Goal Attainment After Treatment in Patients With Symptomatic Pelvic Organ Prolapse
Open accessAbstract
Objective The objectives of this study were to: (1) assess differences in goal attainment of self-described goals after treatment of symptomatic pelvic organ prolapse (POP) for women who chose surgery compared to women who chose pessary; and (2) compare patient global improvement between groups. Study design Women who had symptomatic stage ≥II prolapse presenting for care of POP to the urogynecology clinic at the University of New Mexico were recruited. Patients listed up to 3 goals they had for their treatment. In addition, they completed the short forms of the Pelvic Floor Distress Inventory (PFDI-20), the POP/Urinary Incontinence Sexual Questionnaire, and the Body Image Scale. Goals listed by patients were then categorized into 10 categories. Each of the listed goals was categorized based on a consensus of 5 providers. At 3 months' follow-up patients listed if they had met their self-described goals on a scale of 0-10 and also answered the Patient Global Improvement Index (PGI-I). Results There were no significant differences between the 2 groups' baseline characteristics. Surgery patients ranked their goal attainment higher than pessary patients for all the 3 goals listed. Similarly, PGI-I scores were also higher in the surgical (2.4 ± 1.1) than the pessary (1.93 ± 0.8) treatment groups (P < .04). Patients in the surgery group also had better symptom improvement as measured by the PFDI-20 (P < .02). Conclusion Patients who chose surgery had better global improvement and met their goals better compared to patients who chose pessary.
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When assessed in women with POP, goal attainment scaling showed women met their goals more often after surgery compared to pessaries in a non-randomised study.
“When assessed in women with POP, goal attainment scaling showed women met their goals more often after surgery compared to pessaries in a non‐randomised study [36].”
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 [36]
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- Authors
- Mamik, M. M., Rogers, R. G., Qualls, C. R., & Komesu, Y. M.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- University of New Mexico (US)
- Corresponding author
- Mamik, Mamta M.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2013-11
- Volume
- 209
- Issue
- 5
- Pages
- 488.e1-488.e5
- ISSN
- 0002-9378 (ISSN-L)
- PMC
- PMC5278539
- OpenAlex
- W2042120894
- Cited by
- 40
- References
- 17
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 5 · 2019: 4 · 2018: 8 · 2017: 2 · 2016: 4 · 2014: 3
- FWCI
- 1.91
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000041, UL1TR001449)
- National Center for Research Resources (M01RR000997)
- National Center for Advancing Translational Sciences
- 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, goal achievement, pessary, pelvic floor surgery, patient-reported outcomes, Pelvic Floor Distress Inventory, sexual function, body image, treatment selection
- MeSH terms
- Aged, Female, Humans, Middle Aged, Patient Care Planning, Pessaries, Quality of Life, Surveys and Questionnaires, Gynecologic Surgical Procedures, Treatment Outcome, Patient Satisfaction, Pelvic Organ Prolapse
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