Evidence map›Paper›PMID 18716704›Full record

Trial reportInternational urogynecology journal and pelvic floor dysfunction2008

Symptom resolution and sexual function after anterior vaginal wall repair with or without polypropylene mesh.

Kari Nieminen, Reijo Hiltunen, Eila Heiskanen, Teuvo Takala, Kirsti Niemi, Mauri Merikari, Pentti K Heinonen

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal and pelvic floor dysfunction, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Transvaginal mesh or grafts or native tissue repair for vaginal prolapse.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Surgery for women with anterior compartment prolapse.The Cochrane database of systematic reviews · 2016
    Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Review
  12. Article
  13. Pelvic organ prolapse and sexual function.Nature reviews. Urology · 2020
    Review
  14. Article
  15. Pelvic Prolapse Repair in the Era of Mesh.Current urology reports · 2016
    Review
  16. Article
  17. Morbidity and functional mid-term outcomes using Prolift pelvic floor repair systems.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2014
    Article
  18. Anterior colporrhaphy: why surgeon performance is paramount.International urogynecology journal · 2014
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kari NieminenDepartment of Obstetrics and Gynecology, Tampere University Hospital, P.O. Box 2000, 33521, Tampere, Finland. kari.t.nieminen@uta.fi
Reijo Hiltunen
Eila Heiskanen
Teuvo Takala
Kirsti Niemi
Mauri Merikari
Pentti K Heinonen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate whether symptom resolution and sexual function is better after reinforcement with polypropylene mesh than with traditional anterior repair. Ninety-seven patients were randomized to anterior colporrhaphy and 105 to an operation with mesh. Participants were evaluated up to 24 months by physical examination, standard questions, and questionnaire. The overall symptom rate did not differ between the groups, but a sensation of vaginal bulge was reported less frequently in the mesh group, the figures being 17 versus 5 (p = 0.003). The recurrence rate for the no-mesh group was 41% and for the mesh group 11% (p < 0.001). The dyspareunia score was statistically significantly lower in the mesh group (p = 0.015). The mesh exposure rate was 8%. Sensation of vaginal bulge was relieved more efficiently by the mesh technique without causing dyspareunia.

Indexed as

AgedAged, 80 and overDyspareuniaFemaleGynecologic Surgical ProceduresHumansMiddle AgedPolypropylenesSexual BehaviorSurgical MeshTreatment OutcomeVaginaPolypropylenes

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.