The influence of medical informed consent discussion on postoperative satisfaction and quality of life of patients with uterine fibroids after myomectomy or hysterectomy [Der Einfluss des ?rztlichen Aufkl?rungsgespr?ches auf die postoperative Zufriedenheit und Lebensqualit?t von Patientinnen mit Uterus myomatosus nach Myomenukleation oder Hysterektomie]

摘要

Purpose: The surgical treatment of uterine fibroids represents an important column in the therapy of this disease. Aim of this study was to find out preoperative factors that influence the treatment success of a minimal-invasive surgical therapy. Methods: In a retrospective study 228 patients were assessed. Measures comprised questions on the decision for surgery, satisfaction with the treatment, and the EQ-5D as a measure of QoL. Results: The sample revealed an overall satisfaction with treatment and high QoL. A better postoperative contentment and QoL in patients who felt well informed about the surgical methods and who felt secure with their decision for a specific surgery was found. Conclusion: Regardless of the surgical method, the preoperative consultation and the certainty of the decision turned out to be determinants of the patients' postoperative contentment and QoL. The counseling gynecologist has an essential part in the patients' decision for the treatment.