Informed consent: What risks are material to patients consenting for urological procedures?

Author:

McCauley Nadine1ORCID,Lodhia Siya2ORCID,Ong Andrea3,Clark Calum4,Lane Tim2

Affiliation:

1. Royal Glamorgan Hospital, UK

2. Lister Hospital, UK

3. University Hospital Southampton, UK

4. Guys and St Thomas’ NHS Foundation Trust, UK

Abstract

Objective: This study aimed to assess patient recall of the consent discussion for urological procedures and to identify which risks were material to urology patients. Methods: A total of 102 patients undergoing urological procedures were interviewed in the 24-hour period surrounding the procedure. A self-designed, piloted questionnaire recorded information from the patient’s signed consent form and patient-reported data of the consent discussion. Results: The mean patient recall was 2.06 risks, whereas the average number of risks listed by the operating surgeon on the consent form was 5.69 risks. The most frequently recalled risk was impotence (91%), followed by urinary incontinence (63%) and haematuria (61%). The risks associated with poorest patient recall were stent symptoms (0%), urethral catheter insertion (5%) and recurrence (8%). Conclusions: Poor patient recall of the consent discussion has again been demonstrated in this study. However, certain urological procedure risks are better recalled by patients, with impotence, urinary incontinence and haematuria being most frequently recalled. Medical terminology such as stent or catheter may be poorly recalled due to a disparity in understanding between patient and clinician. Clinicians should be aware of poor patient recall when consenting for urology procedures and should ensure precise documentation. Level of evidence: Level 2b.

Publisher

SAGE Publications

Subject

Urology,Surgery

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