Preserving essential skills: The future of vaginal hysterectomy training in urogynaecology

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dc.contributor.authorRotem, Reuten
dc.contributor.authorCarey, Michael O.en
dc.contributor.authorMcCarthy, Claire M.en
dc.contributor.authorO'Reilly, Barry A.en
dc.contributor.authorDaykan, Yairen
dc.contributor.authorO'Sullivan, Orfhlaith E.en
dc.date.accessioned2025-03-04T10:28:08Z
dc.date.available2025-03-04T10:28:08Z
dc.date.issued2025en
dc.description.abstractObjectives: This 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. Design: A cross-sectional survey. Setting: An electronic questionnaire. Population: European Urogynaecological Association (EUGA) and International Urogynecological Association (IUGA) members. Methods: A total of 33 questions evaluating surgeon preference regarding vaginal surgeries. Main Outcome Measures: Demographics, surgical selection, proficiency and technique, and training methods. Results: There 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. Conclusion: Vaginal 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. © 2024 The Author(s). BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationRotem, R., Carey, M. O., McCarthy, C. M., O'Reilly, B. A., Daykan, Y. and O'Sullivan, O. E. (2025) 'Preserving essential skills: The future of vaginal hysterectomy training in urogynaecology', BJOG: An International Journal of Obstetrics & Gynaecology, 132(2), pp.205-211. https://doi.org/10.1111/1471-0528.17974en
dc.identifier.doihttps://doi.org/10.1111/1471-0528.17974en
dc.identifier.endpage211en
dc.identifier.issn14700328en
dc.identifier.issued2
dc.identifier.journaltitleBJOG: An International Journal of Obstetrics and Gynaecologyen
dc.identifier.startpage205en
dc.identifier.urihttps://hdl.handle.net/10468/17147
dc.identifier.volume132
dc.language.isoenen
dc.publisherJohn Wiley and Sons Incen
dc.rights© 2025, the Author(s). This work is licensed under a Creative Commons Attribution 4.0 International License.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectSubspecialisationen
dc.subjectSurgical trainingen
dc.subjectSurgical volumeen
dc.subjectTraining requirementsen
dc.subjectaginal hysterectomyen
dc.titlePreserving essential skills: The future of vaginal hysterectomy training in urogynaecologyen
dc.typeArticle (peer reviewed)en
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