Incontinence Clinical Trial
Official title:
Enhancing Patient Recall in Urogynecologic Surgery
Patient counseling is an essential part of any new treatment implementation. This process
becomes even more important when it involves surgical counseling. This is when the patient
and the surgeon discuss the possible surgical options and ideally establish a plan for the
appropriate surgical intervention. Unfortunately, multiple studies have shown that patients
tend to have poor recall of the key elements discussed during the consultation (1-3). In the
investigators' experience, the concern lies specifically in the level of recall that patients
have regarding their planned surgical procedure, as most patients cannot correctly state the
planned intervention despite extensive counseling and explanation. Lack of knowledge about
the type of surgery can have serious implications for the patient in the future. For example,
knowing facts like the presence or absence of the cervix and whether future pap smears are
needed or the presence of an implant, such as a mesh are necessary for the patient's
well-being and proper medical care down the line, especially when the patient has multiple
medical providers. In addition, previous research has demonstrated that low-quality
counseling and the feeling of being "unprepared for surgery" directly correlate with patient
dissatisfaction (4). This is especially relevant in the field of female pelvic reconstructive
surgery, where the success of surgical interventions relies heavily upon subjective
patient-reported outcomes (5).
There have been many studies to augment the counseling process using supplemental materials.
These have included use of multiple visual charts, anatomical models, and passive and
interactive audiovisual aids (6). Some improvement in the outcomes has been observed in
various fields of medicine with the dissemination of supplemental patient resources (7-10).
However, in urogynecology, the effectiveness of surgical counseling sessions has not been
achieved despite the different additional methods for patient education (6, 11). Reasons that
urogynecologic supplemental materials have not seen the same level of success as those in
other fields of medicine include the complexity of the surgeries and the language used in
many of these educational aids (12). The investigators aim to address the problem of poor
patient recall of their procedure by providing them with an easy-to-read patient card
detailing the anticipated surgery at the time of their consult.
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