We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
National survey of surgical practices: Sacropexy in France in 2019.
- Authors
Rebahi, Christie; Cardaillac, Claire; Cosson, Michel; Fernandez, Hervé; Hermieu, Jean-Francois; Estrade, Jean-Philippe; Winer, Norbert; Dochez, Vincent; Thubert, Thibault
- Abstract
Introduction and hypothesis: Sacropexy is a reference surgical treatment for pelvic organ prolapse in women. The great variability in surgical techniques for this procedure is a source of bias that complicates analysis of the results of trials assessing it. Using the French guidelines issued in 2016 by the SCGP, AFU, SIFUD-PP, and CNGOF as a reference, we sought to inventory the surgical practices of the surgeons who perform these procedures. Methods: In November 2018, a questionnaire about the technical aspects of this procedure was distributed by email to the French physicians performing it. It was distributed to members of several professional societies (CNGOF, SCGP, and SIFUD) and to gynecologists practicing in clinics owned by the ELSAN group. Results: Of the 273 responders, 92% reported that they perform most operations laparoscopically. Overall, 83% of gynecologic surgeons used polypropylene prostheses (mesh); 38% routinely placed a posterior mesh, while the rest did so only in cases of clinical rectocele with anorectal symptoms. A concomitant hysterectomy was performed by 51% of respondents when the uterus was bulky and/or associated with substantial uterine prolapse. Finally, half the surgeons suggested the placement of a suburethral sling for women with stress urinary incontinence. Conclusions: Although practices are largely consistent with the most recent guidelines, surgical techniques vary widely between surgeons, both in France and internationally.
- Subjects
FRANCE; PELVIC organ prolapse; SUBURETHRAL slings; URINARY stress incontinence; URINARY incontinence in women; OPERATIVE surgery; KEGEL exercises
- Publication
International Urogynecology Journal, 2021, Vol 32, Issue 4, p975
- ISSN
0937-3462
- Publication type
Article
- DOI
10.1007/s00192-020-04526-8