ArticleBJOG : an international journal of obstetrics and gynaecology2025
Preserving Essential Skills: The Future of Vaginal Hysterectomy Training in Urogynaecology.
Article in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Does Colpocleisis Still Hold Value? The Evolution of Apical Prolapse Surgery: A Comparative National Database Study.Journal of clinical medicine · 2025Article
- Bladder prolapse (cystocele) among African, Asian, and Middle Eastern women: a clinical and socio-cultural perspective.Frontiers in global women's health · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
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Abstract
objectivesThis study aimed to evaluate the training and self-assessed proficiency of surgeons in the surgical management of pelvic organ prolapse (POP). We focused on the factors that influence decision-making, the surgical techniques employed, the training received, and the management of complications.
designA cross-sectional survey.
settingAn electronic questionnaire. POPULATION: European Urogynaecological Association (EUGA) and International Urogynecological Association (IUGA) members.
methodsA total of 33 questions evaluating surgeon preference regarding vaginal surgeries.
main outcome measuresDemographics, surgical selection, proficiency and technique, and training methods.
resultsThere were 471 respondents, of which 273 (58%) dedicated more than 50% of their week to urogynaecology. 250 (53%) had completed a fellowship, with 215 (86%) of those fellowships being in urogynaecology and pelvic floor reconstruction. A preference for hysterectomy in cases of uterine descent was noted by 297 (63%) respondents, influenced mainly by patient preference, age, and prolapse anatomical score. A total of 443 (94%) were proficient in vaginal hysterectomy, with two-thirds performing 30 or fewer procedures annually; 212 (45%) reporting a decrease in the number of procedures over the last decade. Additionally, 373 (79%) respondents believed that 10-30 cases were needed to achieve and maintain proficiency.
conclusionVaginal hysterectomy remains a key component in uterine prolapse repair. However, with the rise of uterine-sparing prolapse repairs, the decision-making process may be influenced by multiple factors, including surgical training. Emphasis should be placed on training and maintaining proficiency in both traditional and novel techniques.
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