Evidence map›Paper›PMID 29520390›Full record

ArticleInvestigative and clinical urology2018

Short-term outcomes of the transvaginal minimal mesh procedure for pelvic organ prolapse.

Naoko Takazawa, Akiko Fujisaki, Yasukuni Yoshimura, Akira Tsujimura, Shigeo Horie

Abstract read
In one paragraph

Article in Investigative and clinical urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
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  6. Safety and Effectiveness of G-MeshJournal of clinical medicine · 2024
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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

5 authors.

Naoko TakazawaDepartment of Urology, Juntendo University School of Medicine, Tokyo, Japan.
Akiko FujisakiDepartment of Urology, Yotsuya Medical Cube, Tokyo, Japan.
Yasukuni YoshimuraDepartment of Urology, Yotsuya Medical Cube, Tokyo, Japan.
Akira TsujimuraDepartment of Urology, Juntendo University Urayasu Hospital, Chiba, Japan.
Shigeo HorieDepartment of Urology, Juntendo University School of Medicine, Tokyo, Japan.ORCID 0000-0002-8612-8368

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to evaluate the clinical outcomes and complications of transvaginal minimal mesh repair without using commercially available kits for treatment of pelvic organ prolapse (POP). Materials and Methods: This retrospective cohort study involved 91 women who underwent surgical management of POP with originally designed small mesh between July 2014 and August 2015. This mesh is 56% smaller than the mesh widely used in Japan, and it has only two arms delivered into each right and left sacrospinous ligament. The main study outcome was the anatomic cure rate defined as recurrence of POP quantification (POP-Q) stage II or more. We also assessed changes in the overactive bladder symptom score (OABSS) and prolapse quality of life questionnaire (P-QOL) and evaluated adverse events. Finally, we compared patient backgrounds between the patients with and without recurrence. Results: Prolapse recurred in 10 of 91 patients (11.0%), and all patients with recurrence were diagnosed as POP-Q stage II. As adverse events, only mesh erosion occurred in two (2.2%) and pelvic pain in one (1.1%) of the 91 patients. The OABSS and P-QOL were significantly improved by the operation. When we compared patient backgrounds between the patients with and without recurrence, body mass index was the only factor influencing affecting recurrence. Conclusions: Transvaginal minimal mesh repair resulted in successful outcomes with low mesh-related complications and anatomic recurrence at one year. Furthermore, significant improvement in QOL was offered by this procedure. Our minimal mesh technique should be considered as one treatment option for the management of POP.

Indexed as

Gynecologic Surgical ProceduresPostoperative ComplicationsQuality of LifeAgedFemaleHumansJapanMiddle AgedOutcome Assessment, Health CarePelvic Organ ProlapsePlastic Surgery ProceduresRecurrenceSuburethral SlingsSurgical MeshSurveys and QuestionnairesPelvic organ prolapseReconstructive surgical proceduresSurgical mesh

Identifiers

PMID29520390
PMCPMC5840118

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.