n South African Journal of Obstetrics and Gynaecology - Do urologists and gynaecologists manage posterior compartment prolapse differently? : original article

Volume 17, Issue 1
  • ISSN : 0038-2329
  • E-ISSN: 2078-5135



A comparative study assessing the management of posterior compartment prolapse (PCP) by gynaecologists and urologists in South Africa.

Questionnaires relating to the above procedures were posted to a nationwide random selection of urologists and gynaecologists.
Of 500 questionnaires 106 (21%) were returned, 26 from urologists and 80 from gynaecologists. Urologists performed fewer PCP procedures, with 73% (=19) doing less than one case per month; 58% of the urologists who indicated their procedure of choice would use a mesh kit. Of the gynaecologists, 60% (=48) performed at least 5 procedures per month. Vaginal hysterectomy was not used in the management of prolapse by any of the responding urologists, compared with 82% (=66) of the gynaecologists. In defining a successful outcome, only 12% (=3) of the urologists and 14 % (=11) of the gynaecologists mentioned sexual function, while 46% (=12) of the urologists and 37% (=30) of the gynaecologists mentioned bowel function.
Urologists use significantly more mesh kits and gynaecologists perform more traditional repairs.

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