Evidence map›Paper›PMID 28959063›Full record

ArticleGeburtshilfe und Frauenheilkunde2017

Quality of Life, Sexuality, Anatomical Results and Side-effects of Implantation of an Alloplastic Mesh for Cystocele Correction at Follow-up after 36 Months.

Christian Fünfgeld, Margit Stehle, Brigit Henne, Jan Kaufhold, Dirk Watermann, Markus Grebe, Mathias Mengel

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Geburtshilfe und Frauenheilkunde, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01084889 (National, Multicentre Post-marketing Surveillance Study on Anterior Pelvic Prolapse Reconstruction With Titanium-coated Polypropylene Mesh), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 8% 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.

NCT01084889 completednot on this map

National, Multicentre Post-marketing Surveillance Study on Anterior Pelvic Prolapse Reconstruction With Titanium-coated Polypropylene Mesh (TiLOOP® Total 6)

TypeobservationalSponsorpfm medical gmbhRan2010 to 2016Enrolled292ConditionsCystocele, Uterine ProlapseArmssurgical mesh implantation (TiLOOP® Total 6)
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Effects of mesh surgery on sexual function in pelvic prolapse and urinary incontinence.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 4 institutions in 1 country.

Christian FünfgeldKlinik Tettnang GmbH, Tettnang, Germany.
Margit StehleKlinik Tettnang GmbH, Tettnang, Germany.
Brigit HenneSt. Elisabeth Krankenhaus, Leipzig, Germany.
Jan KaufholdRegionale Kliniken Holding RKH GmbH, Ludwigsburg, Germany.
Dirk WatermannEvangelisches Diakoniekrankenhaus, Freiburg, Germany.
Markus GrebeStädtisches Klinikum Dresden-Friedrichstadt, Dresden, Germany.
Mathias MengelKlinikum Oberlausitzer Bergland gemeinnützige GmbH, Zittau, Germany.
Evangelisches Diakoniekrankenhaus · DEKlinikum Ludwigsburg · DEStädtisches Klinikum Dresden · DESt. Elisabeth-Krankenhaus Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPelvic organ prolapse can significantly reduce quality of life of affected women, with many cases requiring corrective surgery. The rate of recurrence is relatively high after conventional prolapse surgery. In recent years, alloplastic meshes have increasingly been implanted to stabilize the pelvic floor, which has led to considerable improvement of anatomical results. But the potential for mesh-induced risks has led to a controversial discussion on the use of surgical meshes in urogynecology. The impact of cystocele correction and implantation of an alloplastic mesh on patients' quality of life/sexuality and the long-term stability of this approach were investigated.

methodIn a large prospective multicenter study, 289 patients with symptomatic cystocele underwent surgery with implantation of a titanized polypropylene mesh (TiLOOP

resultsMean patient age was 67 ± 8 years. Quality of life improved significantly over the course of the study in all investigated areas, including sexuality and personal relationships (p < 0.001, Wilcoxon test). The number of adverse events which occurred in the period between 12 and 36 months after surgery was low, with just 22 events reported. The recurrence rate for the anterior compartment was 4.5%. Previous or concomitant hysterectomy increased the risk of recurrence in the posterior compartment 2.8-fold and increased the risk of erosion 2.25-fold.

conclusionCystocele correction using a 2nd generation alloplastic mesh achieved good anatomical and functional results in cases requiring stabilization of the pelvic floor and in patients with recurrence. The rate of recurrence was low, the patients' quality of life improved significantly, and the risks were acceptable.

Indexed as

alloplastic meshpelvic organ prolapsePOP-Qquality of lifesexuality

Identifiers

PMID28959063
PMCPMC5612771
OpenAlexW2759867329

What OpenQuestion holds

Textmetadata
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.