Practices in pelvic organ prolapse operations among surgeons: an international survey identifying needs for further research

International Urogynecology Journal
Stephen O'BrienMonika Vij

Abstract

Our aim was to identify variation in surgical technique for treating pelvic floor disorders looking specifically at differences in approach between subspeciality trained urogynaecologists and general gynaecologists. We hypothesised that speciality trained surgeons would have a more uniform operative technique. We did not make a hypothesis about which operative areas would have the most variation overall. We performed a single-timepoint online survey of members of the International Urogynaecological Association (IUGA). Probability of difference from mean is presented as a raw value and significance of difference of means between surgical cohorts was calculated using the t test for independent variables. We received 205 responses from 118 general gynaecologists and 87 from subspecialty trained urogynaecologists (8 % response rate) to 27 questions concerning operative steps in four common urogynaecological operations. Surgeons had low levels of variation. The probability of any surgeon providing a different answer from the mode of their cohort was not significant within or between surgeons with and without subspeciality training (p = 0.47). Two areas with high levels of variation between surgeons were identified (probability of va...Continue Reading

References

Jan 18, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·Abimbola WilliamsDavid H Richmond
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Philip James EdwardsSarah Pratap
Oct 14, 2010·BJOG : an International Journal of Obstetrics and Gynaecology·K L GuerreroM G Lucas
Oct 22, 2013·International Urogynecology Journal·Matthew D Barber, Christopher Maher
Feb 18, 2014·International Urogynecology Journal·A Khaja, R M Freeman
Mar 1, 2015·American Journal of Obstetrics and Gynecology·Nir HayaChristopher F Maher

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Citations

Jun 28, 2018·International Urogynecology Journal·Breffini AnglimBarry O'Reilly
Sep 7, 2021·International Urogynecology Journal·Rosa A EnklaarHugo W F van Eijndhoven

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Methods Mentioned

BETA
hysterectomy

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