Nine patients were recruited (robotic/laparoscopic sacrocolpopexy with supracervical hysterectomy n=3, transvaginal apical repair with hysterectomy n=4/without hysterectomy n=2). Postoperative surveys were collected from 21 patients and 17 patients were SDD (80.9%). Preoperatively, all patients preferred SDD. 15 of 17 (88%) SDD patients felt safer with SDD. 2 of 4 (50%) admitted patients would have preferred SDD. When asked to rate the level of influence of COVID-19 on their discharge preference (scale 1-10, 10 being high), six reported a level 10 (mean of 8.9 ± 2.2). Eight patients underwent SDD and one was admitted overnight for nausea. Postoperatively, patients reported feeling safer with SDD. The admitted patient would have preferred SDD. These 2 outcomes may have been affected by the patient’s concern for the transmitting of COVID. During the COVID-19 pandemic, SDD after an apical POP repair surgery was preferable in this small patient population.
Presented by: Megan Mathew; Alejandra Guevara Mendez, MD; Raveen Syan, MD; Laura Martin, DO; Katherine Amin, MD | University of Miami, Department of Urology, Miami, FL
Written by: Diane K. Newman, DNP, CRNP, FAAN, BCB-PMD, Nurse Practioner and Co-Director, Penn Center for Continence and Pelvic Health Adjunct Professor of Urology in Surgery during the 2021 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) Winter Meeting