Evidence map›Paper›PMID 27773810›Full record

ArticleJournal of minimally invasive gynecology2017

Incidence and Risk Factors for Pelvic Pain After Mesh Implant Surgery for the Treatment of Pelvic Floor Disorders.

Elizabeth J Geller, Emma Babb, Andrea G Nackley, Denniz Zolnoun

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of minimally invasive gynecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05834088 (Effects of Myofascial Release With and Without Thiele Massage on Dyspareunia and Pelvic Floor Function in Nulliparous Females), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.8field-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.

NCT05834088 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Myofascial Release With and Without Thiele Massage on Dyspareunia and Pelvic Floor Function in Nulliparous Females

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2023Enrolled38ConditionsDyspareunia, Pain, Quality of LifeArmsMyofascial release techniques, Thiele massage
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 53 citations in OpenAlex.

  1. Trial
  2. Review
  3. [Pelvic floor reconstruction and sexual function].Urologie (Heidelberg, Germany) · 2025
    Article
  4. Analysis of British Columbia practice patterns in the management of female stress urinary incontinence with emphasis on mesh use.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    Article
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  9. Review
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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

4 authors at 1 institution in 1 country.

Elizabeth J GellerDivision of Female Pelvic Medicine and Reconstructive Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address: egeller@med.unc.edu.
Emma BabbSchool of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Andrea G NackleyCenter for Pain Research and Innovation, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Denniz ZolnounDivision of Advanced Laparoscopy and Pelvic Pain, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
University of North Carolina at Chapel Hill · US

Funding

SHORT-TERM RESEARCH TRAININGT35DK007386 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Evan Samuel Dellon · 1986 to 2026
$4.1M
NIDDK NIH HHS T35 DK007386
6 · The paper itself

Abstract

STUDY

objectiveOur aim was to assess incidence and risk factors for pelvic pain after pelvic mesh implantation.

designRetrospective study (Canadian Task Force classification II-2).

settingSingle university hospital. PATIENTS: Women who have undergone surgery with pelvic mesh implant for treatment of pelvic floor disorders including prolapse and incontinence.

interventionsTelephone interviews to assess pain, sexual function, and general health. MEASUREMENTS AND MAIN

resultsPain was measured by the McGill Short-Form Pain Questionnaire for somatic pain, Neuropathic Pain Symptom Inventory for neuropathic pain, Pennebaker Inventory of Limbic Languidness for somatization, and Female Sexual Function Index (FSFI) for sexual health and dyspareunia. General health was assessed with the 12-item Short-Form Health Survey. Among 160 enrolled women, mean time since surgery was 20.8 ± 10.5 months, mean age was 62.1 ± 11.2 years, 93.8% were white, 86.3% were postmenopausal, and 3.1% were tobacco users. Types of mesh included midurethral sling for stress incontinence (78.8%), abdominal/robotic sacrocolpopexy (35.7%), transvaginal for prolapse (6.3%), and perirectal for fecal incontinence (1.9%), with 23.8% concomitant mesh implants for both prolapse and incontinence. Our main outcome, self-reported pelvic pain at least 1 year after surgery, was 15.6%. Women reporting pain were younger, with fibromyalgia, worse physical health, higher somatization, and lower surgery satisfaction (all p < .05). Current pelvic pain correlated with early postoperative pelvic pain (p < .001), fibromyalgia (p = .002), worse physical health (p = .003), and somatization (p = .003). Sexual function was suboptimal (mean FSFI, 16.2 ± 12.1). Only 54.0% were sexually active, with 19.0% of those reporting dyspareunia.

conclusionOne in 6 women reported de novo pelvic pain after pelvic mesh implant surgery, with decreased sexual function. Risk factors included younger age, fibromyalgia, early postoperative pain, poorer physical health, and somatization. Understanding risk factors for pelvic pain after mesh implantation may improve patient selection.

Indexed as

Surgical MeshAge FactorsFemaleFibromyalgiaHealth StatusHumansIncidenceMiddle AgedPelvic Floor DisordersPelvic PainPostoperative ComplicationsRetrospective StudiesRisk FactorsSomatoform DisordersSuburethral SlingsMeshPelvic painProlapseStress urinary incontinence

Identifiers

PMID27773810
PMCPMC5248587
OpenAlexW2535389750

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.