Backround: The aim of this study was to explore the personal views of female gynecologists regarding the management of POP with a particular focus on the issue of uterine sparing surgery.
Methods: A questionnaire based survey of practicing female gynaecologists in the Czech Republic, Slovenia and Slovakia.
Results : A total of 140 female gynaecologists from 81 units responded to our questionnaire. The majority of respondents stated they would rely on a urogynecologist to aid them with their choice of POP management options. The most preferred options for POP management were sacrocolpopexy and physiotherapy. Almost 2/3 of respondents opted for a hysterectomy together with POP surgery, if they were menopausal, even if the anatomical outcome was similar to uterine sparing POP surgery. Moreover, 81.4% of respondents, who initially opted for a uterine sparing procedure, changed their mind if the anatomical success of POP surgery with concomitant hysterectomy was superior. Discussing uterine cancer risk in relation to other organs had a less significant impact on their choices.
Conclusions: The majority of female gynecologists in our study opted for hysterectomy if they were postmenopausal at the time of POP surgery. However, variation in information provision had an impact on their choice.
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The full text of this article is available to read as a PDF.
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On 20 Oct, 2020
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On 30 Sep, 2020
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On 30 Sep, 2020
On 30 Sep, 2020
Received 30 Sep, 2020
Received 30 Sep, 2020
On 29 Sep, 2020
On 29 Sep, 2020
Posted 12 Oct, 2020
On 14 Oct, 2020
On 14 Oct, 2020
Posted 17 Jun, 2020
On 14 Sep, 2020
Received 14 Sep, 2020
On 14 Sep, 2020
On 10 Sep, 2020
Received 10 Sep, 2020
Received 10 Sep, 2020
On 09 Sep, 2020
Invitations sent on 26 Jun, 2020
On 22 Jun, 2020
On 15 Jun, 2020
On 15 Jun, 2020
On 31 May, 2020
Backround: The aim of this study was to explore the personal views of female gynecologists regarding the management of POP with a particular focus on the issue of uterine sparing surgery.
Methods: A questionnaire based survey of practicing female gynaecologists in the Czech Republic, Slovenia and Slovakia.
Results : A total of 140 female gynaecologists from 81 units responded to our questionnaire. The majority of respondents stated they would rely on a urogynecologist to aid them with their choice of POP management options. The most preferred options for POP management were sacrocolpopexy and physiotherapy. Almost 2/3 of respondents opted for a hysterectomy together with POP surgery, if they were menopausal, even if the anatomical outcome was similar to uterine sparing POP surgery. Moreover, 81.4% of respondents, who initially opted for a uterine sparing procedure, changed their mind if the anatomical success of POP surgery with concomitant hysterectomy was superior. Discussing uterine cancer risk in relation to other organs had a less significant impact on their choices.
Conclusions: The majority of female gynecologists in our study opted for hysterectomy if they were postmenopausal at the time of POP surgery. However, variation in information provision had an impact on their choice.
Figure 1
Figure 2
Figure 3
Figure 4
The full text of this article is available to read as a PDF.
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