Evidence map›Paper›PMID 33435323›Full record

ArticleJournal of clinical medicine2021

Prospective International Multicenter Pelvic Floor Study: Short-Term Follow-Up and Clinical Findings for Combined Pectopexy and Native Tissue Repair.

Günter K Noé, Sven Schiermeier, Thomas Papathemelis, Ulrich Fuellers, Alexander Khudyakovd, Harald-Hans Altmann, Stefan Borowski, Pawel P Morawski, Markus Gantert, Bart De Vree and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. 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 22% 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, 14 citations in OpenAlex.

  1. Ten Years of Laparoscopic Pectopexy: A Case Series Analysis.International urogynecology journal · 2026
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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

13 authors at 10 institutions in 4 countries.

Günter K NoéDepartment of Obstetrics and Gynecology, University of Witten-Herdecke, Rheinlandclinics Dormagen, 41540 Dormagen, Germany.ORCID 0000-0001-5673-9689
Sven SchiermeierDepartment of Obstetrics and Gynecology, University Witten-Herdecke, 258452 Witten, Germany.
Thomas PapathemelisDepartment of Obstetrics and Gynecology, St. Marien Hospital Amberg, 92224 Amberg, Germany.
Ulrich FuellersPrivate Department of Surgical Gynecology, Krefeld (GTK) Germany, 47800 Krefeld, Germany.
Alexander KhudyakovdPrivate Department of Surgical Gynecology, Krefeld (GTK) Germany, 47800 Krefeld, Germany.
Harald-Hans AltmannDepartment of Obstetrics and Gynecology, Regiomed Clinics Coburg, 96450 Coburg, Germany.
Stefan BorowskiDepartment of Obstetrics and Gynecology, Clinic Links der Weser, Bremen, 28277 Bremen, Germany.
Pawel P MorawskiDepartment of Obstetrics and Gynecology, Helios Clinic Bad Sarow, 15526 Bad Saarow, Germany.
Markus GantertDepartment of Obstetrics and Gynecology, St Franziskus Hospital Ahlen, 59227 Ahlen, Germany.
Bart De VreeDepartment of Obstetrics and Gynecology, ZNA Middelheim Antwerp, 2020 Antwerpen, Belgium.
Zbigniew TkaczDepartment of Obstetrics and Gynecology, NHS Tayside Dundee, DD1 9SY Dundee, Scotland.
Rodrigo Gil UgarteburuDepartmentof Obstetrics and Gynecology, University Hospital de Cabueñes, 33394 Gijon, Spain.
Michael AnapolskiDepartment of Obstetrics and Gynecology, University of Witten-Herdecke, Rheinlandclinics Dormagen, 41540 Dormagen, Germany.
Kreiskrankenhaus Dormagen · DEHelios Hospital Bad Saarow · DEHospital Universitario De Cabueñes · ESKlinikum Coburg · DEKlinikum Links der Weser · DENHS Tayside · GBSt. Franziskus Hospital · DESt. Marien Hospital · DEWitten/Herdecke University · DEZNA Middelheim Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Efforts to use traditional native tissue strategies and reduce the use of meshes have been made in several countries. Combining native tissue repair with sufficient mesh applied apical repair might provide a means of effective treatment. The study group did perform and publish a randomized trial focusing on the combination of traditional native tissue repair with pectopexy or sacrocolpopexy and observed no severe or hitherto unknown risks for patients (Noé G.K. J Endourol 2015;29(2):210-5.). The short-term follow-up of this international multicenter study carried out now is presented in this article. MATERIAL AND

methodsEleven clinics and 13 surgeons in four European counties participated in the trial. In order to ensure a standardized approach and obtain comparable data, all surgeons were obliged to follow a standardized approach for pectopexy, focusing on the area of fixation and the use of a prefabricated mesh (PVDF PRP 3 × 15 Dynamesh). The mesh was solely used for apical repair. All other clinically relevant defects were treated with native tissue repair. Colposuspension or TVT were used for the treatment of incontinence. Data were collected independently for 14 months on a secured server; 501 surgeries were registered and evaluated. Two hundred and sixty-four patients out of 479 (55.1%) returned for the physical examination and interview after 12-18 months. MAIN OUTCOME AND

resultsThe mean duration of follow-up was 15 months. The overall success of apical repair was rated positively by 96.9%, and the satisfaction score was rated positively by 95.5%. A positive general recommendation was expressed by 95.1% of patients. Pelvic pressure was reduced in 95.2%, pain in 98.0%, and urgency in 86.0% of patients. No major complications, mesh exposure, or mesh complication occurred during the follow-up period.

conclusionIn clinical routine, pectopexy and concomitant surgery, mainly using native tissue approaches, resulted in high satisfaction rates and favorable clinical findings. The procedure may also be recommended for use by general urogynecological practitioners with experience in laparoscopy.

Indexed as

laparoscopynative tissuepectopexypelvic floorprolapse

Identifiers

PMID33435323
PMCPMC7827325
OpenAlexW3120178150

What OpenQuestion holds

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LicenceCC BY
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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.