Evidence map›Paper›PMID 29869693›Full record

ArticleInternational urogynecology journal2019

What happens to urinary incontinence after pelvic organ prolapse surgery?

Aiste Ugianskiene, Niels Kjærgaard, Thomas Larsen, Karin Glavind

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Article in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 21% 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.

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

8 citing papers in PubMed, 11 citations in OpenAlex.

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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.

Aiste UgianskieneDepartment of Obstetrics and Gynecology, Aalborg University Hospital (AAUH), Reberbansgade 15, 9000, Aalborg, Denmark. au@rn.dk.ORCID 0000-0002-9611-471X
Niels KjærgaardDepartment of Obstetrics and Gynecology, Aalborg University Hospital (AAUH), Reberbansgade 15, 9000, Aalborg, Denmark.
Thomas LarsenDepartment of Obstetrics and Gynecology, Aalborg University Hospital (AAUH), Reberbansgade 15, 9000, Aalborg, Denmark.
Karin GlavindDepartment of Obstetrics and Gynecology, Aalborg University Hospital (AAUH), Reberbansgade 15, 9000, Aalborg, Denmark.
Aalborg University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe beneficial effect of pelvic organ prolapse (POP) surgery on urge urinary incontinence (UI) is well described in the literature, while effect on preoperative stress UI (SUI) is still unclear. The aim of this study was to investigate changes concerning UUI following POP surgery without concomitant anti-incontinence procedures and to identify possible factors influencing the changes.

methodsWe conducted a retrospective study of 678 women with prolapse surgery using native tissue repair during a 3-year period. Patients completed three prolapse questions from the International Consultation on Incontinence-Vaginal Symptoms (ICIQ-VS) questionnaire and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) before undergoing surgery and 3 months postoperatively. Patients who scored >0 on the ICIQ-UI SF before surgery were included in the study.

resultsA total of 379 patients (55.9%) with POP had concomitant UI. At 3 months' follow-up, 174 patients (46%) became continent compared with 205 patients (54%) with UI. Patients with remaining UI had statistically significant higher mean preoperative ICIQ-UI SF score than patients who became dry. The risk of remaining UI after POP surgery was greater in patients with previous anti-incontinence repair. UI type was not a risk factor for its persistance.

conclusionAlmost half of the patients with UI before POP surgery became completely dry after prolapse surgery alone. Severity of incontinence and previous anti-incontinence surgery were identified as risk factors for persisting UI after POP surgery. We found a reduction of incontinence after an operation in any of the three compartments.

Indexed as

AdultAgedCase-Control StudiesFemaleHumansMiddle AgedPelvic Organ ProlapsePlastic Surgery ProceduresPostoperative PeriodPreoperative PeriodQuality of LifeRetrospective StudiesRisk FactorsSeverity of Illness IndexSurveys and QuestionnairesTreatment OutcomePelvic organ prolapseSurgeryUrinary incontinence

Identifiers

PMID29869693
OpenAlexW2806774011

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.