title: Between hope and fear: patient's expectations prior to pelvic organ prolapse surgery.
abstract: OBJECTIVE
  The aim of our study was to analyse the patient's expectations (fears and goals (hopes)) in women who are scheduled for pelvic organ prolapse (POP) surgery.
  
  
  METHODS
  All consecutive women awaiting surgery for POP in a tertiary urogynaecological centre were included. A short questionnaire with two open questions on goals and fears with regard to the operation was used.
  
  
  RESULTS
  Ninety-six out of 111 distributed questionnaires (86%) were analysed. Goals and fears were categorized into five groups. De novo symptoms (63%), POP recurrence (34%) and surgical complications (29%) were the most important fears. Symptom release (96%), improved lifestyle (physical capabilities; 30%) and improved sexual life (18%) were important goals.
  
  
  CONCLUSIONS
  A wide variety of expectations both positive and negative can be found in women before POP surgery and should be an integral part of preoperative counselling. Achieving the individual goals as based on expectations, positive (goals) and negative (fears), should be part of the POP surgery evaluation.
authors: 791 Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, the Netherlands. s.lawndy@hotmail.com
authors: Sameh S S
authors: SS
authors: Lawndy
authors: Mariella I
authors: MI
authors: Withagen
authors: Kirsten B
authors: KB
authors: Kluivers
authors: Mark E
authors: ME
authors: Vierhout
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