LetterThe original publication is available at http://www.samj.org.zaTo the Editor: A national survey was done on the management
of anterior vaginal prolapse (AVP) by registered gynaecologists
and urologists in South Africa. Of 822 questionnaires posted,
30.2% were returned completed (23.2% from gynaecologists
and 7.0% from urologists). The information supplied was
anonymous and is probably a true reflection of current
practice. Of concern were the 36.3% of respondents who did
not use a recognised staging system, a low rate of pre-operative
urodynamic investigation by gynaecologists (8.4%) and a
high rate of synthetic mesh use by urologists (75.9%), even for
primary procedures.
This first survey among South African prolapse surgeons
provides valuable insight into clinical practice.Publishers’ versio
