E-Posters-10127

10127_Jiang

Pdf Summary

This study aimed to determine if the treatment recommendations for pelvic organ prolapse (POP) outlined by the American Congress of Obstetricians and Gynecologists (ACOG) and the American Urogynecologic Society (AUGS) are being followed by different types of healthcare providers. The study involved a retrospective chart review of 520 patients with a diagnosis of POP who were treated at Wake Forest Baptist Medical Center between 2011 and 2015. Patients were divided into three groups based on the specialty of the provider they initially consulted with: Female Pelvic Medicine and Reconstructive Surgery (FPMRS), Urology, and General Gynecology (GYN). The results were then analyzed using descriptive statistics.<br /><br />The study found that FPMRS specialists were more likely to measure and report the severity of prolapse using the Pelvic Organ Prolapse Quantification System (POP-Q) during the initial consultation. General GYNs and FPMRS specialists were also more likely to counsel patients for pessary use, a non-surgical management option, compared to Urologists. Despite these differences in counseling, most patients at the initial consult preferred surgical management over expectant management or pessary use.<br /><br />The study has a few limitations, such as the limited number of providers from one academic center and the predominantly Caucasian population. However, the findings highlight the varying management approaches among different provider types for POP. The authors suggest that further research is needed to better understand the impact of provider specialty on treatment choices and patient outcomes in the management of POP. Overall, the study provides insights into the differences in management approaches for POP and the need for adherence to established treatment guidelines.

Keywords

treatment recommendations

pelvic organ prolapse

healthcare providers

retrospective chart review

provider specialty

counseling

surgical management

expectant management

patient outcomes

treatment guidelines