Does the Use of Patient Decision Aid (PDA) Influence the Patterns of Surgery for Stress Urinary Incontinence? by Spyroulis C in Open Access Journal of Reproductive System and Sexual Disorders (OAJRSD) in Lupinepublishers
Currently, there are safety
concerns regarding the use of mesh tape, the most commonly performed surgical
procedure for the management of stress urinary incontinence (SUI) in women. A
recent independent review from Australia suggested that the use of mesh tapes
should be the last surgical resort for women [1]. Many patients seeking legal
compensation following mesh complications claimed they were not offered any
surgical alternative. Despite the recommendation from the UK National Institute
for Health and Care Excellence (NICE) of equally offering mesh and non-mesh SUI
procedures, the number women undergoing the former is significantly more than
those undergoing the latter [2]. Patient decision aids (PDAs) have been shown
to increase patient knowledge, clarity about their own values and accuracy of
risk perceptions with regards to various options [3].
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