Currently- preferred surgical option for Apical Prolapse in clinical practice among Korean obstetrician-gynecologists

Soo Rim K1

Research Type

Clinical

Abstract Category

Pelvic Organ Prolapse

Abstract 60
Urogynaecology 2 - Pelvic Organ Prolapse
Scientific Podium Short Oral Session 5
Thursday 18th September 2025
12:22 - 12:30
Parallel Hall 3
Quality of Life (QoL) Pelvic Organ Prolapse Questionnaire
1. Catholic kwandong university college of medicine, International St. Mary's hospital
Presenter
Links

Abstract

Hypothesis / aims of study
To assess surgical options for  of the correction for of apical prolapse among Korean obstetrician-gynecologists.
Study design, materials and methods
We sent designed a web-based questionnaire to 780 Korean Society of Obstetrics and Gynecology members. The items evaluated in the questionnaire were basal characteristics and currently surgical decision-making processes for correction of apical prolapse correction. Differences between thirty urogynecologists and ninety-six non-urogynecologists, we calledwhom we will now address as obstetrics and gynecologists, were analyzed by using the two-sample t-test and chi-square test.
Results
One hundred twenty-six members (16%) responded to the survey. Of the respondents, 65.1% reported doing theconducting uterine suspension in apical prolapse when the patient wants to preserve her own uterusfor patients that wanted to preserve her uterus. After hysterectomy in patients with apical prolapse.For patients that received hysterectomy, 54.8% replied performing theof the respondents administered additional vault suspension: 35% was only severe uterine prolapseonly during severe uterine prolapse and 19.8% always was doneregardless of severity. The most favored operation at for vault suspension after hysterectomy in Korea was high uterosacral ligament suspension in Korea.
Interpretation of results
65.1% of the surveyed indicated performing surgical correction for vaginal vault prolapse. 90 % of the Korean urogynecologists was respond to do surgeryresponded that they normally perform the given operation. However, only 68.8% of obstetrics and gynecologists responded analogously. Surgical procedure preference differed as well: the urogynecologic department preferred sacrocolpopexy with mesh (40.8%) while the obstetrics and gynecologic department preferred sacrospinous ligament fixation (31.8%).In obstetrics and gynecologic department, most surgeons preferred to sacrospinous ligament fixation (31.8%).
Concluding message
More than half of Korean obstetrician-gynecologists performed to uterine suspension, and the decision to enforce additional vault suspension depended on the uterine status in theduring correction of apical prolapse. Unlike obstetrics and urogynecologists, aAlmost all urogynecologists in Korea showed the highest surgical preference asstrongly preferred sacrocolpopexy with mesh for to treat vaginal vault prolapse unlike obstetrics and urogyecologists.
References
  1. Jones KA, Shepherd JP, Oliphant SS, et al. Trends in inpatient prolapse procedures in the United States, 1979-2006. Am J Obstet Gynecol 2010; 202:501.
  2. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 2002; 21:167.
  3. Detollenaere RJ, den Boon J, Kluivers KB, Vierhout ME, van Eijndhoven HW. Surgical management of pelvic organ prolapse and uterine descent in the Netherlands. Int Urogynecol J 2013;24:781-8.
Disclosures
Funding No funding Clinical Trial No Subjects Human Ethics Committee IS19QISI0 Helsinki Yes Informed Consent Yes
03/07/2025 10:13:23