Presentation Authors: Matteo Balzarro*, Emanuele Rubilotta, Silvia Bassi, Nicolò Trabacchin, Verona, Italy, Vito Mancini, Foggia, Italy, Ester Illiano, Elisabetta Costantini, Terni, Italy, Walter Artibani, Verona, Italy
Introduction: The Patient-Home-Office-New-Evaluation (PHONE) study evaluated the reliability, feasibility and patient satisfaction of telephonic follow-up in women treated for stress urinary incontinence (SUI) or pelvic organ prolapse (POP).
Methods: This is a prospective comparative study (December 2012-2017) in women following surgery for SUI or symptomatic anterior vaginal wall (AVW) defect. Women were divided in Group A underwent middle urethral sling (MUS), and Group B underwent AVW repair (fascial/mesh/biomesh). IUS was considered cured in case of stress negative test. AVW repair was successful in cases of asymptomatic POP and AVW < 2nd POP-Q stage. The 1 year f-up included a telephonic interview and a standard outpatient clinic visit 7-12 days later. Telephone interviews were done using a checklist and two validated questionnaires. Clinic follow-up included an interview, validated questionnaires, objective examination, and score satisfaction with the telephone f-up. We calculated sensitivity, specificity, positive and negative predictive value. Cohen test was used to complete the analysis.
Results: We enrolled 420 pts: 215 for SUI in Group A, and 205 for POP in Group B (Table 1). Outcomes are listed in Table 2. SUI recurrence was 19.1% and 11.6% at the telephone and office f-up respectively. Telephone f-up was able to detect POP recurrence and related symptoms. Tape/mesh extrusions were detected only at the objective evaluation. No difference was found at the questionnaires. Satisfaction with the telephone f-up was high.
Conclusions: Due to the wrongly interpretation of de-novo urge urinary incontinence as a recurrence of SUI, a telephone interview may loose reliability in case of reported incontinence. Thus, telephone f-up was feasible and reliable in women not reporting incontinence. In patients treated for POP the phone interview was a valid tool only in case of no-prosthetic surgery due to the absence of extrusion in these cases.