Do Urologists and Gynaecologists manage posterior compartment prolapse differently?
Methods: Questionnaires relating to the above procedures were posted to a nationwide random selection of urologists and gynaecologists.
Results: Questionnaires (n=106/500) were returned, 26 from urologists and 80 from gynaecologists. Urologists performed less PCP surgery with 73% doing less than one case per month. Many gynaecologists (60%) performed atleast 5 cases per month. Amongst urologists denoting their procedure of preference, 11/26 (58%) implemented a mesh procedure. Vaginal hysterectomy in PCP management had not been utilized by any of the responding urologists, compared to 66/80 (80%) amongst the gynaecology cohort. Included in the definition of successful outcome, 3/26 (12%) urologists and 11/80 (14%) gynaecologists mentioned sexual function, while 12/26 (46%) urologists and 30/80 (37%) gynaecologists mentioned bowel function.
Conclusion: Urologists use significantly more mesh-kits and gynaecologists perform more traditional repairs.
Ameera Adam, university of stellenbosch
Stephen Jeffery, Univesity of Cape Town
Ahmed Adam, University of Pretoria
Yusuf Arieff, Private Practice
Peter De Jong, University of Cape Town
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Date published: 2011-03-02
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