Skip to main content

Advertisement

SpringerLink
Log in

Patient experiences following prolapse surgery implementing a same-day discharge model: a prospective study

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Introduction and hypothesis

Previous research has not evaluated patient experiences following vaginal reconstructive surgery using a same-day discharge model. The objective of this study was to describe patient experiences following major vaginal reconstructive surgery and same-day discharge.

Methods

In this descriptive study, patients undergoing vaginal hysterectomy with pelvic reconstruction were preoperatively enrolled. Questionnaires detailing experience with same-day discharge, surgical recovery, and advice for prospective patients were completed. Our primary outcome was question 7 of the Surgical Satisfaction Questionnaire: Looking back, if you “had to do it all over again” would you have the surgery again? Descriptive statistics were performed, and correlations were performed with Spearman’s rank test.

Results

Sixty patients were enrolled; 54 underwent surgery. Eighty-seven percent of patients completed the 12-week questionnaire. At 12 weeks, 96% of patients (n = 45) would have the surgery again, and 91% (n = 42) were satisfied with the results of surgery. Twelve weeks postoperatively, the most common patient-reported complications were urinary tract infection (n = 8, 17%), catheter concerns (n = 5, 11%), and constipation (n = 5, 11%). When asked to list the best parts of their surgical experience, half of patients felt that this was the office staff or physician themselves (n = 24, 51%). When asked what advice they would provide to future patients, the most common responses included having a support person at home and taking time for recovery.

Conclusions

In this sample of women receiving same-day discharge following vaginal hysterectomy with pelvic reconstruction, we present a unique insight into the most common patient concerns postoperatively. Rates of satisfaction and comfort were high.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

Data availability

Data supporting the findings of this study are available upon request.

References

  1. Lloyd JC, Guzman-Negron J, Goldman HB. Feasibility of same day discharge after robotic assisted pelvic floor reconstruction. Can J Urol. 2018;25(3):9307–12.

    PubMed  Google Scholar 

  2. Evans S, Myers EM, Vilasagar S. Patient perceptions of same-day discharge after minimally invasive gynecologic and pelvic reconstructive surgery. Am J Obstet Gynecol. 2019;221(6):621.e1–7.

    Article  PubMed  Google Scholar 

  3. Romanova AL, Carter-Brooks C, Ruppert KM, Zyczynski HM. 30-Day unanticipated healthcare encounters after prolapse surgery: impact of same day discharge. Am J Obstet Gynecol. 2020;222(5):482.e1–8.

    Article  PubMed  Google Scholar 

  4. Berger AA, Tan-Kim J, Menefee SA. Comparison of 30-day readmission after same-day compared with next-day discharge in minimally invasive pelvic organ prolapse surgery. Obstet Gynecol. 2020;135(6):1327–37.

    Article  PubMed  CAS  Google Scholar 

  5. Mathew M, Mendez AG, Syan R, Martin L, Amin K. Patient perspectives toward undergoing same-day discharge for apical pelvic organ prolapse repair surgery during the COVID-19 pandemic. Urol Pract. 2022;9(3):229–36. https://doi.org/10.1097/UPJ.0000000000000296

    Article  PubMed  Google Scholar 

  6. Zillioux J, Werneburg GT, Goldman HB. Same-day discharge across FPMRS surgical cases is safe and feasible: a 10-year single-surgeon experience. Neurourol Urodyn. 2021;40(7):1754–60.

    Article  PubMed  Google Scholar 

  7. Liu L, Yi J, Cornella J, Butterfield R, Buras M, Wasson M. Same-day discharge after vaginal hysterectomy with pelvic floor reconstruction: pilot study. J Minim Invasive Gynecol. 2020;27(2):498–503.e1.

    Article  PubMed  Google Scholar 

  8. Evans S, Snook L, Yates T, Bundy H, Abimbola O, Myers EM. Patient experience with enhanced recovery and early discharge after minimally invasive sacrocolpopexy: a qualitative study. Int Urogynecol J. 2021;32(2):387–94.

    Article  PubMed  Google Scholar 

  9. Kenton K, Pham T, Mueller E, Brubaker L. Patient preparedness: an important predictor of surgical outcome. Am J Obstet Gynecol. 2007;197(6):654.e1–6.

    Article  PubMed  Google Scholar 

  10. Brubaker L, Litman HJ, Rickey L, et al. Surgical preparation: are patients “ready” for stress urinary incontinence surgery? Int Urogynecol J. 2014;25(1):41–6. https://doi.org/10.1007/s00192-013-2184-x.

    Article  PubMed  CAS  Google Scholar 

  11. Elkadry EA, Kenton KS, FitzGerald MP, Shott S, Brubaker L. Patient-selected goals: a new perspective on surgical outcome. Am J Obstet Gynecol. 2003;189(6):1551–7; discussion 1557–8.

    Article  PubMed  Google Scholar 

  12. Trowbridge ER, Evans SL, Podwika S, Subbarao S, Sarosiek BM, Hullfish KL. Enhanced recovery after urogynecologic surgery: a survey of patient experience. Urogynecology. 2022;28(4):225–32.

    Google Scholar 

  13. O’Meara A, LaSala C, Rameseshan A, O’Sullivan DM, Tunitsky-Bitton E. Patient-initiated telephone calls before and after introduction of an enhanced recovery after surgery protocol for female pelvic reconstructive surgery. Urogynecology. 2022;28(12):848–54.

    Article  PubMed  Google Scholar 

  14. Barber MD, Janz N, Kenton K, et al. Validation of the surgical pain scales in women undergoing pelvic reconstructive surgery. Female Pelvic Med Reconstr Surg. 2012;18(4):198–204.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Haff RE, Stoltzfus J, Lucente VR, Murphy M. The Surgical Satisfaction Questionnaire (SSQ-8): a validated tool for assessment of patient satisfaction following surgery to correct prolapse and/or incontinence. J Minim Invasive Gynecol. 2011;18(6):S49–50.

    Article  Google Scholar 

  16. Shatkin-Margolis A, Yook E, Hill AM, et al. Self-removal of a urinary catheter after urogynecologic surgery: a randomized controlled trial. Obstet Gynecol. 2019;134(5):1027–36.

    Article  PubMed  Google Scholar 

  17. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373–83.

    Article  PubMed  CAS  Google Scholar 

  18. Mahajan ST, Elkadry EA, Kenton KS, Shott S, Brubaker L. Patient-centered surgical outcomes: the impact of goal achievement and urge incontinence on patient satisfaction one year after surgery. Am J Obstet Gynecol. 2006;194(3):722–8.

    Article  PubMed  Google Scholar 

  19. Hullfish KL, Bovbjerg VE, Gibson J, Steers WD. Patient-centered goals for pelvic floor dysfunction surgery: what is success, and is it achieved? Am J Obstet Gynecol. 2002;187(1):88–92.

    Article  PubMed  Google Scholar 

  20. Dunivan GC, Sussman AL, Jelovsek JE, et al. Gaining the patient perspective on pelvic floor disorders’ surgical adverse events. Am J Obstet Gynecol. 2019;220(2):185.e1–10.

    Article  PubMed  Google Scholar 

  21. Dunivan GC, McGuire BL, Rishel Brakey HA, Komesu YM, Rogers RG, Sussman AL. A longitudinal qualitative evaluation of patient perspectives of adverse events after pelvic reconstructive surgery. Int Urogynecol J. 2019;30(12):2023–8.

    Article  PubMed  Google Scholar 

  22. Hennink M, Kaiser B. Sample sizes for saturation in qualitative research: a systematic review of empirical tests. Soc Sci Med. 2022;292:114523.

    Article  PubMed  Google Scholar 

  23. Pilzek AL, Raker CA, Sung VW. Are patients’ personal goals achieved after pelvic reconstructive surgery? Int Urogynecol J. 2014;25(3):347–50.

    Article  PubMed  Google Scholar 

  24. Aldrich E, Tam T, Saylor L, Crisp CC, Yeung J, Pauls RN. Intrarectal diazepam following pelvic reconstructive surgery: a double-blind, randomized placebo-controlled trial. Am J Obstet Gynecol. 2022;227(2):302.e1–9.

    Article  PubMed  CAS  Google Scholar 

  25. Vierhout ME. Prolonged catheterization after vaginal prolapse surgery. Acta Obstet Gynecol Scand. 1998;77(10):997–9.

    Article  PubMed  CAS  Google Scholar 

  26. Ramaseshan AS, LaSala C, O’Sullivan DM, Steinberg AC. Patient-initiated telephone calls in the postoperative period after female pelvic reconstructive surgery. Urogynecology. 2020;26(10):626–9.

    Google Scholar 

Download references

Acknowledgements

Jonathan Hoehn, MS, Research Statistician, Hatton Research Institute; Jennifer Hodge, RN, BSN, Clinical Research Nurse, Hatton Research Institute.

Funding

Funding was provided by the TriHealth Medical Education Research Fund. The funding source had no role in the development, data collection or analysis, or writing of this report.

Author information

Authors and Affiliations

  1. Department of Urogynecology, TriHealth, Cincinnati, OH, USA

    Emily R. Aldrich, Kelsey E. Lewis, Marlana M. Mcdowell, Jennifer Yeung, Catrina C. Crisp & Rachel N. Pauls

Authors
  1. Emily R. Aldrich
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kelsey E. Lewis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Marlana M. Mcdowell
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jennifer Yeung
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Catrina C. Crisp
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Rachel N. Pauls
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

E.R. Aldrich: project development, data collection, data analysis, manuscript writing; K.E. Lewis: data collection, manuscript editing; M.M. McDowell: data collection, manuscript editing; J. Yeung: project development, manuscript editing; C.C. Crisp: project development, manuscript editing; R.N. Pauls: project development, data analysis, manuscript writing.

Corresponding author

Correspondence to Emily R. Aldrich.

Ethics declarations

Conflicts of interest

None.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Below are the links to the electronic supplementary material.

Supplementary file1 (DOCX 59 KB)

Supplementary file2 (DOCX 58 KB)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Aldrich, E.R., Lewis, K.E., Mcdowell, M.M. et al. Patient experiences following prolapse surgery implementing a same-day discharge model: a prospective study. Int Urogynecol J 34, 3005–3011 (2023). https://doi.org/10.1007/s00192-023-05649-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-023-05649-4

Keywords

Search

Navigation