Evidence map›Paper›PMID 26243182›Full record

ArticleInternational urogynecology journal2016

Vaginal adhesions after transvaginal pelvic reconstructive surgeries: prevalence and clinical implications.

Grace Younes, Eyal Goldschmidt, Ariel Zilberlicht, Ron Auslender, Nir Haya, Yoram Abramov

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In one paragraph

Article in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. The vaginal bridge.Autopsy & case reports
    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 3 institutions in 1 country.

Grace YounesDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology , Carmel Medical Center, Rappaport Faculty of Medicine,Technion University, 7 Michal St., Haifa, Israel, 34362. graceyounes@gmail.com.
Eyal GoldschmidtDepartment of Obstetrics and Gynecology, Bnei Zion Medical Center, Haifa, Israel.
Ariel ZilberlichtDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology , Carmel Medical Center, Rappaport Faculty of Medicine,Technion University, 7 Michal St., Haifa, Israel, 34362.
Ron AuslenderDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology , Carmel Medical Center, Rappaport Faculty of Medicine,Technion University, 7 Michal St., Haifa, Israel, 34362.
Nir HayaDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology , Carmel Medical Center, Rappaport Faculty of Medicine,Technion University, 7 Michal St., Haifa, Israel, 34362.
Yoram AbramovDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology , Carmel Medical Center, Rappaport Faculty of Medicine,Technion University, 7 Michal St., Haifa, Israel, 34362.
Carmel Medical Center · ILBnai Zion Medical Center · ILRappaport Family Institute for Research in the Medical Sciences · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisOur aim was to assess the prevalence of vaginal adhesions after transvaginal pelvic reconstructive surgeries and evaluate relevant risk factors and impact on surgical outcome and sexual function.

methodsThis was a retrospective study examining medical records of all patients undergoing transvaginal pelvic reconstructive surgeries for pelvic organ prolapse (POP) at our institution between January 2006 and December 2007.

resultsOne hundred and ninety -nine women were included in the study, of whom 165 had a comprehensive pre- and postoperative follow-up assessment and were available for final analysis. Vaginal adhesions were reported in 18 (10.9%) women during the first follow-up visit 36 ± 34 days postoperatively. Adhesions were reported to be successfully separated manually in all cases during pelvic examination. Patients with or without vaginal adhesions showed no statistically significant differences in demographic, obstetric, or clinical characteristics or in severity of prolapse. No statistically significant correlation was found between any specific surgical procedure and the risk of developing vaginal adhesions. Rates of prolapse recurrence, postoperative vaginal narrowing and dyspareunia were not significantly different between groups.

conclusionsVaginal adhesion formation is a relatively common complication after transvaginal pelvic reconstructive surgeries unrelated to preoperative degree of prolapse or to the type of surgery. If adhesions are separated manually at an early stage, surgical outcome and sexual function do not seem to be adversely affected.

Indexed as

FemaleGynecologic Surgical ProceduresHumansMiddle AgedPelvic Organ ProlapsePrevalenceRetrospective StudiesTissue AdhesionsVaginaVaginal DiseasesDyspareuniaPelvic organ prolapseReconstructive pelvic surgeryVaginal adhesionsVaginal dimensions

Identifiers

PMID26243182
OpenAlexW2235777892

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.