Same-day surgery for pelvic organ prolapse and urinary incontinence: Assessing satisfaction and morbidity

Alexandriah N. Alas, Luis Espaillat, Leon Plowright, Vivian Aguilar, G. Willy Davila

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Introduction With vaginal hysterectomies and pelvic organ prolapse (POP) surgeries reclassified as outpatient surgeries in 2014, protocols had to be developed to minimize complications. Material and methods This was a prospective cohort of women undergoing same-day vaginal POP and urinary incontinence (UI) surgery. Primary aim was to assess patient satisfaction using a 10-point Likert scale (1=not satisfied, 10=very satisfied). Subjects completed the Quality of Recovery-15 (QoR-15) questionnaire prior to surgery, 48 hours postoperatively, and at 6-weeks. Results Sixty-one women were enrolled. Average operating time was 88.7±41.3 minutes. Almost all patients (95.1%) were discharged the same day. Three patients (4.9%) stayed overnight for conversion to a laparotomy, pain control, and leg neuropathy. Patient satisfaction was 9.3±1.6 and 9.4±1 at 48 hours and at 6-weeks, respectively. There was a difference in the postoperative QoR-15 score from baseline to 48 hours 137.2±12.4 vs. 127.1±22.1 (p=0042), but no difference at 6-weeks compared to baseline (p=0.3578). Complications up to 6-weeks postoperatively included emergency room presentation (4.9%), hematoma (3.3%), re-admission (3.3%), and urinary tract infection (1.6%). Conclusion Same-day vaginal surgeries are well tolerated with minimal complications and high satisfaction. Our outpatient surgery protocol can be used as a management option for outpatient gynecologic surgeries.

Original languageEnglish (US)
Pages (from-to)20-26
Number of pages7
JournalPerioperative Care and Operating Room Management
Volume5
DOIs
StatePublished - Dec 1 2016
Externally publishedYes

Keywords

  • Ambulatory surgery
  • Outpatient surgery
  • Pelvic organ prolapse
  • Same day surgery
  • Vaginal hysterectomy

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine
  • Medical–Surgical
  • Anesthesiology and Pain Medicine

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