Patients' pelvic goals change after initial urogynecologic consultation.
OBJECTIVE
The objective of the study was to determine the effect of initial urogynecologic consultation on the number and type of patient goals.


METHODS
Charts of women who underwent initial urogynecology consultation were reviewed. Patient goals were collected before and after their consultation. Investigators categorized goals into 6 categories. Category and number of goals were compared before and after their first visit. Predictors of change and clinical associations were assessed.


RESULTS
Sixty-three women with a mean age of 53 (range, 18-83) years reported a total number of 313 goals. The number of patients' postconsultation goals was higher than the number of preconsultation goals, (median of 3 +/- 1.2 vs 2 +/- 1.2, respectively; P < .003). Women were less likely to report" symptom" and "information-seeking" goals (P < .002 and P < .03, respectively) but more likely to report treatment goals after consultation (P < .001).


CONCLUSIONS
Urogynecologic consultation affects patients' goals. It is important to reassess goals following initial consultation.
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology and Urology, Loyola University Medical Center, Maywood, IL, USA. llowenstein@lumc.edu
Lior
L
Lowenstein
Kimberly
K
Kenton
Kristen
K
Pierce
Mary P
MP
Fitzgerald
Elizabeth R
ER
Mueller
Linda
L
Brubaker
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006040:Goals; D006801:Humans; D008875:Middle Aged; D012017:Referral and Consultation; D014549:Urinary Incontinence / Q000523:psychology / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000523:psychology*; D014596:Uterine Prolapse / Q000523:psychology / Q000601:surgery*