Abstract
BackgroundThe 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.MethodsA questionnaire based survey of practicing female gynecologists in the Czech Republic, Slovenia and Slovakia.ResultsA total of 140 female gynecologists 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.ConclusionsThe 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.
Highlights
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
One in 9 women undergo a form of reconstructive surgery for pelvic organ prolapse (POP) during the course of their life and this is expected to increase with the prolongation in life expectancy [1]
A total of 140 female gynecologists completed the questionnaire with a mean age of 38.7 years
Summary
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. Several studies [14, 16, 17] have explored women views about the issue of uterine preservation versus concomitant hysterectomy at the time of reconstruction procedures for POP The heterogeneity in these studies’ findings is not unexpected given the impact of several factors including the individual’s values, cultural beliefs, level of education, ethnicity, age and family pressure [16, 18,19,20]. In these studies the target population did not have prior medical knowledge their decision could have been biased by the information provision but rather by how they interpret such information. We wanted to focus on their choice of whether to preserve the uterus or not in response to different clinical scenarios
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