School of Psychology, The University of Adelaide, Adelaide, Australia.
Psychol Health. 2024 Jul;39(7):947-968. doi: 10.1080/08870446.2022.2125513. Epub 2022 Sep 22.
Many women are affected by pelvic floor disorders, such as stress urinary incontinence and pelvic organ prolapse. In recent years, these disorders have been treated with transvaginal mesh implant surgeries involving the vaginal insertion of woven netting. We explored women's experiences of transvaginal mesh implant surgery through a biopsychosocial lens. We analysed women's submissions to an Australian Parliament Senate Inquiry on transvaginal mesh implant surgery using thematic analysis. One-hundred and fifty-three publicly available submissions detailing women's experiences of transvaginal mesh implant surgery to an Australian Parliament Senate Inquiry were analysed. Adverse and positive accounts were eligible for inclusion. We generated nine themes in three categories relating to the Biopsychosocial Model: Physical Health - comprising three themes; Psychological Health - comprising two themes; and Social Wellbeing - comprising four themes. Physical, psychological and social experiences interacted, resulting in reduced quality of life for women. Most women who made submissions to an Australian government inquiry about transvaginal mesh implant surgery described devastating impacts on physical, psychological, and social wellbeing. We provide recommendations to guide psychologists in assisting women with adverse transvaginal mesh-related outcomes. Further research should explore women's long-term experiences of the various transvaginal mesh procedures.
许多女性受到盆底功能障碍的影响,例如压力性尿失禁和盆腔器官脱垂。近年来,这些疾病通过经阴道网片植入手术得到治疗,手术中阴道内插入编织网。我们从生物心理社会角度探讨了女性经阴道网片植入手术的经历。我们使用主题分析方法分析了澳大利亚议会参议院对经阴道网片植入手术的调查中女性提交的报告。对 153 份公开的可用于澳大利亚议会参议院调查的经阴道网片植入手术经历报告进行了分析。符合条件的包括负面和正面报告。我们在与生物心理社会模型相关的三个类别中生成了九个主题:身体健康-包括三个主题;心理健康-包括两个主题;和社会幸福感-包括四个主题。身体、心理和社会体验相互作用,导致女性生活质量下降。大多数向澳大利亚政府调查经阴道网片植入手术的女性都描述了对身体、心理和社会幸福感的毁灭性影响。我们提供了一些建议,以指导心理学家帮助女性应对与经阴道网片相关的不良后果。进一步的研究应该探讨女性接受各种经阴道网片手术的长期体验。