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All Journal Majalah Kesehatan FKUB Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) ISM (Intisari Sains Medis) : Jurnal Kedokteran Andalas obstetrics and gynecology journal Narra J
Tyas Priyatini
Departement Of Obstetrics And Gynecology, Faculty Of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo National General Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Learning Curve Analysis of Pelvic Organ Prolapse Surgery Among Urogynecology and Aesthetic Reconstruction Trainees D. Irsat Syafardi; Tyas Priyatini; Alfa Muthia
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 2 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.2.248-261.2026

Abstract

Background: Pelvic organ prolapse (POP) is a condition in which pelvic organs descend into the vaginal canal due to weakened muscles and tissues. It represents a significant global health burden with a worldwide prevalence of 30.9% and 26.4% in Jakarta. As the female life expectancy in Indonesia continues to rise, the prevalence of POP estimated to increase by 40%, further affecting women’s quality of life. The need for POP surgery is projected to reach 48.1% by 2050. Given the complexity of POP reconstruction, adequate training and evaluation of urogynecology subspecialists are essential to ensure patient safety and optimal outcomes. Objective: To analyze the learning curve of POP surgeries performed by urogynecology subspecialty trainees at RSCM using the Cumulative Sum (CUSUM) method in order to evaluate surgical skill development and optimize clinical training quality. Methods: This study applied a CUSUM learning curve analysis to assess the performance of three subspecialty trainees during ten POP reconstructive surgeries. Variables analyzed included operation duration and intraoperative blood loss. Result: CUSUM analysis is able to identify the point at which trainees achieve procedural competence and stable performance, reflected by plateau phase in operation time and reduced intraoperative bleeding. This method allows for early detection of learning challenges and facilitates timely corrective actions during training. Conclusions: CUSUM learning curve analysis provides a sensitive and continuous assessment tool for monitoring surgical competency of urogynecology subspecialty trainees. This approach in clinical training can enhance the standardization of education, improve patient safety, and optimize clinical outcomes in POP management.
Co-Authors Abraham A.L. Maukar Alfa Muthia Alfa Putri Meutia Armita, Nurdarlila Arufiadi Anityo Mochtar Asih Anggraeni Azzahra, Kayla Rianna Budi I Santoso Budi I Santoso, Budi I Budi I. Santoso Budi I. Santoso Budi I. Santoso Chan, Muhammad SN. D. Irsat Syafardi Djusad, Suskhan Elisia Elisia Elisia Elisia, Elisia Erwinanto Erwinanto Fakhrizal, Edy Fernandi Moegni Finish Fernando Hayati, Nora Amalia Hertia Triarani Hertia Triarani, Hertia Hidayah, Gita Nurul I Putu G Kayika Ibnu Pranoto Ibnu Pranoto Joan M. Sari Junizaf Junizaf Junizaf Junizaf Kukuh W. Kustarto Kurniawan, Andrew P. Leonardo Leonardo Lucky S. Widyakusuma M Thohar Arifin Maryuni, Sri W. Mutia, Alfa P. Nuring Pangastuti Nuring Pangastuti, Nuring Prabawati, Nirmala Gina Rodiani, Rodiani Roziana Roziana, Roziana Ruthsuyata Siagian Shirley Anggraini Tunggadewi shirley T. Anggraeni Surahman Hakim Syafardi, Irsat Wael Oemar