How are anterior repairs carried out in the UK?

The objective of this study was to evaluate how anterior repairs are carried out in the UK and how they differ from published recommended common practice. Postal questionnaires were sent within the first week of May 2005, to 300 consultant gynaecologists in the UK. The surveyed gynaecologists were randomly selected from the RCOG register of Fellows and Members. The questionnaire included questions regarding preoperative assessment, common operative techniques, postoperative management and follow-up. A total of 145 (48%) responses were returned; 110 (37%) consultant gynaecologists completed the survey and 35 (11%) incomplete questionnaires were returned by consultants who currently do not undertake pelvic reconstruction surgery. The results showed a wide variation in management approach and surgical techniques of anterior vaginal wall prolapse between gynaecologists. There appears to be no consensus as how an anterior repair is carried out in UK.