Pd24-02 Randomized Controlled Study on Patient Satisfaction and Preoperative Preparedness Using a Redesigned Handout for Robotic Sacrocolpopexy

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Female Pelvic Organ Prolapse and Reconstructive Surgery (Including Non-trauma Related Fistula and Urethral Diverticulum) (PD24)1 May 2024PD24-02 RANDOMIZED CONTROLLED STUDY ON PATIENT SATISFACTION AND PREOPERATIVE PREPAREDNESS USING A REDESIGNED HANDOUT FOR ROBOTIC SACROCOLPOPEXY Christine Herforth, Jessie Chen, Paige Kuhlmann, Alana Christie, Gary Lemack, Ramy Goueli, Philippe Zimmern, and Maude Carmel Christine HerforthChristine Herforth , Jessie ChenJessie Chen , Paige KuhlmannPaige Kuhlmann , Alana ChristieAlana Christie , Gary LemackGary Lemack , Ramy GoueliRamy Goueli , Philippe ZimmernPhilippe Zimmern , and Maude CarmelMaude Carmel View All Author Informationhttps://doi.org/10.1097/01.JU.0001008840.07763.8d.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Patient satisfaction with prolapse surgery often relates to preoperative counseling and patient's preparedness for surgery. Our objective was to assess the effect of an improved handout on patients' perception of preparedness for robot-assisted sacrocolpopexy (RASC) and overall satisfaction. METHODS: After IRB approval, women undergoing RASC were prospectively randomized to receive the standard (control) or improved (treatment) handout at their preop appointment. The standard handout was based off of the International Urogynecological Association "Sacrocolpopexy" handout (www.YourPelvicFloor.org). The improved handout was written at a lower reading level and included information on surgical technique, preop medication management, inpatient expectations, postop pain and constipation management, and postop limitations. Patients were surveyed at their 4-week postop visit to determine preparedness for surgery, use of various information sources, and overall satisfaction. Length of hospital stay, complication rates, postop calls/queries, narcotic use, constipation, and ER visits were also assessed. RESULTS: Fifty-one women undergoing RASC were randomized to the standard or improved preop handout. Postop surveys were available in 38 of them. Baseline demographics and hospital course were similar in each group. The majority of patients in each group had more than a high school degree. No differences in the number of postop calls and queries were noted, however calls regarding pain and UTI symptoms were higher in the treatment group (p<0.05). Patients reporting overall satisfied or extremely satisfied were similar between the groups (100% vs 94% for control and treatment, respectively, p=0.9). Patients reported feeling prepared prior to surgery (95% vs 100% for control and treatment, respectively, p=0.9) (Table 1). CONCLUSIONS: RASC is a quality-of-life surgery with overall high satisfaction rates. A more informative preop handout did not change overall patient satisfaction or sense of preparedness in this highly educated and satisfied population. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e530 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Christine Herforth More articles by this author Jessie Chen More articles by this author Paige Kuhlmann More articles by this author Alana Christie More articles by this author Gary Lemack More articles by this author Ramy Goueli More articles by this author Philippe Zimmern More articles by this author Maude Carmel More articles by this author Expand All Advertisement PDF downloadLoading ...