Anterior Colporrhaphy Technique and Approach Choices: Turkey Evaluation
Aim: To evaluate the diversity in techniques and approaches for anterior colporrhaphy among operators in Turkey. Methods: A survey evaluating the preoperative examination, technique of anterior colporrhaphy, operation choice and postoperative care was presented to surgeons. We contacted via directl...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2016-09-01
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| Series: | Haseki Tıp Bülteni |
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| Online Access: | http://www.hasekidergisi.com/article_10993/Anterior-Colporrhaphy-Technique-And-Approach-Choices-Turkey-Evaluation |
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| author | Serdar Aydın Rabia Zehra Bakar Gonca Batmaz Mahinur Betül Çalışkan Çağrı Arıoğlu Aydın |
| author_facet | Serdar Aydın Rabia Zehra Bakar Gonca Batmaz Mahinur Betül Çalışkan Çağrı Arıoğlu Aydın |
| author_sort | Serdar Aydın |
| collection | DOAJ |
| description | Aim: To evaluate the diversity in techniques and approaches for anterior colporrhaphy among operators in Turkey.
Methods: A survey evaluating the preoperative examination, technique of anterior colporrhaphy, operation choice and postoperative care was presented to surgeons. We contacted via directly, mail or telephone. We used 28 item questionnaire.
Results: Majority (87.9%) was composed of young gynecologists. Urologists composed of the 9.5% of the study population. The rate of paravaginal defect evaluation was 75.9% and mostly by inspection the presence of vaginal rugae. The use of transperineal 3D pelvic floor ultrasonography was low (5.7%). The evaluation of levator ani muscle defect was 46.6%. The usage of the transperineal 3D ultrasonography for levator ani muscle defect was 19 percent of operators. There were diversity in use of hydrodissection, fascial plication, excision of vaginal mucosa and suture choice. Usage of mesh for anterior colporrhaphy was limited (17.8%) and mostly in recurrent cases (12.2%). Paravaginal defect repair rate was 31.9%. The urinary catheter was generally removed one or two day after operation. Vaginal pack usually removed 24 hours after.
Conclusion: Several techniques and approaches for anterior vaginal wall repair among operators in Turkey. The variety of techniques suggested that there is no consensus on best surgical technique. |
| format | Article |
| id | doaj-art-043cdde6c7ad4643bfcacd802488b304 |
| institution | Kabale University |
| issn | 1302-0072 2147-2688 |
| language | English |
| publishDate | 2016-09-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj-art-043cdde6c7ad4643bfcacd802488b3042025-08-20T03:54:25ZengGalenos Publishing HouseHaseki Tıp Bülteni1302-00722147-26882016-09-0154316617210.4274/haseki.2994Anterior Colporrhaphy Technique and Approach Choices: Turkey EvaluationSerdar Aydın0Rabia Zehra Bakar1Gonca Batmaz2Mahinur Betül Çalışkan3Çağrı Arıoğlu Aydın4Bezmialem Vakıf Üniversitesi Tıp Fakültesi, Kadın Hastalıklar ve Doğum Anabilim Dalı, İstanbul, TürkiyeKanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul, TürkiyeBezmialem Vakıf Üniversitesi Tıp Fakültesi, Kadın Hastalıklar ve Doğum Anabilim Dalı, İstanbul, TürkiyeBakırköy Kamu Hastaneleri Birliği Genel Sekreterliği, İstanbul, TürkiyeFlorence Nightingale Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul, TürkiyeAim: To evaluate the diversity in techniques and approaches for anterior colporrhaphy among operators in Turkey. Methods: A survey evaluating the preoperative examination, technique of anterior colporrhaphy, operation choice and postoperative care was presented to surgeons. We contacted via directly, mail or telephone. We used 28 item questionnaire. Results: Majority (87.9%) was composed of young gynecologists. Urologists composed of the 9.5% of the study population. The rate of paravaginal defect evaluation was 75.9% and mostly by inspection the presence of vaginal rugae. The use of transperineal 3D pelvic floor ultrasonography was low (5.7%). The evaluation of levator ani muscle defect was 46.6%. The usage of the transperineal 3D ultrasonography for levator ani muscle defect was 19 percent of operators. There were diversity in use of hydrodissection, fascial plication, excision of vaginal mucosa and suture choice. Usage of mesh for anterior colporrhaphy was limited (17.8%) and mostly in recurrent cases (12.2%). Paravaginal defect repair rate was 31.9%. The urinary catheter was generally removed one or two day after operation. Vaginal pack usually removed 24 hours after. Conclusion: Several techniques and approaches for anterior vaginal wall repair among operators in Turkey. The variety of techniques suggested that there is no consensus on best surgical technique.http://www.hasekidergisi.com/article_10993/Anterior-Colporrhaphy-Technique-And-Approach-Choices-Turkey-EvaluationAnterior colporrhaphyanterior vaginal wall prolapsedcystocelemeshparavaginal defect repair |
| spellingShingle | Serdar Aydın Rabia Zehra Bakar Gonca Batmaz Mahinur Betül Çalışkan Çağrı Arıoğlu Aydın Anterior Colporrhaphy Technique and Approach Choices: Turkey Evaluation Haseki Tıp Bülteni Anterior colporrhaphy anterior vaginal wall prolapsed cystocele mesh paravaginal defect repair |
| title | Anterior Colporrhaphy Technique and Approach Choices: Turkey Evaluation |
| title_full | Anterior Colporrhaphy Technique and Approach Choices: Turkey Evaluation |
| title_fullStr | Anterior Colporrhaphy Technique and Approach Choices: Turkey Evaluation |
| title_full_unstemmed | Anterior Colporrhaphy Technique and Approach Choices: Turkey Evaluation |
| title_short | Anterior Colporrhaphy Technique and Approach Choices: Turkey Evaluation |
| title_sort | anterior colporrhaphy technique and approach choices turkey evaluation |
| topic | Anterior colporrhaphy anterior vaginal wall prolapsed cystocele mesh paravaginal defect repair |
| url | http://www.hasekidergisi.com/article_10993/Anterior-Colporrhaphy-Technique-And-Approach-Choices-Turkey-Evaluation |
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