Evidence map›Paper›PMID 26992724›Full record

ArticleInternational urogynecology journal2016

Sacrocolpopexy for posthysterectomy vaginal vault prolapse: long-term follow-up.

Ester Illiano, Konstantinos Giannitsas, Alessandro Zucchi, Manuel Di Biase, Michele Del Zingaro, Vittorio Bini, Elisabetta Costantini

Abstract read
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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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 25 citations in OpenAlex.

  1. Modified Vaginal Mesh Procedure with DynaMeshDiagnostics (Basel, Switzerland) · 2023
    Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Editorial Comment: A systematic review of best prac-tices for the perioperative management of abdominal sacrocolpopexy.International braz j urol : official journal of the Brazilian Society of Urology
    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 at 2 institutions in 2 countries.

Ester IllianoUrology and Andrology Clinic, Department of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.
Konstantinos GiannitsasUrology Department, Patras University Hospital, Patras University, Patras, Greece.
Alessandro ZucchiUrology and Andrology Clinic, Department of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.
Manuel Di BiaseUrology and Andrology Clinic, Department of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.
Michele Del ZingaroUrology and Andrology Clinic, Department of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.
Vittorio BiniInternal Medicine, Endocrinal and Metabolic Science, University of Perugia, Perugia, Italy.
Elisabetta CostantiniUrology and Andrology Clinic, Department of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy. elisabetta.costantini@unipg.it.
University of Perugia · ITGeneral University Hospital of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisAbdominal sacrocolpopexy (ASC) is considered the gold standard for vaginal vault prolapse (VVP) repair. Our aim was to evaluate the long-term durability of its anatomic and functional results.

methodsThis was a prospective series of women undergoing ASC for symptomatic VVP stage III or IV according to the Pelvic Organ Prolapse Quantification (POP-Q) system. All patients were followed up every 3 months for the first postoperative year and then annually for anatomical and functional outcomes and complications. Only patients with at least 48 months of follow-up were included in this report. Anatomic success was defined as postoperative prolapse stage 0 or I. Statistical analysis was performed using the nonparametric Mann-Whitney U test for the analysis of continuous variables and the McNemar and χ(2) test for categorical data.

resultsSixty-seven women were followed up for a median of 60 months (range 48-144). Anatomical success was 100 % for apical prolapse and 94 and 91 % for anterior and posterior compartments, respectively. There were only four (6 %) and six (9 %) cases of stage II persistence or recurrence for the anterior and posterior compartments, respectively, which did not require reoperation. There was no vault prolapse recurrence. Voiding and storage urinary and sexual symptoms were significantly improved. Anorectal dysfunction symptoms persisted in 40.6 % of patients with these symptoms preoperatively and developed de novo in 22.8 % of patients without them preoperatively. Three mesh exposures were noted. Sixty-three patients (94 %) were extremely or very much improved with sacrocolpopexy according to the Patient Global Impression-Improvement scale.

conclusionsOur data confirm the long-term durability of vaginal vault prolapse repair with ASC.

Indexed as

AgedFecal IncontinenceFemaleFollow-Up StudiesGynecologic Surgical ProceduresHumansMiddle AgedPelvic Organ ProlapsePostoperative ComplicationsProspective StudiesTime FactorsUrinary Incontinence, StressVaginaAnatomical outcomesFunctional outcomesLong-termSacrocolpopexySafetyVaginal vault prolapse

Identifiers

PMID26992724
OpenAlexW3095330121

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.