{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:51:26Z","timestamp":1760147486718,"version":"build-2065373602"},"reference-count":19,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T00:00:00Z","timestamp":1675728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Women\u2019s preoperative perceptions of pelvic-floor disorders may differ from those of their physicians. Our objective was to specify women\u2019s hopes and fears before cystocele repair, and to compare them to those that surgeons anticipate. We performed a secondary qualitative analysis of data from the PROSPERE trial. Among the 265 women included, 98% reported at least one hope and 86% one fear before surgery. Sixteen surgeons also completed the free expectations-questionnaire as a typical patient would. Women\u2019s hopes covered seven themes, and women\u2019s fears eleven. Women\u2019s hopes were concerning prolapse repair (60%), improvement of urinary function (39%), capacity for physical activities (28%), sexual function (27%), well-being (25%), and end of pain or heaviness (19%). Women\u2019s fears were concerning prolapse relapse (38%), perioperative concerns (28%), urinary disorders (26%), pain (19%), sexual problems (10%), and physical impairment (6%). Surgeons anticipated typical hopes and fears which were very similar to those the majority of women reported. However, only 60% of the women reported prolapse repair as an expectation. Women\u2019s expectations appear reasonable and consistent with the scientific literature on the improvement and the risk of relapse or complication related to cystocele repair. Our analysis encourages surgeons to consider individual woman\u2019s expectations before pelvic-floor repair.<\/jats:p>","DOI":"10.3390\/jcm12041332","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T01:32:05Z","timestamp":1675819925000},"page":"1332","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Do Surgeons Anticipate Women\u2019s Hopes and Fears Associated with Prolapse Repair? A Qualitative Analysis in the PROSPERE Trial"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4987-8127","authenticated-orcid":false,"given":"Xavier","family":"Fritel","sequence":"first","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine et Pharmacie, Universit\u00e9 de Poitiers, INSERM CIC 1402, Service de Gyn\u00e9cologie-Obst\u00e9trique et M\u00e9decine de la Reproduction, CHU de Poitiers, 86000 Poitiers, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marion","family":"Ravit","sequence":"additional","affiliation":[{"name":"Emergency Obstetric and Quality of Care Unit, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne-C\u00e9cile","family":"Pizzoferrato","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine et Pharmacie, Universit\u00e9 de Poitiers, INSERM CIC 1402, Service de Gyn\u00e9cologie-Obst\u00e9trique et M\u00e9decine de la Reproduction, CHU de Poitiers, 86000 Poitiers, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandrine","family":"Campagne-Loiseau","sequence":"additional","affiliation":[{"name":"Service de Gyn\u00e9cologie, CHU Estaing, 63000 Clermont-Ferrand, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georges","family":"Bader","sequence":"additional","affiliation":[{"name":"Medical and Surgical Center Ambroise Par\u00e9, Hartmann, Pierre Cherest, 92200 Neuilly-sur-Seine, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Perrine","family":"Capmas","sequence":"additional","affiliation":[{"name":"INSERM Centre of research in Epidemiology and population health (CESP), U1018, 94276 Villejuif, France"},{"name":"Service de Gyn\u00e9cologie-Obst\u00e9trique, H\u00f4pital Bic\u00eatre, GHU Sud, AP-HP, 94270 Le Kremlin-Bic\u00eatre, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Cosson","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Lille, Service de Gyn\u00e9cologie, CHRU Jeanne de Flandre, 59000 Lille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Debodinance","sequence":"additional","affiliation":[{"name":"Dunkerque Hospital Center, 59240 Dunkerque, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Deffieux","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine, Universit\u00e9 Paris-Sud, Service de Gyn\u00e9cologie-Obst\u00e9trique, H\u00f4pital Antoine-B\u00e9cl\u00e8re APHP, 92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Herv\u00e9","family":"Fernandez","sequence":"additional","affiliation":[{"name":"INSERM Centre of research in Epidemiology and population health (CESP), U1018, 94276 Villejuif, France"},{"name":"Service de Gyn\u00e9cologie-Obst\u00e9trique, H\u00f4pital Bic\u00eatre, GHU Sud, AP-HP, 94270 Le Kremlin-Bic\u00eatre, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Ferry","sequence":"additional","affiliation":[{"name":"La Rochelle Hospital Center, 17000 La Rochelle, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Garbin","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Strasbourg, Service de Gyn\u00e9cologie, CHRU de Strasbourg, 67000 Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard","family":"Jacquetin","sequence":"additional","affiliation":[{"name":"Service de Gyn\u00e9cologie, CHU Estaing, 63000 Clermont-Ferrand, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6787-6531","authenticated-orcid":false,"given":"Guillaume","family":"Legendre","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine, Universit\u00e9 d\u2019Angers, UMR S1085, Service de Gyn\u00e9cologie-Obst\u00e9trique, CHU d\u2019Angers, 49000 Angers, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Saussine","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Strasbourg, Service d\u2019Urologie, CHRU de Strasbourg, 67000 Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4352-4782","authenticated-orcid":false,"given":"Renaud","family":"de Tayrac","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Montpellier, Service de Gyn\u00e9cologie-Obst\u00e9trique, CHU Car\u00e9meau, 30000 N\u00eemes, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurent","family":"Wagner","sequence":"additional","affiliation":[{"name":"Service d\u2019Urologie, CHU Car\u00e9meau, 30000 N\u00eemes, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Philippe","family":"Lucot","sequence":"additional","affiliation":[{"name":"Saint-Vincent-de-Paul Hospital Center, 59000 Lille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnaud","family":"Fauconnier","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine, Universit\u00e9 Paris-Saclay, Service de Gyn\u00e9cologie-Obst\u00e9trique, CHI Poissy-Saint-Germain-en-Laye, 78000 Poissy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the PROSPERE 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