Pelvic organ prolapse patients' attitudes and preferences regarding their uterus: comparing German- and Russian-speaking women.
Int Urogynecol J
; 30(12): 2077-2083, 2019 12.
Article
en En
| MEDLINE
| ID: mdl-31028419
ABSTRACT
INTRODUCTION AND HYPOTHESIS:
The aim of this study was to compare preferences of patients with pelvic organ prolapse (POP) regarding their uterus between German- and Russian-speaking areas.METHODS:
Six urogynecologic tertiary referral centers participated in this prospective study three centers from German-speaking countries and three from different regions of Russia. To assess the uterus-related preferences as well as the attitude toward hysterectomy versus uterus-sparing prolapse surgery, we developed a structured questionnaire that included 5-point Likert scales related to benefit of uterus (BOU) and benefit of not having uterus (BNU). Each scale consisted of 12 items (range of possible scores 12-60). Finally, patients were asked if they preferred uterus removal or preservation when undergoing prolapse surgery.RESULTS:
One hundred and seventy-eight German-speaking and 206 Russian-speaking patients were included in the study. There was no significant difference in patients' preference before undergoing POP surgery regarding uterus preservation versus hysterectomy between German- and Russian-speaking patients 40% of German-speaking and 54% of Russian-speaking patients preferred to retain their uterus before undergoing POP surgery. Comparison of BOU mean scores showed a significant difference between groups 20.6 ± 6.7 for German-speaking compared with 32.5 ± 9.1 for Russian-speaking patients (p < 0.01). The Russian-speaking group had significantly higher mean scores on domains sexuality, body image, and partnership of the BOU scale (2.6 ± 1.0 vs. 1.8 ± 0.9 for sexuality; 2.4 ± 1.1 vs. 1.5 ± 0.7 for body image, and 2.6 ± 0.9 vs. 1.6 ± 0.7 for partnership domains; p < 0.05).CONCLUSIONS:
Although a large proportion of German- and Russian-speaking patients prefers uterus preservation when undergoing prolapse surgery, the uterus was more important for sexuality, partnership, and body image in Russian-speaking patients.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Actitud Frente a la Salud
/
Prolapso de Órgano Pélvico
/
Prioridad del Paciente
/
Tratamientos Conservadores del Órgano
/
Histerectomía
Tipo de estudio:
Observational_studies
/
Qualitative_research
Límite:
Adult
/
Female
/
Humans
/
Middle aged
País/Región como asunto:
Asia
/
Europa
Idioma:
En
Revista:
Int Urogynecol J
Asunto de la revista:
GINECOLOGIA
/
UROLOGIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Austria