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ToolsTaylor-Phillips, Francesca, O’Cathain, Alicia, Connell, Janice, Price, Mollie, Brooke, Cat, Jha, Swati, Doumouchtsis, Stergios, Gray, Thomas, Radley, Stephen, Fisher, Victoria, Forshall, Georgina and Jones, Georgina L. (2026) A qualitative study to inform the development of a new quality of life measure for surgery for prolapse, incontinence and mesh complications. Frontiers in Global Women's Health, 7. ISSN 2673-5059
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Abstract
Background: The National Institute of Health and Care Excellence in the United Kingdom have recommended the development of a patient-reported outcome measure (PROM) specific to surgery for pelvic organ prolapse (POP), stress urinary incontinence (SUI), and complications of pelvic mesh surgery (MC). Aims: To identify all aspects of quality of life (QoL) that may be impacted by surgery for POP, SUI and MC, to inform the development of a new PROM. Method: Thirty-one patients who had undergone surgery for POP, SUI and MC (ranging from <6 months to >5 years ago) were purposively recruited from various National Health Service (NHS) Trusts, as well as community support groups for the conditions. Semi-structured interviews were undertaken over the phone or via video-conferencing software, and a framework approach was employed to analyse the data. A Patient and Public Involvement group, comprising seven women who had undergone surgery for POP, SUI and/or MC, were consulted on various aspects of the study. Findings: We identified nine themes for potential inclusion in the PROM. The themes are short-term impacts of surgery; long-term impacts on pre-surgery symptoms; pain and/or discomfort; impact on daily activities; social and leisure activities; emotional wellbeing; sexual activity; personal relationships; and work/education. While some participants showed improvements in these areas following surgery, it was also evident that for some, issues persisted, worsened, or developed post-surgery. Those in the sample who had previous surgery involving mesh reported worse QoL outcomes overall. Conclusion: The impact of surgery for POP, SUI and MC on QoL is multidimensional and complex. It is recommended that a future PROM encompasses the potential for improvement of symptoms, the failure of surgery to improve symptoms, the development of new symptoms after surgery, and the consequential positive and negative impacts of surgery on activity, roles, psychological well-being and ultimately QoL, in both the short and long term.
| Item Type: | Article |
|---|---|
| Additional Information: | Data availability statement: The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding author. |
| Uncontrolled Keywords: | patient reported outcome measure,pelvic floor surgery,prolapse,quality of life,urinary incontinence,vaginal mesh implants,general medicine ,/dk/atira/pure/subjectarea/asjc/2700/2700 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School Faculty of Medicine and Health Sciences > School of Health Sciences |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 05 Jun 2026 14:21 |
| Last Modified: | 05 Jun 2026 14:21 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/103299 |
| DOI: | 10.3389/fgwh.2026.1643835 |
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