Evidence map›Paper›PMID 38546868›Full record

Observational studyInternational urogynecology journal2024

Changes in Stress Urinary Incontinence Symptoms after Pelvic Organ Prolapse Surgery: a Nationwide Cohort Study (FINPOP).

Päivi K Karjalainen, Anna-Maija Tolppanen, Olga Wihersaari, Kari Nieminen, Nina K Mattsson, Jyrki T Jalkanen

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Urinary outcomes following colpocleisis without concomitant anti-incontinence procedure: A retrospective single-center study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  4. Review
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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

6 authors at 4 institutions in 1 country.

Päivi K KarjalainenDepartment of Obstetrics and Gynecology, Wellbeing Services County of Central Finland/Hospital Nova of Central Finland, Hoitajantie 3, 40620, Jyväskylä, Finland. paivikristiina.karjalainen@gmail.com.ORCID 0000-0002-2271-1773
Anna-Maija TolppanenSchool of Pharmacy, University of Eastern Finland, Kuopio, Finland.
Olga WihersaariDepartment of Obstetrics and Gynecology, Wellbeing Services County of Central Finland/Hospital Nova of Central Finland, Hoitajantie 3, 40620, Jyväskylä, Finland.
Kari NieminenFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Nina K MattssonAava Medical Centre, Helsinki, Finland.
Jyrki T JalkanenWellbeing Services County of Central Finland, Jyväskylä, Finland.
Tampere University · FIUniversity of Eastern Finland · FIAava Medical Centre · FICentral Finland Health Care District · FI

Funding

Finnish Cultural Foundation 00170427 KeskusrahastoSuomen Kulttuurirahasto 00210437Valtion tutkimusrahoitus, KYS erva B2012Valtion tutkimusrahoitus, Pohjois-Savon sairaanhoitopiiri B1808
6 · The paper itself

Abstract

introduction and hypothesisVarious strategies are employed to manage stress urinary incontinence (SUI) during pelvic organ prolapse (POP) surgery. This study was aimed at facilitating shared decision-making by evaluating SUI symptom changes, staged SUI procedures, and their prognostic factors following POP surgery without concomitant SUI intervention.

methodsWe analyzed 2,677 POP surgeries from a population-based observational cohort, excluding patients with prior SUI surgery. The outcome measures were subjective SUI utilizing the Pelvic Floor Distress Inventory-20 questionnaire and number of subsequent SUI procedures. Multivariable linear models were applied to identify predictors of persistent SUI, procedures for persistent SUI, and de novo SUI. The primary assessment occurred at the 2-year follow-up.

resultsAt baseline, 50% (1,329 out of 2,677) experienced SUI; 35% (354 out of 1,005) resolved, an additional 14% (140 out 1,005) improved, and 5.1% (67 out of 1,308) underwent a procedure for persistent SUI. De novo SUI symptoms developed in 20% (218 out of 1,087), with 3.2% (35 out of 1,087) reporting bothersome symptoms; 0.8% (11 out of 1,347) underwent a procedure for de novo SUI. High baseline symptom severity increased the risk of persistent SUI (adjusted odds ratio [aOR] 2.04, 95% confidence interval [CI] 1.65-2.53), whereas advanced preoperative apical prolapse decreased the risk (aOR 0.89, 95% CI 0.85-0.93). De novo SUI was more common with advancing age (aOR 1.03, 95% CI 1.01-1.05), baseline urgency urinary incontinence (aOR 1.21, 95% CI 1.06-1.38), and after transvaginal mesh surgery (aOR 1.93, 95% CI 1.24-3.00). It was not dependent on the compartment or preoperative degree of prolapse.

conclusionsIn a pragmatic setting, POP surgery results in a low rate of subsequent SUI procedures.

Indexed as

Pelvic Organ ProlapseUrinary Incontinence, StressAgedCohort StudiesFemaleGynecologic Surgical ProceduresHumansMiddle AgedPostoperative ComplicationsSurveys and QuestionnairesTreatment OutcomeDe novo stress urinary incontinencePelvic organ prolapsePelvic organ prolapse surgeryPrognostic factorStress urinary incontinence

Identifiers

PMID38546868
PMCPMC11052860
OpenAlexW4393270662

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.