Evidence map›Paper›PMID 30627828›Full record

ArticleInternational urogynecology journal2019

Long-term follow-up of laparoscopic sacrocolpopexy: comparison of two different techniques used in urology and gynecology.

Adnan Orhan, Kemal Ozerkan, Hakan Vuruskan, Gokhan Ocakoglu, Isil Kasapoglu, Bahadir Koşan, Gurkan Uncu

Abstract readComparative Study
PubMed Publisher
In one paragraph

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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Sacrocolpopexy: The Way I Do It.International urogynecology journal · 2024
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Mesh-related complications of laparoscopic sacrocolpopexy.International urogynecology journal · 2019
    Article
  12. 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.

Adnan OrhanDepartment of Obstetrics and Gynecology, Uludag University Hospital, Gorukle Campus, 16039, Bursa, Turkey. dr.adnan.orhan@hotmail.com.ORCID 0000-0002-7558-8166
Kemal OzerkanDepartment of Obstetrics and Gynecology, Uludag University Hospital, Gorukle Campus, 16039, Bursa, Turkey.
Hakan VuruskanDepartment of Urology, Uludag University Hospital, Bursa, Turkey.
Gokhan OcakogluDepartment of Biostatistics, Uludag University Hospital, Bursa, Turkey.
Isil KasapogluDepartment of Obstetrics and Gynecology, Uludag University Hospital, Gorukle Campus, 16039, Bursa, Turkey.
Bahadir KoşanDepartment of Obstetrics and Gynecology, Uludag University Hospital, Gorukle Campus, 16039, Bursa, Turkey.
Gurkan UncuDepartment of Obstetrics and Gynecology, Uludag University Hospital, Gorukle Campus, 16039, Bursa, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisNumerous studies have found that the short-term results of laparoscopic sacrocolpopexy for pelvic organ prolapse are safe and effective. This study evaluates the long-term results of the laparoscopic sacrocolpopexy operation between the urology and gynecology branches.

methodsA prospective study enrolling 206 patients was conducted to evaluate laparoscopic sacrocolpopexy as a surgical treatment for vaginal vault prolapse from 2011 to 2014. Two different surgical branches (urology and gynecology) applied laparoscopic sacrocolpopexy to their patients with their own techniques. The long-term results were assessed postoperatively after 4 years by pelvic examinations, including the Pelvic Organ Prolapse Quantification system (POP-Q) and quality-of-life assessments using validated questionnaires.

resultsA total of 190 patients (94 urology and 96 gynecology patients) received a full clinical follow-up examination between April 2014-June 2018. Postoperative pelvic organ prolapse recurrence rates in each compartment were similar in both groups during the 4 years; 87.2% of the urology and 86.5% of the gynecology patients had no prolapse in any compartment according to the POP-Q system. The reoperation rate was 5.3% for the urology and 6.2% for the gynecology group. Mesh erosion was detected in two patients in both groups. Three patients responded to local estrogen therapy, and we removed the mesh vaginally in one patient. The subjective cure rate was 89.4% in the urology and 88.5% in the gynecology group after 4 years.

conclusionsAlthough different surgical branches perform laparoscopic sacrocolpopexy with their own techniques, long-term anatomical and functional results are similar between the branches. From a urogynecological point of view, laparoscopic sacrocolpopexy is a gold standard surgical procedure that can be performed by both urologists and gynecologists with similar long-term outcomes.

Indexed as

LaparoscopyFemaleFollow-Up StudiesGynecologyHumansMiddle AgedPelvic Organ ProlapsePostoperative ComplicationsQuality of LifeRecurrenceReoperationSacrumSurgical MeshTime FactorsTreatment OutcomeUrologyGynecologyLaparoscopic sacrocolpopexyLong-term follow-upUrology

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Registered trials

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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.