ArticleInternational urogynecology journal2017
Cervical amputation versus vaginal hysterectomy: a population-based register study.
Article in International urogynecology journal, 2017. 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.
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.
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.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- The Manchester procedure: A systematic review of recurrence, perioperative measures, and financial cost, and a scoping review of sexual dysfunction, gynecologic cancer, and obstetric outcomes.Acta obstetricia et gynecologica Scandinavica · 2026Pooled it
- Trial
- Symptomatic Pelvic Organ Prolapse and Self-Rated Health, One Year After Childbirth: A Swedish Nationwide Register Study.International urogynecology journal · 2026Article
- Surgical treatment of apical prolapse Number 9 - 2026.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026Review
- Vaginal Hysterectomy Management of Pelvic Organ Prolapse with Cervical Elongation: A Case Report.Oman medical journal · 2024Article
- Living with the consequences of symptomatic pelvic organ prolapse following vaginal childbirth-a partner's perspective.Gynecology and pelvic medicine · 2024Article
- Cervical cancer after the Manchester procedure: a nationwide cohort study.International urogynecology journal · 2023Article
- Patient's preference for sacrospinous hysteropexy or modified Manchester operation: A discrete choice experiment.BJOG : an international journal of obstetrics and gynaecology · 2023Article
- Endometrial cancer after the Manchester procedure: a nationwide cohort study.International urogynecology journal · 2022Article
- Cervical Elongation - The Search for a Definition.Maedica · 2022Article
- Recurrent surgery in uterine prolapse: A nationwide register study.Acta obstetricia et gynecologica Scandinavica · 2022Article
- Gynecologists' perspectives on two types of uterus-preserving surgical repair of uterine descent; sacrospinous hysteropexy versus modified Manchester.International urogynecology journal · 2021Article
- Trends in apical prolapse surgery between 2010 and 2016 in Denmark.International urogynecology journal · 2020Article
- Manchester Operation: An Effective Treatment for Uterine Prolapse Caused by True Cervical Elongation.Yonsei medical journal · 2019Article
- Manchester-Fothergill procedure versus vaginal hysterectomy with uterosacral ligament suspension: an activity-based costing analysis.International urogynecology journal · 2018Article
- Clinical Determinants of Vaginal and Abdominal Hysterectomy for Benign Conditions at the University Teaching Hospital, Yaounde-Cameroon.Journal of the West African College of SurgeonsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisSurgical management of uterine prolapse varies greatly and recently uterus-preserving techniques have been gaining popularity. The aim of this study was to compare patient-reported outcomes after cervical amputation versus vaginal hysterectomy, with or without concomitant anterior colporrhaphy, in women suffering from pelvic organ prolapse.
methodWe carried out a population-based longitudinal cohort study with data from the Swedish National Quality Register for Gynecological Surgery. Between 2006 and 2013, a total of 3,174 patients with uterine prolapse were identified, who had undergone primary surgery with either cervical amputation or vaginal hysterectomy, with or without concomitant anterior colporrhaphy. Pre- and postoperative prolapse-related symptoms and patient satisfaction were assessed, in addition to complications and adverse events. Between-group comparisons were performed using univariate and multivariate logistic regression.
resultsThere were no differences between the two groups in neither symptom relief nor patient satisfaction. In both groups a total of 81 % of the women reported the absence of vaginal bulging 1 year after surgery and a total of 89 % were satisfied with the result of the operation. The vaginal hysterectomy group had a higher rate of severe complications than the cervical amputation group, 1.9 % vs 0.2 % (p < 0.001). The vaginal hysterectomy group also had a longer duration of surgery and greater perioperative blood loss, in addition to longer hospitalization.
conclusionsCervical amputation seems to perform equally well in comparison to vaginal hysterectomy in the treatment of uterine prolapse, but with less morbidity and a lower rate of severe complications.
Indexed as
Identifiers
What OpenQuestion holds
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.