Variability in practice patterns in stress urinary incontinence and pelvic organ prolapse: results of an IUGA survey
Language English Country England, Great Britain Media print-electronic
Document type Journal Article
PubMed
27752749
DOI
10.1007/s00192-016-3174-6
PII: 10.1007/s00192-016-3174-6
Knihovny.cz E-resources
- Keywords
- Academic practice, Pelvic floor disorders, Physician survey, Practice patterns, Stress urinary incontinence, Urodynamic studies,
- MeSH
- Surgical Mesh statistics & numerical data MeSH
- Adult MeSH
- Gynecology statistics & numerical data MeSH
- Internationality MeSH
- Practice Patterns, Physicians' statistics & numerical data MeSH
- Middle Aged MeSH
- Humans MeSH
- Magnetic Resonance Imaging statistics & numerical data MeSH
- Young Adult MeSH
- Pessaries statistics & numerical data MeSH
- Pelvic Organ Prolapse surgery MeSH
- Surveys and Questionnaires MeSH
- Urinary Incontinence, Stress surgery MeSH
- Suburethral Slings statistics & numerical data MeSH
- Ultrasonography statistics & numerical data MeSH
- Urology statistics & numerical data MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
INTRODUCTION AND HYPOTHESIS: Members of the International Urogynecological Association (IUGA) come from different geographic locations and practice settings. A member survey regarding practice patterns provides valuable information for practitioners and researchers alike, and allows the IUGA to discover areas to focus on education and information dissemination. METHODS: A questionnaire was developed by the IUGA Research and Development committee and distributed electronically to IUGA surgeons. Answers were analyzed in reference to demographics, geographic distribution, and academic affiliation. RESULTS: Five hundred sixty-four members answered the questionnaire, representing a 28 % response rate, and closely reflecting the geographic distribution of IUGA membership. Preferred surgical treatment for uncomplicated SUI was the mid-urethral trans-obturator sling (49.7 %). Vaginal mesh was mainly used for repair of recurrent POP (20.4 %). Pessary use was offered "always" or "frequently" by 61.5 %, with no difference in academic affiliation, but significant differences based on region of practice. Compared to practitioners in non-academic centers, those with academic affiliation utilized Urodynamic studies (UDS) and Magnetic Resonance Imaging (MRI) more frequently in the evaluation of POP. Regions of practice significantly influenced the majority of practice patterns, with the highest impact found in the use of robotic assistance. CONCLUSIONS: Many practice patterns in the evaluation and treatment of POP and SUI depend on academic affiliation and geographic location. Practice patterns are not always based on most recent evidence-based data.
1st Faculty of Medicine Charles University Prague General University Hospital Prague Czech Republic
American University of Beirut Medical Center Beirut Lebanon
Women's Pelvic Specialty Care P C University of New Mexico Hospital Albuquerque NM USA
See more in PubMed
Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(5):319-25 PubMed
N Engl J Med. 2012 Jun 21;366(25):2358-67 PubMed
Int Urogynecol J. 2016 Feb;27(2):165-94 PubMed
Ann Surg. 2009 May;249(5):828-33 PubMed
Health Policy. 2014 Jan;114(1):1-2 PubMed
Int Urogynecol J. 2015 Oct;26(10):1489-94 PubMed
Neurourol Urodyn. 2014 Jan;33(1):72-7 PubMed
Int Urogynecol J. 2013 Mar;24(3):377-84 PubMed
Gynecol Surg. 2016;13:115-123 PubMed
Int Urogynecol J. 2015 Oct;26(10):1405-6 PubMed
Obstet Gynecol. 2014 Jun;123(6):1207-12 PubMed
N Engl J Med. 2012 May 24;366(21):1987-97 PubMed
Aust N Z J Obstet Gynaecol. 2014 Jun;54(3):206-11 PubMed
JAMA. 2013 May 15;309(19):2016-24 PubMed
Int Urogynecol J. 2016 Dec;27(12 ):1797-1803 PubMed
