title: Patient beliefs regarding hysterectomy in women seeking surgery for pelvic organ prolapse: findings in a predominantly Hispanic population.
abstract: OBJECTIVE
  This study aimed to determine the proportion of women who opt for hysterectomy when seeking care for pelvic organ prolapse and the factors important in their decision making.
  
  
  METHODS
  One hundred twenty-four patients from July 2011 through August 2012 seeking care for pelvic organ prolapse were recruited to complete a questionnaire regarding their beliefs about uterine preservation at the time of prolapse repair, as well as the PFDI-7 and PSIQ-12. Patients completed a questionnaire before physician consultation that included demographic data, beliefs regarding the social, sexual, and emotional impact of hysterectomy, and sources of information.
  
  
  RESULTS
  The women were predominantly Hispanic (77.4%), postmenopausal (65.3%), and sexually active (42.7%). Almost half of the women had a limited education level, defined as no high school degree (49.2%), and the majority of the women had an annual income of less than $25,000 (66.9%). Thirty-one percent of patients desired to retain their uterus at the time of prolapse repair when given the choice. Most patients received information from their health care provider and family members, very few from the Internet or media sources.
  
  
  CONCLUSIONS
  Thirty-one percent of the largely Hispanic women with lower income in this study would choose to preserve their uterus at the time of prolapse repair, a proportion lower than what was reported from previous studies performed in white women with higher income.
authors.affiliation: From the *Department of Obstetrics and Gynecology, Kaiser Permanente Southern California, Downey; †Division of Female Pelvic Medicine and Reconstructive Surgery, Harbor-UCLA Medical Center, Torrance; and ‡David Geffen School of Medicine at UCLA, Los Angeles, CA.
authors.forename: Keri
authors.initials: K
authors.lastname: Wong
authors.forename: Sharon
authors.initials: S
authors.lastname: Jakus-Waldman
authors.forename: Tajnoos
authors.initials: T
authors.lastname: Yazdany
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D007044:Hysterectomy / Q000523:psychology*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000523:psychology / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D012725:Sexual Behavior; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014599:Uterus / Q000601:surgery*