ArticleInternational urogynecology journal2020
Factors involved in prolapse recurrence one year after anterior vaginal repair.
Article in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Is levator ani avulsion a risk factor for prolapse recurrence? A systematic review and meta-analysis.International urogynecology journal · 2022Pooled it
- The Evolution of Pelvic Floor Ultrasound: From Urinary Incontinence and Pelvic Organ Prolapse to Maternal Birth Trauma, Levator Avulsion and Anal Sphincter Tears.International urogynecology journal · 2026Review
- Evaluation and Management of Recurrent Pelvic Organ Prolapse.Current urology reports · 2025Review
- Impact of levator ani muscle avulsions on Manchester procedure outcomes: A 5-year follow-up study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- The Effect of Anterior Colporrhaphy: A Prospective Study Comparing POP-Q and Upright MRI.International urogynecology journal · 2025Article
- Continuous Stitches Versus Simple Interrupted Stitches During Anterior Colporrhaphy: A Randomized Controlled Trial.Journal of clinical medicine · 2025Article
- Quantitative 3D Analysis of Levator Ani Muscle Subdivisions in Nulliparous Women: MRI Feasibility Study.Diagnostics (Basel, Switzerland) · 2024Article
- Trends in Urogynecology-Transvaginal Mesh Surgery in Germany.Journal of clinical medicine · 2024Article
- Validation of a built-in software in automatically reconstructing the tomographic images of the levator ani muscle.International urogynecology journal · 2024Article
- Hiatal failure: effects of pregnancy, delivery, and pelvic floor disorders on level III factors.International urogynecology journal · 2023Review
- Summary: 2021 International Consultation on Incontinence Evidence-Based Surgical Pathway for Pelvic Organ Prolapse.Journal of clinical medicine · 2022Review
- The impact of levator ani muscle trauma and contraction on recurrence after prolapse surgery.International urogynecology journal · 2022Article
- Significance of Pelvic Floor Hiatus in Female Pelvic Organ Prolapse.Journal of medical ultrasoundReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThe aim of this study was to identify which factors are associated with anatomic and symptomatic prolapse recurrence in the anterior compartment 1 year after traditional anterior vaginal repair. Our study hypothesis was that major defects in pelvic floor support structures before surgery are associated with higher recurrence rates.
methodsThis was a prospective multicenter study including women with symptomatic anterior compartment prolapse who underwent primary vaginal surgery. Prolapse examination was performed using the Pelvic Organ Prolapse Quantification (POP-Q) system, prolapse symptoms were described using the Pelvic Floor Distress Inventory short form (PFDI-20), and levator ani avulsion and hiatal area were identified by translabial 3D ultrasonography.
resultsDuring the inclusion period, 455 patients were recruited and 442 (97.1%) attended the 1-year follow-up. In three cases, ultrasound data were not available, and the remaining 439 formed the study group. Anatomic and symptomatic recurrence rates were 45.1% and 6.8%, respectively. Levator avulsion increased the risk of anatomic (OR: 1.96) and symptomatic (OR: 2.60) recurrence; abnormal distensibility of the levator hiatal area increased the risk of anatomic (OR: 2.51) and symptomatic (OR: 2.43) recurrence; advanced prolapse increased the risk of anatomic recurrence: POP-Q stage 3 (OR: 2.34) and POP-Q stage 4 (OR: 5.47).
conclusionsMajor defects in pelvic floor support structures before surgery are associated with higher recurrence rates 1 year after native tissue vaginal repair. Advanced stage of prolapse increases the risk of anatomic recurrence, while levator avulsion and abnormal distensibility of the levator hiatus area increase the risk of both anatomic and symptomatic recurrence.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.