E-Posters-10029

10029_Wang

Pdf Summary

This study aimed to identify predictors of treatment choices among patients with pelvic organ prolapse or urinary incontinence. A retrospective study of 100 patients was conducted, and logistic regressions were performed to analyze the data.<br /><br />The results showed that treatment options for pelvic floor disorders vary widely, ranging from lifestyle modifications to surgical interventions. Previous studies have shown that patients with pessary complications, stress urinary incontinence, and younger patients are more likely to choose surgical treatment. However, predictors favoring conservative options remain elusive.<br /><br />The choice for surgical management varied depending on the reason for referral. Among patients referred for overactive bladder (OAB), only 5% chose surgery, while 14% chose surgery for stress urinary incontinence (SUI) and 48% chose surgery for prolapse. Patients referred for more than one of these reasons had an 11% surgery rate. Evaluation by a specialist in the past may be a significant predictor for patients referred with multiple diagnoses.<br /><br />Race, hypertension, diabetes, prior anti-incontinence surgery, and pelvic floor quality of life were not significant predictors of treatment choices.<br /><br />In conclusion, this study identified factors associated with treatment choices among patients with pelvic floor disorders. Surgical options were more commonly chosen for prolapse and SUI, while conservative options were preferred for OAB. Further research is needed to explore the roles of other potential predictors in treatment decision-making.

Keywords

treatment choices

pelvic organ prolapse

urinary incontinence

retrospective study

surgical interventions

conservative options

stress urinary incontinence

prolapse

specialist evaluation

treatment decision-making