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Transverse Versus Vertical Camera Port Incision for Patient Satisfaction After Robot-Assisted Radical Prostatectomy.

Authors: Fujiwara M, Fujikawa A, Aso S, Zaizen T, Shinohara T, Matsuo Y, Yamashita S, Sako R, Miyahara T, Iwata A, Noda K, Yokoyama R, Nakaya K, Tachibana M, Tominaga K, Aoyagi C, Haga N
Journal: International journal of urology : official journal of the Japanese Urological Association
mental health psychology open access

Abstract

After the Supreme Court ruling in in 2022, 13 states enacted immediate trigger bans on abortion. Among them, Missouri, Kentucky, and Tennessee border Illinois while Oklahoma, Texas, Arkansas, Louisiana, and Mississippi are located directly south of Illinois. Over the next 5 years, states surrounding Illinois continued to introduce provisions and enact policies to restrict access and instill fear around seeking abortion care.As a long-standing protective state, Illinois had 21 500 abortions performed in the 12 months after the decision, the highest in the country. Data from 2025 indicates it continues to be an essential hub for abortion seekers, and southern and central Illinois serve as the closest access point for patients from highly restrictive midwestern and southern states. To sustain Illinois as a haven for reproductive rights, more research is needed to understand the experiences of people who successfully travel to Illinois for care especially when sociopolitical context continues to shape emerging challenges. This study explores the impact of changing abortion provisions on the experiences of abortion seekers who travel to central and southern Illinois to design sustainable solutions and reduce health care burden. This study aims to examine the following research questions: (1) What are the experiences of out-of-state people who travel to seek abortion care in central and southern Illinois? (2) What are the needs of patients to reduce access barriers? This qualitative study obtained institutional review board approval from the University of Illinois Urbana Champaign, using purposeful sampling through 2 partnered clinics in central and southern Illinois. Clinics were chosen because they were the closest access points for people who travel for abortion care from highly restrictive states, such as Indiana, Tennessee, Missouri, and Mississippi. All participants completed the study at the time of recruitment. The interview questions were developed by the research team and community partners, and included topics on abortion access, barriers, and patients’ experiences with support systems (eg, family members, local community, and practical organizations). From November 2024 to August 2025, staff at each clinic distributed recruitment flyers to patients upon arrival so that they could review the materials while they waited for their appointment. They reiterated the voluntary nature of the study, the confidentiality guidelines, and the focus on patients who traveled to seek in-person abortion care. When participants expressed verbal interest, onsite research staff met with participants to discuss the purpose of the study and informed consent. Informed consent and self-reported demographic information were collected through a secure tablet using REDCap at this time. Next, semistructured interviews occurred in a private room with the research staff after participants’ clinical appointment. Interviews ranged from 20 to 40 minutes. Interviews were recorded using a secure device, and recordings were uploaded in Health Insurance Portability and Accountability Act–compliant online storage right after the interview and deleted from the device. Participants chose their own pseudonyms. At the end of the interview, participants received a resource list and contact information of the research team. This study followed Standards for Reporting Qualitative Research () reporting guideline for qualitative studies to report the study’s procedure and findings. We recognized that our lived experiences and professional training shaped our interpretation and analysis of the data. Five of us are cisgender and 1 is transgender. Two are of Asian descent, 1 is Black, 1 is Hispanic White, 1 is of Latinx and North African descent, and 1 is White. Three of us are from social work, 1 from applied health science, 2 from psychology, and 1 from biology and medicine. Four of us used the lens of intersectionality and critical race frameworks to interpret the data, and 2 used trauma-informed perspectives.