Technique of anterior colporrhaphy: a Dutch evaluation.

Abstract:

INTRODUCTION AND HYPOTHESIS:To evaluate the variation in techniques of anterior colporrhaphy among members of the Dutch Urogynecologic Society. METHODS:A questionnaire evaluating the technique of anterior colporrhaphy, preoperative and postoperative care, and use of the POP-Q score was sent out by e-mail. RESULTS:One hundred thirty-three completed questionnaires were received. The response rate was 65%. There are large variations in incisions, use of hydrodissection, method of plication, and excision of redundant vaginal epithelium. The urinary catheter was generally removed on day 2 after surgery and the vaginal pack on day 1. Less than half of the respondents used the POP-Q score routinely. CONCLUSIONS:Dutch gynecologists use a variety of surgical techniques to operate on a cystocele. This suggests that there is no widely accepted opinion on the best surgical approach. The lack of differentiation between central and lateral defects is striking and in contrast with the, mostly, American literature.

journal_name

Int Urogynecol J

authors

Lensen EJ,Stoutjesdijk JA,Withagen MI,Kluivers KB,Vierhout ME

doi

10.1007/s00192-010-1353-4

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

557-61

issue

5

eissn

0937-3462

issn

1433-3023

journal_volume

22

pub_type

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