Slide Urogyn Practice

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Urogynecology PracticePatterns among Obstetriciansand gynecologists in Jakarta :

survey resultsBudi Iman Santoso



Introduction

• The lifetime risk of undergoing a single surgeryfor prolapse or incontinence by age ! years is""#$%

•

&evie's of several studies of older 'omenestimate the prevalence of any e(perience of UIat "!# to )!#$*+)

• ,ynecologists consider themselves

inade-uately trained in urogynecology+.

$• / survey sho' that there is a need for

improved general training during residencytraining"!$



0aterial and 0ethods

• / cross1sectional "21item -uestionnaire'as distributed to obstetricians andgynecologists in 0arch %!")$

• The -uestionnaire covered basicidentity+ patient characteristics+diagnosis+ and choice of treatment for

stress urinary incontinence 3SUI4+overactive bladder 3O/B4+ and prolapse



0aterial and 0ethods

• Physicians 'ere asked about their patientcomplaints+ number of patient attended to theclinic 'ith urogynecology complaints$

•

The symptoms asked to the patient 'ere basedon the latest de5nition published byinternational urogynecological association3IU,/46international continence society 3I7S4")$

•

They 'ere also asked to describe their practicepatterns for choosing speci5c e(amination+most common diagnosis made+ and choice oftreatment for SUI+ O/B+ and prolapse$



&esult

Table "$

Obstetricians andgynecologistscharacteristics

Characteristics Number PercentageAge (year) 51.76 (812.44)Gender

MaleFemale

236

79.320.7

Number of practice1

23

12

89

41.4

27.631.0Profession

OB/GYN

S!"#e$%al%"&

24

5

82.8

17.2

University staYe"

N'722

24.175.9

Practice experience10 year

10 year

17

12

58.6

41.4

Age of the patient35*50

50

8

21

27.6

72.4

Parity1

2

34

5

2

2

1013

2

6.9

6.9

34.544.8

6.9

No of patient attending clinic0*56*10

245

82.817.2

No of patient referred from clinic0*5

6*10 29 100

Ch t i ti N b P t



Table %$ Urogynecologypractice pattern amongobstetricians and

gynecologistsperformed to 'omen'ith urogynecologycomplaints

Characteristics Number

Percentage

Chief complaint of patients+r'la#"e

,r%-e leaage

,rge-$y / ree-$y

Fe$al %-$'-&%-e-$e

N'$&r%a,r%-ary re&e-&%'-

e$rre-& ,

O&er" (#el%$ #a%- ag%-al %"$arge y"r%a)

15

10

9

3

33

6

2

51.7

34.6

31.0

10.3

10.310.3

20.7

6.9Special examination+O+

:'g "&re"" &e"&

*&%#24 #a &e"&

+'"& '% r%-ary re"%al 'lme

+el%$ l''r l&ra"'-

,r'y-am%$

;-'"$'#eO&er"

5

15

21

8

7

3

14

17.2

51.7

6.93.4

27.6

24.1

10.3

3.413.8

Diagnosis,&er%-e #r'la#"e

OAB

S,

M%<e ,

:y"&'$elee$&'$ele

,r%-ary re&e-&%'-

17

8

10

1

168

4

58.6

27.6

34.5

3.4

55.227.6

13.8

SU management:'-"era&%e

+FMSrgery

=rg" (e&r"%&'l)O&er" ($'-"l&a&%'- &' r'l'g%"&)

16

275

31

55.2

93.117.2

10.33.4

!A" management:'-"era&%e+FM

Blaer &ra%-%-g

=rg"

S'l%e-a$%-

'l&er'%-er'"#%m

'&er"

1419

19

5

81

1

48.365.5

65.5

17.2

27.63.4

3.4

P!P managament



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*$ C u n s k a a r S + B u r g i o D + ; i o k n o / + C e r E o g / & + C F G l m H s

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$ , y h a g e n 0 + B u l l a r b o 0 + i e l s e n T + 0 i l s o m I $P r e v a l e n c e a n d r i s k f a c t o r s f o r p e l v i c o r g a np r o l a p s e % ! y e a r s a f t e r c h i l d b i r t h : a n a t i o n a lc o h o r t s t u d y i n s i n g l e t o n p r i m i p a r a e a f t e r v a g i n a l o rc a e s a r e a n d e l i v e r y $ B J O , $ % ! " % o v % = " % ! 3 % 4 : " % ? > ! $

>$ S l i e k e r 1 t e n C o v e 0 7 P + B l o e m b e r g e n C + A i e r h o u t 0 9 +S c h o e n m a k e r , $ ; i s t r i b u t i o n o f p e l v i c o r g a n p r o l a p s e3 P O P 4 i n t h e g e n e r a l p o p u l a t i o n $ I n t e r n a t i o n a l7 o n g r e s s S e r i e s $ % ! ! / p r = " % 2 . : * * ? > $

2$ / b r a m s P + 7 o t t e n d e n / + ; , $ 9 v a l u a t i o n a n d T r e a t m e n t o f U r i n a r y I n c o n t i n e n c e + P e l v i c P r o l p a s e

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