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How colposuspensions are performed in the UK: a survey of gynecologists' practice

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Abstract

The authors performed a self-administered postal questionnaire survey of 690 consultant gynecologists in the UK to determine the current surgical and perioperative practice in relation to colposuspension; 350 (51%) responded. One hundred and twelve (32%) identified themselves as having a specialist interest in urogynecology. The study shows the variation in the surgical technique of colposuspension and perioperative care among gynecologists, and it provides information that may help in the development of guidelines for those involved in the surgical treatment of female urinary incontinence.

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Abbreviations

USI:

Urodynamic stress incontinence

DGH:

District general hospital

TH:

Teaching hospital

TVT:

Tension-free vaginal tape

GSI:

Genuine stress incontinence

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Acknowledgements

We express our gratitude to all the gynecologists who participated in this survey, and to Mr Andy Barton (Coordinator, Research & Development Support Unit, Derriford Hospital, Plymouth) and Dr Malcolm Waterfield (Statistician & Research Coordinator, Urogynaecology Unit, Derriford Hospital, Plymouth) for their advice and comments on the design of the questionnaire.

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Correspondence to O. A. Adekanmi.

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Editorial Comment: This review of practice pattern is interesting reading and should prompt other national societies to consider similar reviews. It is striking that short-term follow-up is common, with only 14% seeing patients after 6 months. This phenomenon may contribute to an overestimation of treatment response and may require more evaluation

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Adekanmi, O.A., Freeman, R.M. & Bombieri, L. How colposuspensions are performed in the UK: a survey of gynecologists' practice. Int Urogynecol J 14, 151–159 (2003). https://doi.org/10.1007/s00192-003-1069-9

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  • DOI: https://doi.org/10.1007/s00192-003-1069-9

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