Evidence map›Paper›PMID 36294437›Full record

ArticleJournal of clinical medicine2022

Long-Term Outcomes after Pelvic Organ Prolapse Repair in Young Women.

Marine Lallemant, Yasmine Clermont-Hama, Géraldine Giraudet, Chrystèle Rubod, Sophie Delplanque, Yohan Kerbage, Michel Cosson

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. 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
2.7field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Marine LallemantDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.ORCID 0000-0002-3341-5267
Yasmine Clermont-HamaDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.
Géraldine GiraudetDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.
Chrystèle RubodDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.
Sophie DelplanqueDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.
Yohan KerbageDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.
Michel CossonDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.ORCID 0000-0002-2285-8492
Hôpital Jeanne de Flandre · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the study was to describe the long-term outcomes of Pelvis Organ Prolapse (POP) repair in women under 40 years old. A retrospective chart review of all POP repairs performed in women ≤40 years old between January 1997 and December 2015 in the Gynecologic Surgery Department of Lille University Hospital was performed. Inclusion criteria were all women ≤40 years old who underwent a POP repair with a stage ≥2 POP according to the Baden and Walker classification. The study population was separated into three groups: a sacrohysteropexy group, a vaginal native tissue repair (NTR) group, and a transvaginal mesh surgery (VMS) group. The primary outcome was reoperation procedures for a symptomatic recurrent POP. Secondary outcomes were other complications. During the study period, 43 women ≤ 40 years old who underwent a POP repair were included and separated into three groups: 28 patients (68%), 8 patients (19%), and 7 patients (16%) in the sacrohysteropexy, VMS, and NTR groups respectively. The mean followup time was 83 ± 52 months. POP recurrence, reoperated or not, was essentially diagnosed in the VMS group (87.5%) and the NTR group (50%). POP recurrence repairs were performed for nine patients (21%): 7%, 62.5%, and 25% in the sacrohysteropexy, VMS, and NTR groups, respectively. Global reoperation concerned 10 patients (23%) whatever the type of POP surgery, mainly patients from the VMS group (75%) and from the NTR group (25%). It occurred in only 7% of patients from the sacrohysteropexy group. Two patients (4%) presented a vaginal exposure of the mesh (in the VMS group). De novo stress urinary incontinence was encountered by nine patients (21%): 29% and 12.5% in the sacrohysteropexy and NTR groups, respectively. Despite the risk of recurrence, POP repair should be proposed to young women in order to restore their quality of life. Vaginal native tissue repair or sacrohysteropexy should be performed after explaining to women the advantages and disadvantages of each procedure.

Indexed as

complicationspelvic organ prolapsePOP repairrecurrenceyoung women

Identifiers

PMID36294437
PMCPMC9605202
OpenAlexW4306661826

What OpenQuestion holds

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LicenceCC BY
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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.