Patients' pelvic goals change after initial urogynecologic consultation

Am J Obstet Gynecol. 2007 Dec;197(6):640.e1-3. doi: 10.1016/j.ajog.2007.08.021.

Abstract

Objective: The objective of the study was to determine the effect of initial urogynecologic consultation on the number and type of patient goals.

Study design: 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).

Conclusion: Urogynecologic consultation affects patients' goals. It is important to reassess goals following initial consultation.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Goals*
  • Humans
  • Middle Aged
  • Referral and Consultation*
  • Urinary Incontinence / psychology
  • Urinary Incontinence / surgery*
  • Urogenital Surgical Procedures / psychology*
  • Uterine Prolapse / psychology
  • Uterine Prolapse / surgery*