Reviewer’s report
Title: 
Pelvic Organ Prolapse and Uterine Preservation: A survey of female
gynaecologists (POP-UP survey)
Version: 
0 
Date: 
10 Sep 2020
Reviewer's report:
Thank you for your interesting work on the perceptions of women. The paper is
well written and easy to read.
It would be helpful to include a copy of the actual questionnaire in the appendix
so that others could repeat the study.
Could you include % in Table 1 to enable simple comparison between the
different sized groups
I don't understand Figure 1 - there is no mention of hysterectomy . Also is
sacrocolpopexy in combination with hysterectomy or a sacrohysteropexy ?
Sacropcolopexy in combination with hysterectomy is thought to carry higher risk
of mesh exposure. 
I am very suprised by the low up take of pessaries - this could be explored in
more detail. Could this reflect local practice or was it a limitation of the way the
question was phrased? 
In the UK it is our first line treatment after physio. I think
figure 2 is really important and should be used to help inform the design of
future patient decision aids and should be repeated in a group of patients. 
You may wish to reference the outcome of the VUE trial Health Technol Assess.
2020 Mar; 24(13): 1-220.
doi: 10.3310/hta24130 which showed no difference in outcome in terms of
uterine preservation or excision 
It would have been very useful to have had a direct comparison group of non-
clinicians and also male clinicians
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