{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T01:13:55Z","timestamp":1777770835770,"version":"3.51.4"},"reference-count":27,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background. Perineoplasty is a frequently performed procedure as part of prolapse surgery. Despite its frequent use, there is a lack of evidence on the optimal indication, surgical technique and adverse outcomes. We intended to gain insight into the current opinions on indications and techniques of perineoplasty among (uro)gynecologists worldwide. Methods. We conducted a survey among members of the International UroGynecological Association (IUGA) to objectify indications for perineoplasty and aspects of surgical technique. Results. A total of 114 urogynecologists responded, with 98% performing perineoplasty. A total of 85% of respondents aimed to approximate the bulbocavernosus muscle, whereas 27% aimed to include the puborectal muscle as well. A total of 86% of respondents used 1\u20134 resorbable sutures, especially vicryl 2\/0 (39%) or vicryl 0 (52%). According to the respondents, a \u201cwide genital hiatus at physical examination\u201d (87%) and \u201csubjective complaints of a wide genital hiatus\u201d (84%) were considered good\/excellent indications for perineoplasty, whereas \u201cfecal incontinence\u201d, \u201capical prolapse\u201d and \u201cperineal pain\u201d were absolutely\/mostly not a good indication. Reasons to not perform perineoplasty were pelvic pain (59%) and dyspareunia (64%). Most responders underlined the need for more research on this topic (8.5 out of 10). Conclusions. Perineoplasty is a frequently performed procedure. There is a wide variation in the indications for and surgical techniques of perineoplasty. Therefore, research is needed to identify which patients will benefit from perineoplasty and how to optimally perform this surgery.<\/jats:p>","DOI":"10.3390\/jcm13247536","type":"journal-article","created":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T12:38:56Z","timestamp":1733920736000},"page":"7536","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Opinions of Gynecologists About Indication and Technique of Perineoplasty"],"prefix":"10.3390","volume":"13","author":[{"given":"Esther C. A. M. van","family":"Swieten","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Spaarne Gasthuis, 2035 RC Haarlem, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3243-2970","authenticated-orcid":false,"given":"Karlijn J. van","family":"Stralen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Spaarne Gasthuis, 2035 RC Haarlem, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4704-1710","authenticated-orcid":false,"given":"Astrid","family":"Vollebregt","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Spaarne Gasthuis, 2035 RC Haarlem, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan-Paul W. R.","family":"Roovers","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Amsterdam UCM, 1105 AZ Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.1007\/s00192-015-2762-1","article-title":"Perineorrhaphy: Commonly performed yet poorly understood. A survey of surgeons","volume":"26","author":"Kanter","year":"2015","journal-title":"Int. Urogynecol. J."},{"key":"ref_2","unstructured":"Baggish, M.S., and Karram, M.M. (2011). Plastic Repair of the Perineum (Perineorrhaphy). Atlas of Pelvic Anatomy and Gynecologic Surgery, Publisher. 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