Between hope and fear: patient’s expectations prior to pelvic organ prolapse surgery
Open accessAbstract
INTRODUCTION AND HYPOTHESIS: The aim of our study was to analyse the patient's expectations (fears and goals (hopes)) in women who are scheduled for pelvic organ prolapse (POP) surgery. METHODS: All consecutive women awaiting surgery for POP in a tertiary urogynaecological centre were included. A short questionnaire with two open questions on goals and fears with regard to the operation was used. RESULTS: Ninety-six out of 111 distributed questionnaires (86%) were analysed. Goals and fears were categorized into five groups. De novo symptoms (63%), POP recurrence (34%) and surgical complications (29%) were the most important fears. Symptom release (96%), improved lifestyle (physical capabilities; 30%) and improved sexual life (18%) were important goals. CONCLUSIONS: A wide variety of expectations both positive and negative can be found in women before POP surgery and should be an integral part of preoperative counselling. Achieving the individual goals as based on expectations, positive (goals) and negative (fears), should be part of the POP surgery evaluation.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The mismatch between expectations and goals may be influenced by inadequate counselling, poor 'customer' care, consideration of the impact of prolapse on body image, sexual function, and perhaps other indirect effects; those on a woman's anxiety, depression, and cognitive state.
“This mismatch, and that between expectations and goals, may be influenced by inadequate counselling, poor ‘customer’ care, consideration of the impact of prolapse on body image, sexual function, and perhaps other indirect effects; those on a woman's anxiety, depression, and cognitive state [25, 26, 27, 28, 29].”
From How Can We Improve the Assessment and Indifferent Outcomes From Pelvic Organ Prolapse Management From Conservative and Surgical Therapies? ICI‐RS 2025 (2026) · cites this paper as [29]
Split into 2 atoms — 0 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence
OLSEN, A., SMITH, V, BERGSTROM, J., COLLING, J., & CLARK, A. (1997) · Obstetrics & Gynecology · doi:10.1016/s0029-7844(97)00058-6 · Cited by 3,335 · see citing works
Ramirez, A., Fisher, G., George, E. L., Sanning, E., Forouzani, M., Allen, J., Bak, R., Halley, W., Wheeler, G., her, et al. (2003) · Cited by 960 · see citing works
Samuelsson, E. C., Víctor, F.-V., Tibblin, G., & Svärdsudd, K. (1999) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(99)70203-6 · Cited by 699 · see citing works
EPIDEMIOLOGY AND NATURAL HISTORY OF PELVIC FLOOR DYSFUNCTION
Bump, R. C., & Norton, P. (1998) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/s0889-8545(05)70039-5 · Cited by 695 · see citing works
Defining Success After Surgery for Pelvic Organ Prolapse
Barber, M. D., Brubaker, L., Nygaard, I., Wheeler, T. L., Schaffer, J., Chen, Z., & Spino, C. (2009) · Obstetrics & Gynecology · doi:10.1097/aog.0b013e3181b2b1ae · Cited by 515 · see citing works
Patient-selected goals: A new perspective on surgical outcome
Elkadry, E. A., Kenton, K. S., FitzGerald, M. P., Shott, S., & Brubaker, L. T. (2003) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(03)00932-3 · Cited by 259 · see citing works
The relationship of vaginal prolapse severity tosymptoms and quality of life
Digesu, G. A., Chaliha, C., Salvatore, S., Hutchings, A., & Khullar, V. (2005) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2005.00568.x · Cited by 249 · see citing works
Outcome measures for research in adult women with symptoms of lower urinary tract dysfunction
Lose, G., Fantl, J. A., Victor, A., Walter, S., Wells, T. L., Wyman, J. F., & Mattiasson, A. (1998) · Neurourology and Urodynamics · doi:10.1002/(sici)1520-6777(1998)17:3 · Cited by 164 · see citing works
Safety of Trans Vaginal Mesh procedure: Retrospective study of 684 patients
Caquant, F., Collinet, P., Debodinance, P., et al. (2008) · Journal of obstetrics and gynaecology research · doi:10.1111/j.1447-0756.2008.00820.x · Cited by 139 · see citing works
Patient-centered goals for pelvic floor dysfunction surgery: What is success, and is it achieved?
Hullfish, K. L., Bovbjerg, V. E., Gibson, J. J., & Steers, W. D. (2002) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2002.124838 · Cited by 130 · see citing works
Liang, C., Chang, Y., Chang, S., et al. (2004) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000140689.90131.01 · Cited by 125 · see citing works
Mahajan, S. T., Elkadry, E. A., Kenton, K. S., et al. (2006) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2005.08.043 · Cited by 121 · see citing works
Helström, L., & Nilsson, B. (2004) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/j.0001-6349.2005.00668.x · Cited by 119 · see citing works
EGGS for patient-centered outcomes
Brubaker, L. T., & Shull, B. L. (2005) · International Urogynecology Journal · doi:10.1007/s00192-005-1300-y · Cited by 81 · see citing works
Srikrishna, S., Robinson, D., Cardozo, L., & Cartwright, R. (2008) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2008.01842.x · Cited by 80 · see citing works
Reevaluating occult incontinence
Haessler, A. L., Lin, L. L., Ho, M. H., et al. (2005) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/01.gco.0000183530.03481.64 · Cited by 78 · see citing works
Gonzales, E. A., Ledesma, R. J. A., McAllister, D. J., Perry, S. M., DYER, C. A. E., & Maye, J. P. (2010) · PubMed · Cited by 70 · see citing works
Patient-selected goals: the fourth dimension in assessment of pelvic floor disorders
Löwenstein, L., FitzGerald, M. P., Kenton, K. S., Dooley, Y. T., Templehof, M., Mueller, E. R., & Brubaker, L. T. (2007) · International Urogynecology Journal · doi:10.1007/s00192-007-0390-0 · Cited by 64 · see citing works
Is pelvic organ prolapse a cause of pelvic or low back pain?
Heit, M. (2002) · Obstetrics & Gynecology · doi:10.1016/s0029-7844(01)01626-x · Cited by 57 · see citing works
Bovbjerg, V. E., Trowbridge, E. R., Barber, M. D., et al. (2009) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2008.11.020 · Cited by 45 · see citing works
Srikrishna, S., Robinson, D., & Cardozo, L. (2010) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2010.02705.x · Cited by 43 · see citing works
Outcome measures in urogynaecology: the clinicians’ perspective
Robinson, D., Anders, K., Cardozo, L., et al. (2006) · International Urogynecology Journal · doi:10.1007/s00192-006-0141-7 · Cited by 34 · see citing works
Lo, T. (2010) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2010.03.003 · Cited by 34 · see citing works
Fear of a Cataract Operation in Aged Persons
Fagerström, R. (1993) · Psychological Reports · doi:10.2466/pr0.1993.72.3c.1339 · Cited by 29 · see citing works
Groutz, A., Levin, I., Gold, R. S., et al. (2010) · Urology · doi:10.1016/j.urology.2010.04.070 · Cited by 24 · see citing works
Can sex survive pelvic floor surgery?
Srikrishna, S., Robinson, D., Cardozo, L., & González, J. A. (2010) · International Urogynecology Journal · doi:10.1007/s00192-010-1198-x · Cited by 21 · see citing works
Cammu, H., Abbeele, E. V. D., Nagel, H., et al. (2009) · International Urogynecology Journal · doi:10.1007/s00192-009-0851-8 · Cited by 18 · see citing works
The Effect of Prolapse Surgery on Vaginal Sensibility
Lakeman, M. M. E., van der Vaart, C. H., Laan, E. T. M., et al. (2011) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2010.02175.x · Cited by 17 · see citing works
Which factors determine subjective improvement following pelvic organ prolapse 1 year after surgery?
Lawndy, S. S. S., Kluivers, K. B., Milani, A. L., et al. (2010) · International Urogynecology Journal · doi:10.1007/s00192-010-1321-z · Cited by 8 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Women’s experiences of receiving care for pelvic organ prolapse: a qualitative study
Abhyankar, P., Uny, I., Semple, K., Wane, S., Hagen, S., Wilkinson, J., Guerrero, K., Tincello, D., Duncan, E., Calveley, E., et al. (2019) · BMC Women's Health · doi:10.1186/s12905-019-0741-2 · Cited by 93 · see citing works
Kearney, R., Wagg, A., Bower, W., Chapple, C., Khullar, V., Robinson, D., Taithongchai, A., Hobson, P. T., Wein, A., & Abrams, P. (2026) · Neurourology and Urodynamics · doi:10.1002/nau.70272 · Cited by 1 · see citing works
- Authors
- Lawndy, S. S. S., Withagen, M. I., Kluivers, K. B., & Vierhout, M. E.
- Affiliations
- Radboud University Medical Center (NL)
- Corresponding author
- Lawndy, Sameh S. S.
- Venue
- International Urogynecology Journal
- Published
- 2011-05-21
- Volume
- 22
- Issue
- 9
- Pages
- 1159-1163
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- PMC
- PMC3162144
- OpenAlex
- W2145565723
- Cited by
- 28
- References
- 29
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 2 · 2016: 2 · 2015: 3 · 2014: 1 · 2012: 3
- FWCI
- 0.93
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- International Urogynecology Journal (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Keywords
- pelvic organ prolapse, patient expectations, surgical fear, preoperative counseling, prolapse recurrence, surgical complications, symptom relief, sexual function, women's health
- MeSH terms
- Adult, Aged, Aged, 80 and over, Counseling, Fear, Female, Goals, Humans, Middle Aged, Postoperative Complications, Quality of Life, Surveys and Questionnaires, Recurrence, Sexual Dysfunction, Physiological, Young Adult, Pelvic Organ Prolapse
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
