n South African Journal of Obstetrics and Gynaecology - Management of anterior vaginal prolapse in South Africa - results of a national survey : research

Volume 15, Issue 3
  • ISSN : 0038-2329
  • E-ISSN: 2078-5135



. A national survey of the management of anterior vaginal prolapse by gynaecologists and urologists in South Africa.

. 822 questionnaires were sent by post to all registered gynaecologists and urologists in South Africa.
. 47 questionnaires were returned undelivered, and 234 (30.2%) were returned completed. The respondents comprised 180 gynaecologists (23.2%) and 54 urologists (7.0%). The POP-Q staging system was most commonly used (37.6%), but 36.3% did not use any recognised system. Urodynamic investigation was done pre-operatively by 8.6% of the gynaecologists and 20.8% of the urologists (=0.0121, 95% confidence interval (CI) –24.0 - –0.7%). Anterior colporraphy was done by 85.5% of the respondents and vaginal paravaginal repair by 41.9%, and mesh was used by 55.1%. Urologists made use of mesh more often than gynaecologists (=0.001, 95% CI –43.3 - –16.9%).
. The practice of anterior vaginal prolapse repair was fairly standard except for a few reports of preoperative urodynamics by gynaecologists and high use of synthetic mesh by urologists.

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