{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:06:34Z","timestamp":1787317594362,"version":"build-2736575974"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T00:00:00Z","timestamp":1576627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T00:00:00Z","timestamp":1576627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Contura","award":["n\/a"],"award-info":[{"award-number":["n\/a"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and hypothesis<\/jats:title>\n                    <jats:p>This was an observational study aiming to determine factors which influence women\u2019s choice of surgery for primary stress urinary incontinence (SUI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two hundred twelve women undergoing a primary SUI procedure were recruited to this study from 12 hospitals in the north of England. After choosing a procedure, women were asked to complete a standardized semi-structured questionnaire about their health, demographics and a free text box to record factors important to them when choosing their procedure. Statistical analysis was performed to determine the impact of demographic, lifestyle or healthcare factors on women\u2019s decision-making. Thematic analysis of the free text data was performed to identify factors important for women when choosing a surgical procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty-four percent of women chose urethral bulking. There was no significant difference among age, BMI, smoking status or previous laparotomy between women choosing the four types of surgery. Women were less likely to choose urethral bulking if seen in a tertiary centre compared with a secondary centre (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009001). Major themes in decision-making were efficacy, invasiveness, recovery, risk of complications, use of mesh, the clinician, the media, hierarchy of treatments and type of anaesthetic. Some women expressed a hierarchical approach to treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings suggest decision-making is not influenced by patient factors such as age, BMI, smoking status or previous laparotomies. Women\u2019s choices are a complex mix of factors and not simply related to efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-019-04202-6","type":"journal-article","created":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T04:04:31Z","timestamp":1576641871000},"page":"769-777","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["\u201cVoice your choice\u201d: a study of women\u2019s choice of surgery for primary stress urinary incontinence"],"prefix":"10.1007","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0284-873X","authenticated-orcid":false,"given":"Lucy","family":"Dwyer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Weaver","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azita","family":"Rajai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Cox","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Reid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,12,18]]},"reference":[{"key":"4202_CR1","unstructured":"NHS Digital, 2018. Retrospective review of surgery for urogynaecological prolapse and stress urinary incontinence using tape or mesh: hospital episode statistics (HES), Experimental Statistics, April 2008\u2013March 2017. digital.nhs.uk\/data-and-information\/publications\/statistical\/mesh\/apr08-mar17\/retrospective-review-of-surgery-for-vaginal-prolapse-and-stress-urinary-incontinence-using-tape-or-mesh-copy."},{"key":"4202_CR2","unstructured":"National Institute for Health and Care Excellence, 2019. Surgery for stress urinary incontinence. Patient decision aid. www.nice.org.uk\/guidance\/ng123\/resources\/surgery-for-stress-urinary-incontinence-patient-decision-aid-pdf-6725286110."},{"key":"4202_CR3","doi-asserted-by":"publisher","unstructured":"Jha S, Duckett J. Utility of patient decision aids (PDA) in stress urinary incontinence surgery. IUJ. 2019. https:\/\/doi.org\/10.1007\/s00192-019-03982-1.","DOI":"10.1007\/s00192-019-03982-1"},{"key":"4202_CR4","doi-asserted-by":"publisher","unstructured":"Ong HL, Sokolova I, Bekarma H, Curtis C, Macdonald A, Agur W. Development, validation and initial evaluation of patient-decision aid (SUI-PDA\u00a9) for women considering stress urinary incontinence surgery. IUJ. 2019. https:\/\/doi.org\/10.1007\/s00192-019-04047-z.","DOI":"10.1007\/s00192-019-04047-z"},{"key":"4202_CR5","unstructured":"NHS Improvement and NHS England, 2018. Vaginal Mesh: high vigilance restriction period: immediate action required, all cases should be postponed if it is clinically safe to do so. i.emlfiles4.com\/cmpdoc\/9\/7\/2\/8\/1\/1\/files\/47633_mesh-letter-to-acute-ceos-and-mds.pdf."},{"key":"4202_CR6","doi-asserted-by":"crossref","unstructured":"Guest G, MacQueen K, Namey E. Applied thematic analysis: Published by SAGE; 2011.","DOI":"10.4135\/9781483384436"},{"key":"4202_CR7","first-page":"1249","volume":"29","author":"F Casteleijn","year":"2018","unstructured":"Casteleijn F, Zwolsman S, Kowalik C, Roovers JP. Patients\u2019 perspectives on urethral bulk injection therapy and mid-urethral sling surgery for stress urinary incontinence. IUJ. 2018;29:1249\u201357.","journal-title":"IUJ"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-019-04202-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00192-019-04202-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-019-04202-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T19:41:40Z","timestamp":1608147700000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00192-019-04202-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,18]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["4202"],"URL":"https:\/\/doi.org\/10.1007\/s00192-019-04202-6","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,18]]},"assertion":[{"value":"18 September 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 November 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 December 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"This study was an investigator-led study funded by Contura. No author has any other conflicts of interest to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}},{"value":"North West-Greater Manchester West Research Ethics Committee. 17\/NW\/0155","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}}]}}