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International Urogynecology Journal

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Open Access 01-05-2011 | Original Article

Technique of anterior colporrhaphy: a Dutch evaluation

Authors: Ellen J. M. Lensen, Jackie A. Stoutjesdijk, Mariella I. J. Withagen, Kirsten B. Kluivers, Mark E. Vierhout

Published in: International Urogynecology Journal | Issue 5/2011

Abstract

Introduction and hypothesis

To evaluate the variation in techniques of anterior colporrhaphy among members of the Dutch Urogynecologic Society.

Methods

A questionnaire evaluating the technique of anterior colporrhaphy, preoperative and postoperative care, and use of the POP-Q score was sent out by e-mail.

Results

One hundred thirty-three completed questionnaires were received. The response rate was 65%. There are large variations in incisions, use of hydrodissection, method of plication, and excision of redundant vaginal epithelium. The urinary catheter was generally removed on day 2 after surgery and the vaginal pack on day 1. Less than half of the respondents used the POP-Q score routinely.

Conclusions

Dutch gynecologists use a variety of surgical techniques to operate on a cystocele. This suggests that there is no widely accepted opinion on the best surgical approach. The lack of differentiation between central and lateral defects is striking and in contrast with the, mostly, American literature.

Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89(4):501–506PubMedCrossRef

Weber AM, Walters MD (1997) Anterior vaginal prolapse: review of anatomy and techniques of surgical repair. Obstet Gynecol 89:311–318PubMedCrossRef

Weber AM, Walters MD, Piedmonte MR, Ballard LA (2001) Anterior colporrhaphy: a randomized trial of three surgical techniques. Am J Obstet Gynecol 185:1299–1304, discussion 1304–1296PubMedCrossRef

Shippey S, Gutman RE, Quiroz LH, Handa VL (2008) Contemporary approaches to cystocele repair: a survey of AUGS members. J Reprod Med 53(11):832–836PubMed

Dietz V, de Jong J, Huisman M, Schraffordt Koops S, Heintz P, van der Vaart H (2007) The effectiveness of the sacrospinous hysteropexy for the primary treatment of uterovaginal prolapse. Int Urogynecol J Pelvic Floor Dysfunct 18(11):1271–1276PubMedCrossRef

de Boer TA, Milani AL, Kluivers KB, Withagen MI, Vierhout ME (2008) The effectiveness of surgical correction of uterine prolapse: cervical amputation with uterosacral ligament plication (modified Manchester) versus vaginal hysterectomy with high uterosacral ligament plication. Int Urogynecol J Pelvic Floor Dysfunct 20(11):1313–1319

Richardson AC, Lyon JB, Williams NL (1976) A new look at pelvic relaxation. Am J Obstet Gynecol 126:568–573PubMed

Shull BL (1993) Clinical evaluation of women with pelvic support defects. Clin Obstet Gynecol 36:939–951PubMedCrossRef

Whiteside JL, Barber MD, Paraiso MF, Hugney CM, Walters MD (2004) Clinical evaluation of anterior vaginal wall support defects: interexaminer and intraexaminer reliability. Am J Obstet Gynecol 191:100–104PubMedCrossRef

10.

Dietz HP, Haylen BT, Broome J (2001) Ultrasound in the quantification of female pelvic organ prolapse. Ultrasound Obstet Gynecol 18:511–514PubMedCrossRef

11.

Singh K, Reid WM, Berger LA (2001) Assessment and grading of pelvic organ prolapse by use of dynamic magnetic resonance imaging. Am J Obstet Gynecol 185(1):71–77PubMedCrossRef

12.

Hsu Y, Chen L, Summers A, Ashton-Miller JA, DeLancey JO (2008) Anterior vaginal wall length and degree of anterior compartment prolapse seen on dynamic MRI. Int Urogynecol J Pelvic Floor Dysfunct 19(1):137–142PubMed

13.

Weemhoff M Translabial 3D ultrasonography for diagnosing levator defects. (TRUDIL) Book Translabial 3D ultrasonography for diagnosing levator defects. (TRUDIL). City

14.

Abrams P, Cardozo L, Khoury S, Wein A (2009) Incontinence. Health Publications Ltd, Portsmouth

15.

Morse AN, O’Dell KK, Howard AE, Baker SP, Aronson MP, Young SB (2007) Midline anterior repair alone vs anterior repair plus vaginal paravaginal repair: a comparison of anatomic and quality of life outcomes. Int Urogynecol J Pelvic Floor Dysfunct 18:245–249PubMed

16.

Martius H, Husslein H (1971) Die gynäkologischen Operationen und ihre topographisch-anatomischen Grundlagen. Thieme, Stuttgart

17.

Rock JA, Jones HW (2003) TeLinde's operative gynecology. Lippincott Williams & Wilkins, Philadelphia

18.

Nieminen K, Huhtala H, Heinonen PK (2003) Anatomic and functional assessment and risk factors of recurrent prolapse after vaginal sacrospinous fixation. Acta Obstet Gynecol Scand 82:471–478PubMedCrossRef

19.

Schiotz HA, Tanbo TG (2006) Postoperative voiding, bacteriuria and urinary tract infection with Foley catheterization after gynecological surgery. Acta Obstet Gynecol Scand 85:476–481PubMedCrossRef

20.

Hakvoort RA, Elberink R, Vollebregt A, Ploeg T, Emanuel MH (2004) How long should urinary bladder catheterisation be continued after vaginal prolapse surgery? a randomised controlled trial comparing short term versus long term catheterisation after vaginal prolapse surgery. Br J Obstet Gynaecol 111:828–830CrossRef

21.

Glavind K, Morup L, Madsen H, Glavind J (2007) A prospective, randomised, controlled trial comparing 3 hour and 24 hour postoperative removal of bladder catheter and vaginal pack following vaginal prolapse surgery. Acta Obstet Gynecol Scand 86:1122–1125PubMedCrossRef

22.

Ottesen M, Sorensen M, Rasmussen Y, Smidt-Jensen S, Kehlet H, Ottesen B (2002) Fast track vaginal surgery. Acta Obstet Gynecol Scand 81:138–146PubMedCrossRef

23.

Auwad W, Freeman RM, Swift S (2004) Is the pelvic organ prolapse quantification system (POPQ) being used? a survey of members of the International Continence Society (ICS) and the American Urogynecologic Society (AUGS). Int Urogynecol J Pelvic Floor Dysfunct 15(5):324–327PubMed

Title: Technique of anterior colporrhaphy: a Dutch evaluation
Authors: Ellen J. M. Lensen
Jackie A. Stoutjesdijk
Mariella I. J. Withagen
Kirsten B. Kluivers
Mark E. Vierhout
Publication date: 01-05-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 5/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1353-4

At a glance: The STEP trials

Springer Medicine

Technique of anterior colporrhaphy: a Dutch evaluation

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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