Abstract:
INTRODUCTION AND HYPOTHESIS:A great variety of conservative and surgical procedures to correct vaginal vault prolapse have been reported. The aim of this study was to describe practice pattern variation-the difference in care that cannot be explained by the underlying medical condition-among Dutch gynecologists regarding treatment of vaginal vault prolapse. METHODS:A clinical practice survey was conducted from March to April 2017. The questionnaire was developed to evaluate treatment of vaginal vault prolapse. All members of the Dutch Society for Urogynaecology were invited to participate in a web-based survey. RESULTS:One hundred four Dutch gynecologists with special interest in urogynecology responded to the survey (response rate, 44%). As first-choice therapy for vaginal vault prolapse, 78% of the respondents chose pessary treatment, whereas sacrospinous fixation was the second most common therapy choice according to 64% of the respondents. Preferences on how to approach vaginal vault prolapse surgically are conflicting. Overall, the most performed surgery for vaginal vault prolapse is sacrospinous fixation, followed by laparoscopic and robotic sacrocolpopexy. CONCLUSIONS:Gynecologists in The Netherlands manage vaginal vault prolapse very differently. No standardized method could be determined for the treatment of vaginal vault prolapse in The Netherlands, and we observed practice pattern variations.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Vermeulen CKM,Coolen ALWM,Spaans WA,Roovers JPWR,Bongers MYdoi
10.1007/s00192-018-3832-ysubject
Has Abstractpub_date
2019-04-01 00:00:00pages
581-587issue
4eissn
0937-3462issn
1433-3023pii
10.1007/s00192-018-3832-yjournal_volume
30pub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:A concern when using the retropubic tension-free vaginal tape (TVT) for stress urinary incontinence (SUI) is bladder perforation. This article describes a technique hypothesised to reduce the risk of intra-operative bladder perforation, termed the large space of Retzius infiltration (LSORI) ...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究
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更新日期:2019-05-01 00:00:00
abstract:INTRODUCTION:Concerns about vaginal mesh have reduced the use of mid-urethral slings (MUS) in some countries. In view of their potential withdrawal in Belgium and The Netherlands, we polled urogynaecologists on their practice for treating stress urinary incontinence (SUI) and what their experience is with alternative p...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
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journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2015-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:In order to assess the outcome following surgery for urinary incontinence (UI) and pelvic organ prolapse (POP) the importance of patient-reported outcome measures, in addition to the clinical objective measures, has been recognised. The International Consultation on Incontinence has initiate...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2840-4
更新日期:2016-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Avulsion of the puborectalis muscle from its bony insertion is common in women presenting with prolapse. We present a simple vaginal technique for levator reconstruction. METHODS:This is a prospective surgical pilot study comprising 17 patients enrolled to undergo levator repair in the cont...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1984-8
更新日期:2013-06-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2012-06-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03920-1
更新日期:2019-12-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-012-2008-4
更新日期:2013-08-01 00:00:00
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journal_title:International urogynecology journal
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更新日期:2010-09-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-1092-6
更新日期:2010-06-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,评审
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更新日期:2017-10-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1530-0
更新日期:2012-02-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2772-z
更新日期:2015-12-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1836-6
更新日期:2013-04-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1302-2
更新日期:2011-04-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1352-5
更新日期:2011-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The incidence of vesico-vaginal fistulas after hysterectomies for benign indications in developed countries is less than one percent. The objective of this video is to demonstrate an easy-to-follow, step-by-step approach to repairing a small, uncomplicated vesico-vaginal fistula transvaginal...
journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2018-05-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2011-08-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究
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更新日期:2014-08-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2016-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective of the study was to identify reasons why women declined participation in a pilot randomised controlled trial (RCT) comparing tension-free vaginal tape (TVT) under general anaesthetic (GA) with single incision sling (SIS) under local anaesthetic (LA). These data would inform the...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1967-9
更新日期:2013-06-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3450-0
更新日期:2018-06-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1498-9
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The effect of exercise in relation to overweight and overactive bladder (OAB) in young women has not been sufficiently supported by studies. The objective of our study was to reduce symptoms of OAB through a 3-month exercise programme in young overweight women with OAB. The sample consisted ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04157-8
更新日期:2020-05-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3792-2
更新日期:2019-04-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04257-w
更新日期:2020-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Our aim was to assess whether differences in the ages of nulliparous women affect: (1) interobserver reliability, and (2) visualization of the levator ani (LA) muscle subdivisions in nulliparous women using 3D endovaginal ultrasound (3D-EVUS). METHODS:This was a cross-sectional study. Commu...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2053-7
更新日期:2013-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:In Palestine, episiotomy is frequently used among primiparous women.This study assesses the effect of training birth attendants in applying bimanual perineal support during delivery by either animated instruction on tablets or hands-on training on episiotomy rates among primiparous women. M...
journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
abstract::Recurrent pelvic organ prolapse occurs rarely after obliterative procedures. The optimal surgical approach for therapy is unknown. We describe a case of recurrent prolapse after LeFort colpocleisis. The patient presented with stage III prolapse through the lateral vaginal channel. At surgery, the prolapse was repaired...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1541-x
更新日期:2012-03-01 00:00:00