Patients of surgical educational course may have a poorer outcome for pelvic organ prolapse repair and higher complication rate: a case-control study in urogynecology.
OBJECTIVE
To investigate the outcome of the surgical educational course setting in patients undergoing urinary incontinence (UI)/pelvic organ prolapse (POP) repair.


METHODS
A case-control study of patients who underwent surgery for UI and/or POP during educational post-graduate courses (group A) or during routine hospital work (control--group B). The primary outcome measures were changes in the incontinence rate, presence/absence of POP, and complications. For 2 x 2 tables, chi (2) test was used. Multivariate logistic regression models were developed.


RESULTS
One hundred eighty-six patients belonged to group A and 158 to group B; median follow-up was 46.7 months. Failure, complication, and re-operation rates for UI repair were not significantly different in the two groups: p = 0.162, p = 0.110, p = 0.188, respectively. The logistic regression analysis for POP repair showed that group A has higher risk for failure (OR = 2.71; 95% CI: 1.31-5.61) and higher complication rate (OR = 2.38; 95% CI: 1.31-4.32).


CONCLUSIONS
Patients who underwent surgery during educational course developed a poorer outcome after POP repair and higher complication rate.
Department of Medical-Surgical Specialties and Public Health, Urology and Andrology Section, Ospedale S Maria della Misericordia Loc S Andrea delle Fratte, Perugia 06100, Italy.
Massimo
M
Porena
Massimo
M
Lazzeri
Vittorio
V
Bini
Alessandro
A
Zucchi
Michele
M
del Zingaro
Elisabetta
E
Costantini
D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D002983:Clinical Competence; D004502:Education, Medical, Continuing; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000193:education*; D006784:Hospitals, Teaching; D006801:Humans; D008875:Middle Aged; D016017:Odds Ratio; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011788:Quality of Life; D020127:Recovery of Function; D014549:Urinary Incontinence / Q000150:complications / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000193:education*; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*