The Emotional Burden of Pelvic Organ Prolapse in Women Seeking Treatment: A Qualitative Study.
OBJECTIVE
We aimed to qualitatively describe the emotional burden experienced by women seeking treatment for prolapse. We hypothesized that the condition of prolapse would have an impact on women's emotional well-being.


METHODS
Women with stage II or greater symptomatic prolapse participated in focus groups or individual phone interviews. A trained facilitator conducted semi-structured focus groups and interviews. These were audio-taped and transcribed. Two authors coded transcripts and identified themes using an "editing" approach. The codebook was amended until no new major themes emerged from the data.


RESULTS
Forty-four women participated (25 in focus groups and 19 in phone interviews). Mean (SD) age of women was 60 (10) years and mean (SD) prolapse leading edge was 3 (2) cm. Analysis revealed the following 3 main themes: (1) emotions associated with the condition of prolapse (minimal emotions, annoyance, irritation, frustration, anger, sadness, anxiety, depression), (2) communicating emotions related to prolapse (to friends, family, healthcare providers), and (3) emotions relating to treatment (both positive and negative effects).


CONCLUSIONS
Prolapse significantly impacts women's emotional health and subjective well-being. An improved understanding of women's emotional experiences of prolapse may help providers better meet patients' needs.
From the *Division of Urogynecology, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Pittsburgh, PA; †Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Washington University, St Louis, MO; ‡Department of Obstetrics and Gynecology, Kaiser Permanente West Los Angeles, Los Angeles, CA; §Division of Urogynecology, Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, Little Rock, AR; and ∥UPMC Center for High-Value Health Care, Pittsburgh, PA.
Chiara
C
Ghetti
Laura C
LC
Skoczylas
Sallie S
SS
Oliphant
Cara
C
Nikolajski
Jerry L
JL
Lowder
D000368:Aged; D004644:Emotions; D005260:Female; D017144:Focus Groups; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000523:psychology* / Q000628:therapy; D010414:Pennsylvania; D011446:Prospective Studies; D036301:Qualitative Research