Is Mesh Becoming More Popular? Dilemmas in Urogynecology: A National Survey
The use of vaginal mesh in pelvic organ prolapse (POP) repair surgery has become more common in recent years. The purpose of the current study was to evaluate the common practice of Israeli urogynecologists, and to determine whether surgical practice has changed over the last two years. Methods. In...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2012/672356 |
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| author | Alexander Condrea Itamar Netzer Shimon Ginath Joseph Eldor-Itskovitz Abraham Golan Lior Lowenstein |
| author_facet | Alexander Condrea Itamar Netzer Shimon Ginath Joseph Eldor-Itskovitz Abraham Golan Lior Lowenstein |
| author_sort | Alexander Condrea |
| collection | DOAJ |
| description | The use of vaginal mesh in pelvic organ prolapse (POP) repair surgery has become more common in recent years. The purpose of the current study was to evaluate the common practice of Israeli urogynecologists, and to determine whether surgical practice has changed over the last two years. Methods. In 2009 and again in 2011, a survey was mailed to all urogynecologists affiliated with an academic institute in Israel. The survey consisted of 7 Likert-scale items and 3 open questions; the latter inquired about preferred type of surgery in three clinical scenarios. Results. Of 22 practitioners, 15 responded to the survey. The number of urogynecologists who reported using vaginal mesh for the repair of primary POP increased from 47 to 67% from 2009 to 2011. The number who would not use vaginal mesh in POP repair of elderly patients dropped from 60 to 3%. Finally, for the treatment of a 35-year-old patient with stage III uterine prolapse who desired to preserve fertility, 13% recommended the used vaginal mesh in 2009 compared with 47% in 2011. Conclusion. A survey of practitioners shows that the use of vaginal mesh for the repair of primary and recurrent pelvic organ prolapse has become more common among Israeli urogynecologists. |
| format | Article |
| id | doaj-art-2aefc92f6e9d4ab8bdbe4f4e9a7addd9 |
| institution | OA Journals |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-2aefc92f6e9d4ab8bdbe4f4e9a7addd92025-08-20T02:04:10ZengWileyObstetrics and Gynecology International1687-95891687-95972012-01-01201210.1155/2012/672356672356Is Mesh Becoming More Popular? Dilemmas in Urogynecology: A National SurveyAlexander Condrea0Itamar Netzer1Shimon Ginath2Joseph Eldor-Itskovitz3Abraham Golan4Lior Lowenstein5Edith Wolfson Medical Center, 62 HaLohamim Street, P.O. Box 5, Holon 58100, IsraelDepartment of Obstetrics and Gynecology, Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Rambam Health Care Campus, 6 Ha'Aliya Street, P.O. Box 9602, IsraelEdith Wolfson Medical Center, 62 HaLohamim Street, P.O. Box 5, Holon 58100, IsraelDepartment of Obstetrics and Gynecology, Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Rambam Health Care Campus, 6 Ha'Aliya Street, P.O. Box 9602, IsraelEdith Wolfson Medical Center, 62 HaLohamim Street, P.O. Box 5, Holon 58100, IsraelDepartment of Obstetrics and Gynecology, Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Rambam Health Care Campus, 6 Ha'Aliya Street, P.O. Box 9602, IsraelThe use of vaginal mesh in pelvic organ prolapse (POP) repair surgery has become more common in recent years. The purpose of the current study was to evaluate the common practice of Israeli urogynecologists, and to determine whether surgical practice has changed over the last two years. Methods. In 2009 and again in 2011, a survey was mailed to all urogynecologists affiliated with an academic institute in Israel. The survey consisted of 7 Likert-scale items and 3 open questions; the latter inquired about preferred type of surgery in three clinical scenarios. Results. Of 22 practitioners, 15 responded to the survey. The number of urogynecologists who reported using vaginal mesh for the repair of primary POP increased from 47 to 67% from 2009 to 2011. The number who would not use vaginal mesh in POP repair of elderly patients dropped from 60 to 3%. Finally, for the treatment of a 35-year-old patient with stage III uterine prolapse who desired to preserve fertility, 13% recommended the used vaginal mesh in 2009 compared with 47% in 2011. Conclusion. A survey of practitioners shows that the use of vaginal mesh for the repair of primary and recurrent pelvic organ prolapse has become more common among Israeli urogynecologists.http://dx.doi.org/10.1155/2012/672356 |
| spellingShingle | Alexander Condrea Itamar Netzer Shimon Ginath Joseph Eldor-Itskovitz Abraham Golan Lior Lowenstein Is Mesh Becoming More Popular? Dilemmas in Urogynecology: A National Survey Obstetrics and Gynecology International |
| title | Is Mesh Becoming More Popular? Dilemmas in Urogynecology: A National Survey |
| title_full | Is Mesh Becoming More Popular? Dilemmas in Urogynecology: A National Survey |
| title_fullStr | Is Mesh Becoming More Popular? Dilemmas in Urogynecology: A National Survey |
| title_full_unstemmed | Is Mesh Becoming More Popular? Dilemmas in Urogynecology: A National Survey |
| title_short | Is Mesh Becoming More Popular? Dilemmas in Urogynecology: A National Survey |
| title_sort | is mesh becoming more popular dilemmas in urogynecology a national survey |
| url | http://dx.doi.org/10.1155/2012/672356 |
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