Evidence map›Paper›PMID 22930216›Full record

Trial reportInternational urogynecology journal2013

Lower exposure rates of partially absorbable mesh compared to nonabsorbable mesh for cystocele treatment: 3-year follow-up of a prospective randomized trial.

J Farthmann, D Watermann, A Niesel, C Fünfgeld, A Kraus, F Lenz, H J Augenstein, E Graf, B Gabriel

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 19% of its field
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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Surgery for women with anterior compartment prolapse.The Cochrane database of systematic reviews · 2016
    Pooled it
  3. Partially Absorbable Mesh (SERATOMJournal of menopausal medicine · 2025
    Article
  4. Review
  5. 3D reconstruction of MR-visible FeNeurourology and urodynamics · 2019
    Article
  6. Article
  7. Article
  8. MRI visible FeInternational urogynecology journal · 2017
    Article
  9. Article
  10. Review
  11. 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

9 authors at 6 institutions in 1 country.

J FarthmannDepartment of Obstetrics & Gynecology, University Hospitals, Hugstetter Str. 55, 79106, Freiburg, Germany. juliane.farthmann@uniklinik-freiburg.de
D Watermann
A Niesel
C Fünfgeld
A Kraus
F Lenz
H J Augenstein
E Graf
B Gabriel
University Medical Center Freiburg · DEEvangelisches Diakoniekrankenhaus · DEEvangelisches Krankenhaus Oldenburg · DEKlinik Preetz · DEKlinikum Fulda · DEMarienhaus Klinikum Hetzelstift Neustadt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisIn surgery for pelvic organ prolapse (POP) the use of alloplastic meshes has become common. Among possible complications, mesh exposure is the most frequent problem. It is hypothesized that exposure rates are correlated to mesh weight and the amount of foreign material. Therefore, we conducted a prospective open-label randomized multicenter trial comparing a conventional polypropylene mesh (PP) with a partially absorbable polypropylene mesh (PA) for cystocele treatment.

methodsA total of 200 patients with POP > stage I were randomized either to a conventional or a partially absorbable mesh. Exposure rates were observed after 3, 12, and 36 months and correlated to mesh material, patient characteristics, intraoperative data, and treatment centers. Furthermore, management of mesh exposure, satisfaction with surgery, and postoperative pain were evaluated.

resultsAt all follow-up intervals mesh exposure rate was smaller in the group of the partially absorbable mesh (3 months PP 11.3 % vs PA 3.2 %, p=0.0492; 12 months 6.6 % vs 6.3 %; 36 months 7.5 % vs 3.4 %). Over the course of time, mesh exposure was observed in 27 patients, with surgical intervention necessary in 11 patients. The rate of recurrent POP was higher (p>0.05) in patients with the partially absorbable mesh. The majority of patients were fully satisfied with the operation (52.8 %) and had no pelvic floor pain (67.5 %).

conclusionIn this prospective, randomized trial with a long-term follow-up there was a low exposure rate in both treatment groups with a trend toward fewer exposures in the group of the partially absorbable mesh.

Indexed as

Absorbable ImplantsAgedCystoceleFemaleFollow-Up StudiesGynecologic Surgical ProceduresHospitalsHumansIntraoperative ComplicationsMiddle AgedPatient SatisfactionProspective StudiesRisk FactorsSurgical Mesh

Identifiers

PMID22930216
OpenAlexW2022608765

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.