Evidence map›Paper›PMID 38530401›Full record

Trial reportInternational urogynecology journal2024

Long-Term Mesh Exposure 5 Years Following Minimally Invasive Total Hysterectomy and Sacrocolpopexy.

C Emi Bretschneider, Erinn R Myers, Elizabeth J Geller, Kimberly S Kenton, Barbara R Henley, Catherine A Matthews

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International urogynecology journal, 2024. 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
–field-weighted citation impact
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.

  1. Review
  2. Article
  3. Article
  4. Article
  5. [Mid-Term Efficacy Evaluation of Laparoscopic Sacrocolpopexy vs Laparoscopic Pectopexy for Pelvic Organ Prolapse].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Article
  6. Article
  7. Platelet-Rich Plasma and Fractional COInternational urogynecology journal · 2025
    Article
  8. Article
  9. Review
  10. Sacrocolpopexy: Alternatives to Mesh Grafts.International urogynecology journal · 2025
    Review
  11. Article
  12. Article
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

6 authors.

C Emi BretschneiderDivision of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University, Chicago, IL, USA.
Erinn R MyersDivision of Female Pelvic Medicine and Reconstructive Surgery, Atrium Health, Charlotte, NC, USA.
Elizabeth J GellerDivision of Female Pelvic Medicine and Reconstructive Surgery, University of North Carolina, Chapel Hill, NC, USA.
Kimberly S KentonDivision of Female Pelvic Medicine and Reconstructive Surgery, University of Chicago, Chicago, IL, USA.
Barbara R HenleyDivision of Female Pelvic Medicine and Reconstructive Surgery, August University Medical Center, Augusta, GA, USA.
Catherine A MatthewsDivision of Female Pelvic Medicine and Reconstructive Surgery, Wake Forest University, Winston Salem, NC, USA. camatthe@wakehealth.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe objective was to assess long-term mesh complications following total hysterectomy and sacrocolpopexy.

methodsIn this second extension study, women from a multicenter randomized trial were followed for more than 36 months after surgery. Owing to COVID-19, participants were assessed through either in-person visits or telephone questionnaires. The primary outcome was the incidence of permanent suture or mesh exposure. Secondary outcomes included surgical success and late adverse outcomes.

resultsOut of the 200 initially enrolled participants, 82 women took part in this second extension study. Among them, 46 were in the permanent suture group, and 36 in the delayed absorbable group. The mean follow-up duration was 5.3 years, with the cumulative mesh or suture exposure of 9.9%, involving 18 cases, of which 4 were incident cases. Surgical success after more than 5 years stood at 95%, with few experiencing bothersome bulge symptoms or requiring retreatment. No serious adverse events occurred, including mesh erosion into the bladder or bowel. The most common adverse events were vaginal pain, bleeding, dyspareunia, and stress urinary incontinence, with no significant differences between suture types.

conclusionThe study found that mesh exposure risk gradually increased over time, reaching nearly 10% after more than 5 years post-surgery, regardless of suture type. However, surgical success remained high, and no delayed serious adverse events were reported.

Indexed as

HysterectomyPelvic Organ ProlapsePostoperative ComplicationsSurgical MeshAgedFemaleFollow-Up StudiesGynecologic Surgical ProceduresHumansMiddle AgedMinimally Invasive Surgical ProceduresSuturesTime FactorsMesh complicationsMinimally invasive surgeryPelvic organ prolapse

Identifiers

PMID38530401
PMCPMC11052764

What OpenQuestion holds

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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.