Management of anterior vaginal prolapse in South Africa : national survey

Henn, E. W. ; Cronje, H. S. ; Van Rensburg, J. A. (2009-04)


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To the Editor: A national survey was done on the management of anterior vaginal prolapse (AVP) by registered gynaecologists and urologists in South Africa. Of 822 questionnaires posted, 30.2% were returned completed (23.2% from gynaecologists and 7.0% from urologists). The information supplied was anonymous and is probably a true reflection of current practice. Of concern were the 36.3% of respondents who did not use a recognised staging system, a low rate of pre-operative urodynamic investigation by gynaecologists (8.4%) and a high rate of synthetic mesh use by urologists (75.9%), even for primary procedures. This first survey among South African prolapse surgeons provides valuable insight into clinical practice.

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