Evidence map›Paper›PMID 30255195›Full record

ArticleInternational urogynecology journal2019

Severe pelvic organ prolapse. Is there a long-term cure?

Stavros Athanasiou, Dimitrios Zacharakis, Athanasios Protopapas, Eleni Pitsouni, Dimitrios Loutradis, Themos Grigoriadis

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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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Stavros AthanasiouFirst Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, "Alexandra" Hospital, 80 Vas.Sofias Avenue, 11528, Athens, Greece.
Dimitrios ZacharakisFirst Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, "Alexandra" Hospital, 80 Vas.Sofias Avenue, 11528, Athens, Greece. dimzac@hotmail.com.
Athanasios ProtopapasFirst Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, "Alexandra" Hospital, 80 Vas.Sofias Avenue, 11528, Athens, Greece.
Eleni PitsouniFirst Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, "Alexandra" Hospital, 80 Vas.Sofias Avenue, 11528, Athens, Greece.
Dimitrios LoutradisFirst Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, "Alexandra" Hospital, 80 Vas.Sofias Avenue, 11528, Athens, Greece.
Themos GrigoriadisFirst Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, "Alexandra" Hospital, 80 Vas.Sofias Avenue, 11528, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisVaginally assisted laparoscopic sacrocolpopexy (VALS) is a combined vaginal and laparoscopic surgical approach that has been described for the treatment of women with a uterus who suffer from severe multicompartmental pelvic organ prolapse (POP). The aim of this study is to evaluate the long-term anatomical and functional outcomes and report the long-term mesh-related complications.

methodsThis was a single-center prospective study of women with advanced POP who underwent VALS with at least 3 years of follow-up. The primary outcome was "composite surgical success" defined as: (1) no descent of the vaginal apex (point C) more than one-third into the vaginal canal and no anterior or posterior vaginal wall beyond the hymen (Ba and Bp < 0) (anatomical success), (2) no vaginal bulge symptoms and (3) no re-treatment for prolapse recurrence.

resultsThe median follow-up was 7 years (range 3-10 years) with a composite surgical success rate of 95.7% (90/94). Failures (4.3%) included one (1.1%) case of anatomical recurrence (Bp: +1), one woman (1.1%) reporting vaginal bulge symptoms and two women (2.1%) who underwent a posterior colporrhaphy 6 and 12 months after primary surgery (reoperation rate: 2.1%). Two of 94 patients (2.1%) had been treated for mesh extrusion of the vaginal cuff prior to the follow-up visit.

conclusionsThe combined VALS technique can be considered a safe and effective procedure for the treatment of severe POP allowing a long-term anatomical restoration of all compartments with excellent functional outcomes.

Indexed as

AdultAgedFemaleGynecologic Surgical ProceduresHumansMiddle AgedPelvic Organ ProlapsePostoperative ComplicationsProspective StudiesSurgical MeshTreatment OutcomeLong-term outcomeMeshPelvic organ prolapseProlapse recurrenceSacrocolpopexy

Identifiers

PMID30255195

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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.