic organ prolapse surgery in day care. Two hundred and one women were prepared for day surgery by a standardised protocol; 132 women underwent a single Tension-free Vaginal Tape/Tension-free Vaginal Tape-Obturator procedure, and 69 women had additional or only pelvic organ prolapse surgery. The main outcome measures were complications, satisfaction score and recommendation to others, recorded after 3 days and 6-10 weeks. We found that it is feasible and safe to perform pelvic organ prolapse and urinary incontinence surgery in day care. Patients' satisfaction is high in all aspects of care and the majority would recommend it to others. In multivariate logistic regression analysis, only dissatisfaction with the care provided by the staff of the surgical ward was significantly associated with a negative recommendation to others (odds ratio 7.3, 95% confidence interval 1.6-33.5).
authors.affiliation: Department of Perinatology and Gynecology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands. h.vandervaart@planet.nl
authors.forename: C H
authors.initials: CH
authors.lastname: van der Vaart
authors.forename: B H C
authors.initials: BH
authors.lastname: Lamers
authors.forename: A P M
authors.initials: AP
authors.lastname: Heintz
mesh_terms: D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000523:psychology; D019072:Antibiotic Prophylaxis; D001294:Attitude to Health; D002408:Catheters, Indwelling; D015331:Cohort Studies; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011446:Prospective Studies; D012449:Safety; D053825:Suburethral Slings; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000293:injuries; D014546:Urinary Catheterization / Q000295:instrumentation; D014550:Urinary Incontinence, Stress / Q000523:psychology / Q000601:surgery*; D016055:Urinary Retention / Q000209:etiology / Q000628:therapy; D014596:Uterine Prolapse / Q000523:psychology / Q000601:surgery*