Evidence map›Paper›PMID 38683391›Full record

Trial reportInternational urogynecology journal2024

A Randomised Trial on the Effects of the Addition of Uterosacral Ligament Plication to Pectopexy Operation on Anatomical Restoration and Female Sexual Functions.

Yakup Kumtepe, Gamze Nur Cimilli Senocak, Ahmet Akın Sivaslioglu, Aysenur Yapar, Emsal Pinar Topdagi Yilmaz, Kamber Kasali

Abstract readRandomized Controlled Trial
PubMed Publisher
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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.

Yakup KumtepeDepartment of Obstetrics and Gynaecology, Ataturk University, Erzurum, Turkey. ykumtepe@gmail.com.ORCID 0000-0002-4998-8262
Gamze Nur Cimilli SenocakDepartment of Obstetrics and Gynaecology, Ataturk University, Erzurum, Turkey.ORCID 0000-0002-6750-9210
Ahmet Akın SivasliogluDepartment of Obstetrics and Gynaecology, Muğla Sıtkı Koçman Education and Research Hospital, Mugla, Turkey.
Aysenur YaparDepartment of Obstetrics and Gynaecology, Ataturk University, Erzurum, Turkey.
Emsal Pinar Topdagi YilmazDepartment of Obstetrics and Gynaecology, Ataturk University, Erzurum, Turkey.ORCID 0000-0001-8593-5726
Kamber KasaliDepartment of Biostatistics, Ataturk University, Erzurum, Turkey.ORCID 0000-0002-2851-5263

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe objective was to determine whether the addition of uterosacral ligament plication to pectopexy for pelvic organ prolapse increases anatomical improvement and female sexual functioning.

methodsThis is a prospective randomised study. Forty patients who underwent laparoscopic pectopexy (LP) and laparoscopic pectopexy with uterosacral ligament plication (LPUSL) were included in the study. A total of 38 patients were evaluated in the study. Patients were assessed by the Pelvic Organ Prolapse Quantification (POP-Q) system and the patients who had symptomatic apical prolapse POP-Q ≥ II were included in the study. Patients were evaluated preoperatively and postoperatively at the 3rd, 6th and 12th month, with respect to anatomical changes as well as sexual function.

resultsA statistically significant difference was found when the preoperative C points was compared with the C points postoperatively, at 3rd, 6th and 12th months in both the LP and LPUSL groups (p < 0.001). Additionally, there were statistically significant difference between the LP and LPUSL groups in terms of C and Aa points at the 6th and 12th postoperative months in favour of the LPUSL group (p = 0.007, p = 0.005 respectively). There was also a statistically significant difference when Ba points were compared between the two groups at the 12th postoperative month, in favour of the LPUSL group (p = 0.002). There were no statistically significant differences between the groups with respect to the variables of the Female Sexual Function Index. Additionally, all parameters were significantly better in both groups at the 3rd and 12th months than the preoperative values in post hoc analysis; only desire also had a significant improvement between the 3rd and 12th months in the LPUSL group in post hoc analysis.

conclusionPectopexy operation seems to be a successful surgical approach as an alternative to sacrocolpopexy. The addition of uterosacral ligament plication to pectopexy operation improves the anatomical restoration more drastically than with LP on its own. Moreover, either LP or LPUSL has improved the majority of sexual function indices.

Indexed as

Gynecologic Surgical ProceduresLigamentsPelvic Organ ProlapseAdultAgedFemaleHumansLaparoscopyMiddle AgedProspective StudiesTreatment OutcomeUterusApical uterine prolapseLaparoscopyPectopexyUterosacral ligament plication

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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.