Do urologists and gynaecologists manage posterior compartment prolapse differently
Date
2012-03
Authors
Adam, Ameera
Jeffery, Stephen
Adam, Ahmed
De Jong, Peter
Arieff, Yusuf
Journal Title
Journal ISSN
Volume Title
Publisher
Health & Medical Publishing Group
Abstract
Introduction and hypothesis. A comparative study assessing the management of posterior compartment
prolapse (PCP) by gynaecologists and urologists in South Africa.
Methods. Questionnaires relating to the above procedures were posted to a nationwide random selection of
urologists and gynaecologists.
Results. Of 500 questionnaires 106 (21%) were returned, 26 from urologists and 80 from gynaecologists. Urologists
performed fewer PCP procedures, with 73% (N=19) doing less than one case per month; 58% of the urologists
who indicated their procedure of choice would use a mesh kit. Of the gynaecologists, 60% (N=48) performed at
least 5 procedures per month. Vaginal hysterectomy was not used in the management of prolapse by any of the
responding urologists, compared with 82% (N=66) of the gynaecologists. In defining a successful outcome, only
12% (N=3) of the urologists and 14 % (N=11) of the gynaecologists mentioned sexual function, while 46% (N=12)
of the urologists and 37% (N=30) of the gynaecologists mentioned bowel function.
Conclusion. Urologists use significantly more mesh kits and gynaecologists perform more traditional repairs.
Description
The original publication is available at http://www.sajog.org.za/index.php/SAJOG/article/view/280
Keywords
Rectum -- Prolapse -- Surgery, Uterus -- Prolapse -- Surgery
Citation
Adam, A. et al. 2011. Do urologists and gynaecologists manage posterior compartment prolapse differently. South African Journal of Obstetrics and Gynaecology, 17(1): 4, 5, 6, 8.