The following is a summary of “Spouses Speak Up: The Impact of Mesh Sling Complications on the Patient’s Spouse—A Qualitative Analysis Study,” published in the  December 2023 issue of Urology by Popat, et al.

For a study, researchers sought to explore the perspectives, attitudes, and beliefs of spouses of women experiencing complications from mesh mid-urethral sling (MUS) surgery to gain insight into the multifaceted nature of MUS surgery complications.

Following institutional review board (IRB) approval, qualitative interviews were conducted with the spouses of patients who had undergone surgery for MUS complications at a single tertiary care institution. Semistructured interviews were conducted using an interview guide with standardized prompts. Transcripts of the interviews were analyzed using inductive content analysis to identify themes. The research team reached a consensus on themes after independently reviewing and coding of the transcripts.

Seven male spouses participated in the qualitative interviews, revealing several themes and subthemes. Spouses expressed feelings of regret, particularly regarding their partner’s dyspareunia and its impact on their intimate relationship. They also described negative repercussions on their own lives and households. Many couples keep the issue private, leading to feelings of isolation. However, there was also a sense of hope among spouses, with a desire to find healthcare providers experienced in managing mesh complications and committed to their spouse’s recovery.

The spouses of women experiencing complications from MUS surgery play a significant caregiving role and are profoundly affected by adverse outcomes. Recognizing and understanding their experiences is crucial for improving patient care. The study provided valuable insights that can inform future research and interventions aimed at enhancing the experiences of both patients and their spouses in the context of MUS surgery and its potential complications.

Reference: goldjournal.net/article/S0090-4295(23)00801-4/abstract