SynthesisThe Cochrane database of systematic reviews2016
Surgery for women with anterior compartment prolapse.
Synthesis in The Cochrane database of systematic reviews, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04010162 (Social Media Awareness Level of Non-urogynecologist Doctors About the Current Mesh Discussions in Urogynecology), which is not on this map. Cited by 100 papers, 7 of them syntheses 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.
Social Media Awareness Level of Non-urogynecologist Doctors About the Current Mesh Discussions in Urogynecology: A Practical Survey Study.
Who cites it
100 citing papers in PubMed, 7 syntheses or guidelines pooled it, 264 citations in OpenAlex.
- T‑shaped sling with modified posterior pelvic reconstruction: a technical note with video vignette.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025Pooled it
- Transvaginal mesh or grafts or native tissue repair for vaginal prolapse.The Cochrane database of systematic reviews · 2024Pooled it
- Sigmoid neovagina prolapse treated with Altemeier procedure: case report and systematic review of the literature.International urogynecology journal · 2023Pooled it
- Pessaries (mechanical devices) for managing pelvic organ prolapse in women.The Cochrane database of systematic reviews · 2020Pooled it
- A systematic review of outcome and outcome-measure reporting in randomised trials evaluating surgical interventions for anterior-compartment vaginal prolapse: a call to action to develop a core outcome set.International urogynecology journal · 2018Pooled it
- Surgery for women with pelvic organ prolapse with or without stress urinary incontinence.The Cochrane database of systematic reviews · 2018Pooled it
- Anterior colporrhaphy: a standard operation? Systematic review of the technical aspects of a common procedure in randomized controlled trials.International urogynecology journal · 2018Pooled it
- Comparing combined paravaginal repair with pubocervical fascia plication versus standard anterior colporrhaphy for the treatment of stress urinary incontinence in women with anterior vaginal wall prolapse: a randomised controlled trial.Archives of gynecology and obstetrics · 2025Trial
- The influence of decisional conflict on treatment decision in pelvic organ prolapse-data from the SHADE-POP trial.Archives of gynecology and obstetrics · 2024Trial
- Mobility analysis of a posterior sacrospinous fixation using a finite element model of the pelvic system.PloS one · 2024Trial
- Long-term outcomes of a randomized controlled trial comparing trans-obturator vaginal mesh with native tissue repair in the treatment of anterior vaginal wall prolapse.International urogynecology journal · 2020Trial
- Reducing postoperative catheterisation after anterior colporrhaphy from 48 to 24 h: a randomised controlled trial.International urogynecology journal · 2019Trial
- RCT of vaginal extraperitoneal uterosacral ligament suspension (VEULS) with anterior mesh versus sacrocolpopexy: 4-year outcome.International urogynecology journal · 2018Trial
- Surgical Practice Patterns for Concomitant Anterior Colporrhaphy at the Time of Vaginal Apical Repair: An International Survey of FPMRS Specialists.International urogynecology journal · 2026Article
- The risk factors of anatomical cystocele recurrence: the hiatal area and the lowest vaginal mesh location observed by pelvic floor ultrasound.Journal of ultrasound · 2026Article
- Postoperative Mobility After Partial Semitendinosus Tendon Harvesting in Pelvic Organ Prolapse Surgery: Results of a Prospective Observational Study.International urogynecology journal · 2026Article
- The Role of 3D/4D Transperineal Ultrasound in Risk Stratification for Pelvic Organ Prolapse Recurrence: Native Tissue Versus Mesh Repair.Journal of clinical medicine · 2026Article
- Technical Challenges and Surgical Considerations in Sacrospinous Ligament Fixation for Apical Prolapse Repair.Journal of clinical medicine · 2026Review
- Macrophage-to-myofibroblast transition (MMT) - An adverse response to polypropylene mesh implanted for pelvic organ prolapse repair surgery in a non-human primate model.Biomaterials · 2026Article
- Outcomes and patient satisfaction after pelvic organ prolapse surgery with and without mesh: a retrospective cohort study with prospective follow-up.Archives of gynecology and obstetrics · 2026Article
40 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors at 6 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo minimise the rate of recurrent prolapse after traditional native tissue repair (anterior colporrhaphy), clinicians have utilised a variety of surgical techniques.
objectivesTo determine the safety and effectiveness of surgery for anterior compartment prolapse. SEARCH
methodsWe searched the Cochrane Incontinence Group Specialised Register, including the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, MEDLINE In Process (23 August 2016), handsearched journals and conference proceedings (15 February 2016) and searched trial registers (1 August 2016). SELECTION CRITERIA: Randomised controlled trials (RCTs) that examined surgical operations for anterior compartment prolapse. DATA COLLECTION AND ANALYSIS: Two review authors independently selected trials, assessed risk of bias and extracted data. Primary outcomes were awareness of prolapse, repeat surgery and recurrent prolapse on examination. MAIN
resultsWe included 33 trials (3332 women). The quality of evidence ranged from very low to moderate. Limitations were risk of bias and imprecision. We have summarised results for the main comparisons. Native tissue versus biological graft Awareness of prolapse: Evidence suggested few or no differences between groups (risk ratio (RR) 0.98, 95% confidence interval (CI) 0.52 to 1.82; five RCTs; 552 women; I AUTHORS'
conclusionsBiological graft repair or absorbable mesh provides minimal advantage compared with native tissue repair.Native tissue repair was associated with increased awareness of prolapse and increased risk of repeat surgery for prolapse and recurrence of anterior compartment prolapse compared with polypropylene mesh repair. However, native tissue repair was associated with reduced risk of de novo SUI, reduced bladder injury, and reduced rates of repeat surgery for prolapse, stress urinary incontinence and mesh exposure (composite outcome).Current evidence does not support the use of mesh repair compared with native tissue repair for anterior compartment prolapse owing to increased morbidity.Many transvaginal polypropylene meshes have been voluntarily removed from the market, and newer light-weight transvaginal meshes that are available have not been assessed by RCTs. Clinicans and women should be cautious when utilising these products, as their safety and efficacy have not been established.
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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.