ObjectivesThis 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.DesignA cross‐sectional survey.SettingAn electronic questionnaire.PopulationEuropean Urogynaecological Association (EUGA) and International Urogynecological Association (IUGA) members.MethodsA total of 33 questions evaluating surgeon preference regarding vaginal surgeries.Main Outcome MeasuresDemographics, surgical selection, proficiency and technique, and training methods.ResultsThere 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.ConclusionVaginal 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.

中文翻译：

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保留基本技能：泌尿妇科阴道子宫切除术培训的未来


目的本研究旨在评估外科医生在盆腔器官脱垂（POP）手术治疗方面的培训和自评能力。我们重点关注影响决策的因素、采用的手术技术、接受的培训以及并发症的处理。设计横断面调查。设置电子问卷。人口欧洲泌尿妇科协会（EUGA）和国际泌尿妇科协会（IUGA）成员方法共有 33 个问题评估外科医生对阴道手术的偏好。主要结果指标人口统计学、手术选择、熟练程度和技术以及培训方法。结果共有 471 名受访者，其中 273 名 (58%) 每周将超过 50% 的时间用于泌尿妇科。 250 人（53%）完成了研究金，其中 215 人（86%）完成了泌尿妇科和盆底重建研究。 297 名 (63%) 受访者指出，在子宫下降的情况下倾向于子宫切除术，这主要受到患者偏好、年龄和脱垂解剖评分的影响。共有 443 人 (94%) 精通阴道子宫切除术，其中三分之二每年进行 30 次或更少的手术； 212 (45%) 报告过去十年中手术数量有所减少。此外，373 名 (79%) 受访者认为需要 10-30 例才能达到并保持熟练程度。 结论 阴道子宫切除术仍然是子宫脱垂修复术的关键组成部分。然而，随着保留子宫脱垂修复术的兴起，决策过程可能会受到多种因素的影响，包括手术培训。重点应放在传统和新颖技术的培训和保持熟练程度上。