Original articles

Do Urologists and Gynaecologists manage posterior compartment prolapse differently?

Ameera Adam, Stephen Jeffery, Ahmed Adam, Yusuf Arieff, Peter De Jong


Introduction and Hypothesis: A comparative study assessing the management of PCP (posterior compartment prolapse) amongst 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: 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.

Authors' affiliations

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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Gynaecologist; Hysterectomy; Mesh; Pelvic organ prolapse; Rectocoel; Urologist

Cite this article

South African Journal of Obstetrics and Gynaecology 2011;17(1):4.

Article History

Date submitted: 2010-08-09
Date published: 2011-03-02

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