Telephone follow-up after day case tension-free vaginal tape insertion
Abstract
Introduction and hypothesis Post-operative review allows assessment of individual patient outcome, evaluation of any ongoing symptoms and an audit of departmental surgical outcome and therefore represents best clinical practice. Current TVT surgery follow-up practice varies widely, with most centres routinely seeing patients face to face in an outpatient setting. However, unnecessary outpatient attendance can be inefficient and inconvenient for patients and staff. One proposed alternative is telemedical follow-up, as introduced by our unit in 2010. We report on 5 years of experience with telephone follow-up.Methods The British Society of Urogynaecology (BSUG) database was searched for all cases of primary retropubic TVT slings performed by the unit in the period 1 January 2010 to 31 December 2014. Cases identified from the BSUG database then had their case notes reviewed. Patients having additional surgery were excluded from analysis. This yielded a cohort of 356 patients. No ethical approval was required for this investigation as it was a simple observational study (clinical audit).Results Two hundred and sixty-two patients were initially followed up via telephone; the remaining 94 were seen in a conventional outpatient clinic setting. Of the 262 followed up by telephone, 28 patients (10 %) subsequently required review in an outpatient clinic for a variety of reasons.Conclusions Telephone follow-up is an appropriate mode of follow-up for uncomplicated primary incontinence surgery. By using telemedicine, 234 patients who would previously have been seen in clinic were followed up remotely, saving valuable clinic time for patients with greater clinical need.
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A UK urogynecology study of telephone follow-up for midurethral slings reported high patient satisfaction and a low rate of required clinic follow-up.
“In the urogynecology literature, one study from the United Kingdom evaluated a telephone follow-up protocol for midurethral slings. Again, patients reported high satisfaction with a low rate of required clinic follow-up [19].”
From Outpatient visits versus telephone interviews for postoperative care: a randomized controlled trial (2019) · cites this paper as [19]
Pediatric studies using non-validated global assessments found high satisfaction with telephone follow-up and only about 10% of patients requiring a clinic visit.
“Pediatric studies evaluating patient satisfaction used a non-validated global assessment to determine if patients or their parents were satisfied with their care and/or desired a clinic visit [3, 4, 7, 19]. These satisfaction scores were high, and only about 10% of patients required a clinic visit [3, 4, 7, 19].”
From Outpatient visits versus telephone interviews for postoperative care: a randomized controlled trial (2019) · cites this paper as [19]
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- Authors
- Jefferis, H., Muriithi, F., White, B., Price, N., & Jackson, S.
- Affiliations
- John Radcliffe Hospital (GB)
- Corresponding author
- Jefferis, Helen
- Venue
- International Urogynecology Journal
- Published
- 2015-11-21
- Volume
- 27
- Issue
- 5
- Pages
- 787-790
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- OpenAlex
- W2276825636
- Cited by
- 20
- References
- 7
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 2 · 2021: 5 · 2020: 3 · 2019: 4 · 2018: 1 · 2017: 2 · 2016: 1
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Urogynecology Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- telephone follow-up, telemedicine, tension-free vaginal tape, outpatient surgery, postoperative follow-up, urinary incontinence surgery, outpatient visits
- MeSH terms
- Adult, Aftercare, Aged, Aged, 80 and over, Ambulatory Care, Female, Humans, Medical Audit, Middle Aged, Office Visits, Telephone, Urinary Incontinence, Stress, Telemedicine, Suburethral Slings, Young Adult
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