Evidence map›Paper›PMID 26026465›Full record

ArticleInternational urogynecology journal2015

Utero-vaginal suspension using bilateral vaginal anterior sacrospinous fixation with mesh: intermediate results of a cohort study.

Vincent Letouzey, Daniela Ulrich, Eva Balenbois, Arnaud Cornille, Renaud de Tayrac, Brigitte Fatton

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In one paragraph

Article in International urogynecology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Pelvic organ prolapse and sexual function.Nature reviews. Urology · 2020
    Review
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Comparison of UpholdScientific reports · 2018
    Article
  15. Article
  16. 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

6 authors at 2 institutions in 2 countries.

Vincent LetouzeyDepartment of Obstetrics and Gynaecology, CHU Caremeau, Place du Professeur-Robert-Debré, 30029, Nîmes, France.
Daniela UlrichDepartment of Obstetrics and Gynaecology, CHU Caremeau, Place du Professeur-Robert-Debré, 30029, Nîmes, France. daniela.ulrich.at@gmail.com.
Eva BalenboisDepartment of Obstetrics and Gynaecology, CHU Caremeau, Place du Professeur-Robert-Debré, 30029, Nîmes, France.
Arnaud CornilleDepartment of Obstetrics and Gynaecology, CHU Caremeau, Place du Professeur-Robert-Debré, 30029, Nîmes, France.
Renaud de TayracDepartment of Obstetrics and Gynaecology, CHU Caremeau, Place du Professeur-Robert-Debré, 30029, Nîmes, France.
Brigitte FattonDepartment of Obstetrics and Gynaecology, CHU Caremeau, Place du Professeur-Robert-Debré, 30029, Nîmes, France.
Centre Hospitalier Universitaire de Nîmes · FRMedical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisPelvic organ prolapse is a major burden for the public health system, affecting up to 30 % of all women. One mesh kit has been introduced for pelvic organ prolapse surgery that can be inserted via a single anterior incision with the mesh arms driven through the sacrospinous ligament in a tension-free manner. The aim of this study was to describe the medium-term results of this vaginal mesh kit procedure for the combined treatment of the anterior vaginal wall and vault prolapse.

methodsThis is a longitudinal case series of patients undergoing an anterior mesh operation between 2009 and 2013. All patients presenting with symptomatic stage II prolapse or higher were included when a minimum follow-up of 12 months was achieved. A structured interview and clinical examination were performed pre- and postoperatively.

resultsOne hundred and eighteen consecutive patients were operated with the Uphold® system during the study period. Three patients did not complete the 12-month follow-up and were excluded from the analysis, leaving 115 patients. Anatomical success at a mean follow-up of 23 months was 93 %, with a patient satisfaction rate of 95 %. Four patients (8 %) experienced de novo dyspareunia related to the mesh. The reoperation rate for mesh-related complications was 3.4 %; no patients were re-operated for POP recurrence.

conclusionsThe subjective and objective cure rates were high and the mesh-related re-operation rate was 3 % in the medium term, suggesting that this surgical technique may be an option for women requiring anterior and apical prolapse repair.

Indexed as

Surgical MeshAdultAgedAged, 80 and overBody Mass IndexCohort StudiesFemaleHumansIschiumLigamentsMiddle AgedParityPelvic Organ ProlapseSacrumTime FactorsTreatment OutcomeDyspareuniaPelvic organ prolapseSacrospinous ligamentTension-freeUphold®

Identifiers

PMID26026465
OpenAlexW413398164

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.