title: Technique of anterior colporrhaphy: a Dutch evaluation.
abstract: OBJECTIVE
  To evaluate the variation in techniques of anterior colporrhaphy among members of the Dutch Urogynecologic Society.
  
  
  METHODS
  A questionnaire evaluating the technique of anterior colporrhaphy, preoperative and postoperative care, and use of the POP-Q score was sent out by e-mail.
  
  
  RESULTS
  One hundred thirty-three completed questionnaires were received. The response rate was 65%. There are large variations in incisions, use of hydrodissection, method of plication, and excision of redundant vaginal epithelium. The urinary catheter was generally removed on day 2 after surgery and the vaginal pack on day 1. Less than half of the respondents used the POP-Q score routinely.
  
  
  CONCLUSIONS
  Dutch gynecologists use a variety of surgical techniques to operate on a cystocele. This suggests that there is no widely accepted opinion on the best surgical approach. The lack of differentiation between central and lateral defects is striking and in contrast with the, mostly, American literature.
authors.affiliation: Obstetrics and Gynecology, Canisius-Wilhelmina Hospital, Nijmegen, Netherlands. ellen@lensen.nu
authors.forename: Ellen J M
authors.initials: EJ
authors.lastname: Lensen
authors.forename: Jackie A
authors.initials: JA
authors.lastname: Stoutjesdijk
authors.forename: Mariella I J
authors.initials: MI
authors.lastname: Withagen
authors.forename: Kirsten B
authors.initials: KB
authors.lastname: Kluivers
authors.forename: Mark E
authors.initials: ME
authors.lastname: Vierhout
mesh_terms: D003127:Colposcopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D056887:Pelvic Organ Prolapse / Q000453:epidemiology / Q000601:surgery*; D011182:Postoperative Care; D011300:Preoperative Care; D011795:Surveys and Questionnaires; D016896:Treatment Outcome