Counseling in urogynecology: A difficult task, or simply good surgeon-patient communication?

International Urogynecology Journal
Matteo BalzarroPeter Sand

Abstract

Surgical treatments for pelvic organ prolapse (POP) and urinary incontinence (UI) have greatly changed in recent years. Prompted by increases in reports of adverse outcomes in relation to such treatments, several scientific societies and researchers have emphasized providing patients with thorough counseling before treating them. Patient-centered communication has become the gold standard for excellence in clinical care. This challenges clinicians to be cognizant of their patients' perspectives, motivations, expectations, fears, concerns, and social contexts to enable them to reach a shared understanding with patients. Considering this, urogynecology counseling represents a crucial process through which women can gain a clear understanding of their clinical condition and the risks and benefits of potential treatment options. However, many urogynecologists believe that proposing a treatment and providing only enough detail to secure informed consent constitutes counseling. This article is intended to describe good counseling for women undergoing urogynecological surgery and to suggest optimal methodologies for implementation.

References

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Citations

Jan 9, 2019·International Urogynecology Journal·Victoria KershawElaine Gouk
May 14, 2019·BioMed Research International·Ewelina MalanowskaMatteo Balzarro
Nov 16, 2019·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Maurizio SeratiMatteo Balzarro
Oct 30, 2020·Research and Reports in Urology·Manami KinjoHiroshi Fukuhara
Feb 8, 2021·Urology·Emanuele RubilottaMarilena Gubbiotti
Aug 26, 2020·Urology·Kathryn L BurgioUNKNOWN Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium
Dec 15, 2021·Menopause : the Journal of the North American Menopause Society·Felisha MarquesKaren R Sepucha

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