Evidence map›Paper›PMID 33988785›Full record

SynthesisInternational urogynecology journal2021

Relationship of postoperative vaginal anatomy and sexual function: a systematic review with meta-analysis.

Shunaha Kim-Fine, Danielle D Antosh, Ethan M Balk, Kate V Meriwether, Gregg Kanter, Alexis A Dieter, Mamta M Mamik, Meadow Good, Ruchira Singh, Alexandriah Alas and 3 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Body image and sexual function improve following prolapse repair.American journal of obstetrics and gynecology · 2025
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
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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 11 institutions in 2 countries.

Shunaha Kim-FineDepartment of Obstetrics and Gynecology, Cumming School of Medicine, University of Calgary, 4th Floor North Tower, 1403 29th Street NW, Calgary, Alberta, T2N 2T9, Canada. Shunaha.kim-fine@ahs.ca.ORCID http://orcid.org/0000-0002-5961-9305
Danielle D AntoshDepartment of Obstetrics and Gynecology, Houston Methodist Hospital, Houston, TX, USA.
Ethan M BalkCenter for Evidence Synthesis in Health, Brown University School of Public Health, Providence, RI, USA.
Kate V MeriwetherDepartment of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM, USA.
Gregg KanterDepartment of Obstetrics and Gynecology, Salinas Valley Memorial Healthcare System, Salinas, CA, USA.
Alexis A DieterFemale Pelvic Medicine and Reconstructive Surgery, MedStar Washington, Hospital Center/Georgetown University School of Medicine, Washington, DC, USA.
Mamta M MamikDepartment of Obstetrics and Gynecology, Albert Einstein College of Medicine, Bronx, NY, USA.
Meadow GoodObstetrics and Gynecology, University of Florida, Jacksonville, FL, USA.
Ruchira SinghObstetrics and Gynecology, University of Florida, Jacksonville, FL, USA.
Alexandriah AlasDepartment of Obstetrics and Gynecology, UT Health, San Antonio, TX, USA.
Mohamed FodaDepartment of Obstetrics and Gynecology, HCA/UCF Consortium, Gainesville, FL, USA.
David D RahnDepartment of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Rebecca G RogersDepartment of Obstetrics and Gynecology, Albany Medical Center, Albany, NY, USA.
University of Florida · USAlbany Medical Center Hospital · USAlbert Einstein College of Medicine · USBrown University · USMedStar Washington Hospital Center · USMethodist Hospital · USSalinas Valley Memorial Healthcare System · USThe University of Texas Health Science Center at San Antonio · USThe University of Texas Southwestern Medical Center · USUniversity of Calgary · CAUniversity of New Mexico · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThis was a planned secondary analysis of a systematic review that described sexual function outcomes following pelvic organ prolapse (POP) surgery. We aimed to describe the relationship of pre- and postoperative vaginal anatomic measures with sexual function outcomes. Data Sources included the Medline, Embase, and clinicaltrials.gov databases from inception to April 2018.

methodsThe original systematic review included prospective, comparative studies that reported sexual function outcomes before and following POP surgery. Studies were extracted for population characteristics, sexual function outcomes, and vaginal anatomy, including total vaginal length (TVL) and genital hiatus. By meta-regression, we analyzed associations across studies between vaginal anatomic measurements and sexual function using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12 (PISQ-12) and dyspareunia outcomes.

resultsWe screened 3124 abstracts and identified 74 papers representing 67 original studies. Among these, 14 studies reported TVL and PISQ-12 outcomes. Nine studies reported TVL and dyspareunia outcomes, eight studies reported GH and PISQ-12 outcomes, and seven studies reported GH and dyspareunia outcomes. We found no associations between anatomic measures and PISQ-12 or dyspareunia, although, we found a statistically significant association found between preoperative TVL and change in PISQ-12.

conclusionAcross studies, the evidence does not support an association between vaginal anatomy and either validated, condition-specific sexual function questionnaires or dyspareunia. However, no study has directly analyzed these associations in the setting of pelvic floor reconstructive surgery.

Indexed as

Pelvic Organ ProlapseUrinary IncontinenceFemaleHumansProspective StudiesSexual BehaviorSurveys and QuestionnairesVaginaDyspareuniaPelvic organ prolapsePISQ-12SurgerySystematic reviewVaginal anatomy

Identifiers

PMID33988785
OpenAlexW3162997422

What OpenQuestion holds

Textmetadata
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.