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01-04-2019 | Original Article

Treatment of vaginal vault prolapse in The Netherlands: a clinical practice survey

Authors: Carolien K. M. Vermeulen, Anne Lotte W. M. Coolen, Wilbert A. Spaans, Jan Paul W. R. Roovers, Marlies Y. Bongers

Published in: International Urogynecology Journal | Issue 4/2019

Abstract

Introduction and hypothesis

A great variety of conservative and surgical procedures to correct vaginal vault prolapse have been reported. The aim of this study was to describe practice pattern variation—the difference in care that cannot be explained by the underlying medical condition—among Dutch gynecologists regarding treatment of vaginal vault prolapse.

Methods

A clinical practice survey was conducted from March to April 2017. The questionnaire was developed to evaluate treatment of vaginal vault prolapse. All members of the Dutch Society for Urogynaecology were invited to participate in a web-based survey.

Results

One hundred four Dutch gynecologists with special interest in urogynecology responded to the survey (response rate, 44%). As first-choice therapy for vaginal vault prolapse, 78% of the respondents chose pessary treatment, whereas sacrospinous fixation was the second most common therapy choice according to 64% of the respondents. Preferences on how to approach vaginal vault prolapse surgically are conflicting. Overall, the most performed surgery for vaginal vault prolapse is sacrospinous fixation, followed by laparoscopic and robotic sacrocolpopexy.

Conclusions

Gynecologists in The Netherlands manage vaginal vault prolapse very differently. No standardized method could be determined for the treatment of vaginal vault prolapse in The Netherlands, and we observed practice pattern variations.

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Title: Treatment of vaginal vault prolapse in The Netherlands: a clinical practice survey
Authors: Carolien K. M. Vermeulen
Anne Lotte W. M. Coolen
Wilbert A. Spaans
Jan Paul W. R. Roovers
Marlies Y. Bongers
Publication date: 01-04-2019
Publisher: Springer International Publishing
Published in: International Urogynecology Journal / Issue 4/2019
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-018-3832-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment of vaginal vault prolapse in The Netherlands: a clinical practice survey

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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