ArticleInternational urogynecology journal2018
Factors influencing the outcome of surgery for pelvic organ prolapse.
Article in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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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.
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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.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- A probabilistic multicriteria decision analysis of robot-assisted versus laparoscopic sacrocolpopexy: a secondary analysis of published meta-analytic data.Journal of robotic surgery · 2026Pooled it
- The effect of women's body mass index on pelvic organ prolapse: a systematic review and meta analysis.Reproductive health · 2021Pooled it
- Obesity and postoperative outcomes of the patients with laparoscopic adrenalectomy: a systematic review and meta-analysis.BMC surgery · 2020Pooled it
- Characteristics associated with composite surgical failure over 5 years of women in a randomized trial of sacrospinous hysteropexy with graft vs vaginal hysterectomy with uterosacral ligament suspension.American journal of obstetrics and gynecology · 2023Trial
- Prolapse recurrence, methods of reoperation, and long-term mesh complications-A nationwide follow-up study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Symptomatic Pelvic Organ Prolapse and Self-Rated Health, One Year After Childbirth: A Swedish Nationwide Register Study.International urogynecology journal · 2026Article
- Article
- The Clinic and Management of a Prolapsed Gravid Uterus Incarcerated Through the Anal Orifice in the Resource-Limited Setting: A Case Report.Case reports in obstetrics and gynecology · 2026Article
- Rate of Postoperative Urinary Retention after Anterior Compartment Prolapse Surgery: A Randomized Controlled Trial Comparing Early versus Conventional Transurethral Catheter Removal.Journal of clinical medicine · 2023Article
- Long-Term Assessment of Pelvic Organ Prolapse Reoperation Risk in Obese Women: Vaginal and Laparoscopic Approaches.Journal of clinical medicine · 2022Article
- The impact of levator ani muscle trauma and contraction on recurrence after prolapse surgery.International urogynecology journal · 2022Article
- Perianal abscess as a manifestation of vaginocutaneous fistula after pelvic floor reconstruction.BMJ case reports · 2022Article
- Outcomes collected in female pelvic floor surgical procedure registries and databases: a scoping review.International urogynecology journal · 2021Article
- Evaluation of 30-day complication rates following vaginal anterior compartment repair with and without graft augmentation in a propensity score matched cohort.World journal of urology · 2021Article
- Reoperation rate and outcomes following the placement of polypropylene mesh by the vaginal route for cystocele: very long-term follow-up.International urogynecology journal · 2021Article
- Body mass index influences the risk of reoperation after first-time surgery for pelvic organ prolapse. A Danish cohort study, 2010-2016.International urogynecology journal · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
introduction and hypothesisPelvic organ prolapse (POP) surgery is a common gynecological procedure. Our aim was to assess the influence of obesity and other risk factors on the outcome of anterior and posterior colporrhaphy with and without mesh.
methodsData were retrieved from the Swedish National Register for Gynecological Surgery on 18,554 women undergoing primary and repeat POP surgery without concomitant urinary incontinence (UI) surgery between 2006 and 2015. Multivariate logistic regression analyses were used to identify independent risk factors for a sensation of a vaginal bulge, de novo UI, and residual UI 1 year after surgery.
resultsThe overall subjective cure rate 1 year after surgery was 80% (with mesh 86.4% vs 77.3% without mesh, p < 0.001). The complication rate was low, but was more frequent in repeat surgery that were mainly mesh related. The use of mesh was also associated with more frequent de novo UI, but patient satisfaction and cure rates were higher compared with surgery without mesh. Preoperative sensation of a vaginal bulge, severe postoperative complications, anterior colporrhaphy, prior hysterectomy, postoperative infections, local anesthesia, and body mass index (BMI) ≥30 were risk factors for sensation of a vaginal bulge 1 year postsurgery. Obesity had no effect on complication rates but was associated increased urinary incontinence (UI) after primary surgery. Obesity had no influence on cure or voiding status in women undergoing repeat surgery.
conclusionsObesity had an impact on the sensation of a vaginal bulge and the presence of UI after primary surgery but not on complications.
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