Evidence map›Paper›PMID 30869823›Full record

Observational studyNeurourology and urodynamics2019

1-year outcome after treatment of uterovaginal prolapse with a 6-point fixation mesh.

Andreas Brandt, Andrzej Kuszka, Achim Niesel, Henrik Lutz, Christian Fünfgeld, Mathias Mengel, Daniela Ulrich

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Neurourology and urodynamics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Observational
  2. Review
  3. Observational
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 7 institutions in 3 countries.

Andreas BrandtDepartment of Gynecology, Ortenau Klinikum Offenburg, Offenburg, Germany.
Andrzej KuszkaDepartment of Gynecology, Lutheran Hospital Hagen, Hagen, Germany.
Achim NieselDepartment of Gynecology, Klinik Preetz, Preetz, Germany.
Henrik LutzDepartment of Gynecology, SpitalWaldshut, Waldshut-Tiengen, Germany.
Christian FünfgeldDepartment of Gynecology, Klinik Tettnang GmbH, Tettnang, Germany.
Mathias MengelDepartment of Gynecology, Klinikum Oberlausitzer Bergland, Zittau, Germany.
Daniela UlrichDepartment of Obstetrics and Gynecology, Medical University Nîmes, Nîmes, France.ORCID 0000-0002-7196-454X
FernUniversität in Hagen · DEKlinik Preetz · DELausitzer Seenland Klinikum · DEOrtenau Klinikum · DETesat-Spacecom (Germany) · DEUniversité de Nîmes · FRWalsh University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this study was to describe the safety and anatomical results of a surgical approach with a single-incision 6-point fixation vaginal mesh for the treatment of pelvic organ prolapse at perioperatively and at 1-year follow-up. MATERIALS AND

methodsThis was a prospective observational study of patients who underwent operation receiving an InGYNious anterior transvaginal mesh. All patients with symptomatic stage II prolapse or higher were included in the study. Exclusion criteria were the unwillingness or inability to give written informed consent, neuromuscular disorders, malignant diseases, previous radiation in the pelvis, or chronic pain syndrome. Every patient completed a structured questionnaire and a full physical examination according to the IUGA-ICS POP-Q staging system before the operation and at 1-year follow-up.

resultsTwo hundred fifty-four patients (91%) were included in the study. The intraoperative complication rate was 7% with hemorrhage being the most common complication. Six patients (2.4%) had undergone reoperation for prolapse (four out of the six patients had reoperation in the posterior compartment) and were excluded from the objective outcome analysis. In the remaining 248 patients all POP-Q measurements were significantly improved in the anterior and apical compartments. Similarly, urge urinary incontinence and voiding dysfunction improved significantly.

conclusionsIn this series, the objective outcome one year after the InGYNious mesh was good with low numbers of mesh-related problems or reoperation for prolapse.

Indexed as

Quality of LifeSurgical MeshAgedAged, 80 and overFemaleFollow-Up StudiesHumansMiddle AgedPelvic Organ ProlapseProspective StudiesReoperationSurveys and QuestionnairesTreatment Outcome1-year follow-up6-point fixationobjective outcomepelvic organ prolapsevaginal mesh

Identifiers

PMID30869823
PMCPMC6850076
OpenAlexW2920998779

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.