Condrea Alexander, Netzer Itamar, Ginath Shimon, Eldor-Itskovitz Joseph, Golan Abraham, Lowenstein Lior
Edith Wolfson Medical Center, 62 HaLohamim Street, P.O. Box 5, Holon 58100, Israel.
Obstet Gynecol Int. 2012;2012:672356. doi: 10.1155/2012/672356. Epub 2011 Nov 15.
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.
近年来，阴道网片在盆腔器官脱垂（POP）修复手术中的应用越来越普遍。本研究的目的是评估以色列泌尿妇科医生的常见做法，并确定过去两年手术操作是否发生了变化。方法。2009年和2011年再次向以色列一所学术机构附属的所有泌尿妇科医生邮寄了一份调查问卷。该调查包括7个李克特量表项目和3个开放式问题；后者询问了三种临床情况下首选的手术类型。结果。22名从业者中，15人回复了调查。报告在原发性POP修复中使用阴道网片的泌尿妇科医生人数从2009年的47%增加到2011年的67%。在老年患者POP修复中不使用阴道网片的人数从60%降至3%。最后，对于一名35岁、患有III期子宫脱垂且希望保留生育能力的患者，2009年13%的人推荐使用阴道网片，而2011年这一比例为47%。结论。对从业者的一项调查表明，在以色列泌尿妇科医生中，使用阴道网片修复原发性和复发性盆腔器官脱垂变得更加普遍。
