ArticleInternational urogynecology journal2014
Changes in prolapse surgery trends relative to FDA notifications regarding vaginal mesh.
Article in International urogynecology journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 80 citations in OpenAlex.
- The Role of 3D/4D Transperineal Ultrasound in Risk Stratification for Pelvic Organ Prolapse Recurrence: Native Tissue Versus Mesh Repair.Journal of clinical medicine · 2026Article
- Nationwide trends in physician consultation and surgical management for pelvic organ prolapse in Japan, 2014 to 2024: a health insurance claims database analysis.AJOG global reports · 2026Article
- Pressure-volume analysis of thermodynamic workload of voiding - an application in pelvic organ prolapse patients subjected to robotic-assisted sacrocolpopexy.Biomedical engineering letters · 2025Article
- Does Colpocleisis Still Hold Value? The Evolution of Apical Prolapse Surgery: A Comparative National Database Study.Journal of clinical medicine · 2025Article
- Sacrocolpopexy: Alternatives to Mesh Grafts.International urogynecology journal · 2025Review
- Trends in Urogynecology-Transvaginal Mesh Surgery in Germany.Journal of clinical medicine · 2024Article
- A new technique for uterine-preserving pelvic organ prolapse surgery: Laparoscopic rectus abdominis hysteropexy for uterine prolapse by comparing with traditional techniques.Open medicine (Warsaw, Poland) · 2023Article
- Medium- to long-term outcomes of vaginally assisted laparoscopic sacrocolpopexy in the treatment of stage III-IV pelvic organ prolapse.BMC women's health · 2022Article
- In-plane and out-of-plane deformations of gilt utero-sacral ligaments.Journal of the mechanical behavior of biomedical materials · 2022Article
- Autologous rectus fascia graft in the treatment of high-stage apical vaginal prolapse: preliminary results of a new surgical approach with native tissue.International urology and nephrology · 2022Article
- Back to the future: vaginal hysterectomy and Campbell uterosacral ligaments suspension for urogenital prolapse.International urogynecology journal · 2021Article
- Pelvic organ prolapse and sexual function.Nature reviews. Urology · 2020Review
- Current surgical management of pelvic organ prolapse: Strategies for the improvement of surgical outcomes.Investigative and clinical urology · 2019Review
- Landmarks in vaginal mesh development: polypropylene mesh for treatment of SUI and POP.Nature reviews. Urology · 2019Review
- Trends in prolapse surgery in England.International urogynecology journal · 2018Article
- Rate of Pelvic Organ Prolapse Surgery Among Privately Insured Women in the United States, 2010-2013.Obstetrics and gynecology · 2018Article
- Sacrocolpopexy: Surgical Technique, Outcomes, and Complications.Current urology reports · 2016Review
- Efficacy and safety of skeletonized mesh implants for advanced pelvic organ prolapse: 12-month follow-up.World journal of urology · 2016Article
- Comparison of complications and prolapse recurrence between laparoscopic and vaginal uterosacral ligament suspension for the treatment of vaginal prolapse.International urogynecology journal · 2016Article
- Epidemiological trends and future care needs for pelvic floor disorders.Current opinion in obstetrics & gynecology · 2015Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
introduction and hypothesisIn 2008 and 2011, the US Food and Drug Administration (FDA) released notifications regarding vaginal mesh. In describing prolapse surgery trends over time, we predicted vaginal mesh use would decrease and native tissue repairs would increase.
methodsOperative reports were reviewed for all prolapse repairs performed from 2008 to 2011 at our large regional hospital system. The number of each type of prolapse repair was determined per quarter year and expressed as a percentage of all repairs. Surgical trends were examined focusing on changes with respect to the release of two FDA notifications. We used linear regression to analyze surgical trends and chi-square for demographic comparisons.
resultsOne thousand two hundred and eleven women underwent 1,385 prolapse procedures. Mean age was 64 ± 12, and 70 % had stage III prolapse. Vaginal mesh procedures declined over time (p = 0.001), comprising 27 % of repairs in early 2008, 15 % at the first FDA notification, 5 % by the second FDA notification, and 2 % at the end of 2011. The percentage of native tissue anterior/posterior repairs (p < 0.001) and apical suspensions (p = 0.007) increased, whereas colpocleisis remained constant (p = 0.475). Despite an overall decrease in open sacral colpopexies (p < 0.001), an initial increase was seen around the first FDA notification. We adopted laparoscopic/robotic techniques around this time, and the percentage of minimally invasive sacral colpopexies steadily increased thereafter (p < 0.001). All sacral colpopexies combined as a group declined over time (p = 0.011).
conclusionsSurgical treatment of prolapse continues to evolve. Over a 4-year period encompassing two FDA notifications regarding vaginal mesh and the introduction of laparoscopic/robotic techniques, we performed fewer vaginal mesh procedures and more native tissue repairs and minimally invasive sacral colpopexies.
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Registered trials
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.