Evidence map›Paper›PMID 40126703›Full record

ArticleTechniques in coloproctology2025

Comparison of laparoscopic lateral suspension and high uterosacral ligament suspension for apical prolapse: a retrospective clinical study.

Y Yu, L Mei, Y Chen, T Cui, D Wei, X Niu

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Techniques in coloproctology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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.

Y YuDepartment of Obstetrics and Gynecology, West China Second Hospital of Sichuan University, No. 20, Section 3, South Renmin Road, Chengdu, 610041, Sichuan, China.
L MeiDepartment of Obstetrics and Gynecology, West China Second Hospital of Sichuan University, No. 20, Section 3, South Renmin Road, Chengdu, 610041, Sichuan, China.
Y ChenDepartment of Obstetrics and Gynecology, West China Second Hospital of Sichuan University, No. 20, Section 3, South Renmin Road, Chengdu, 610041, Sichuan, China. chenyueyue2002@sina.com.
T CuiDepartment of Obstetrics and Gynecology, West China Second Hospital of Sichuan University, No. 20, Section 3, South Renmin Road, Chengdu, 610041, Sichuan, China.
D WeiDepartment of Obstetrics and Gynecology, West China Second Hospital of Sichuan University, No. 20, Section 3, South Renmin Road, Chengdu, 610041, Sichuan, China.
X NiuDepartment of Obstetrics and Gynecology, West China Second Hospital of Sichuan University, No. 20, Section 3, South Renmin Road, Chengdu, 610041, Sichuan, China. niuxy@scu.edu.cn.

Funding

National Key Research and Development Program of China 2021YFC2009100Sichuan Provincial Health Commission Project 21ZD002The Science and Technology Department of Sichuan Province Project 2023YFS0024
6 · The paper itself

Abstract

backgroundThe aim of this retrospective clinical study is to assess clinical outcomes and patient satisfaction between laparoscopic lateral suspension (LLS) with mesh and laparoscopic high uterosacral ligament suspension (LHUS) for apical prolapse with or without anterior prolapse.

methodsPatients who underwent LLS with mesh or LHUS from 2019 to 2023 at the Second West China Hospital of Sichuan University were enrolled in this retrospective study. The objective outcomes were evaluated on the basis of the anatomical success rate according to the Pelvic Organ Prolapse Quantification System (POP-Q). The subjective outcomes were assessed using the Pelvic Floor Distress Inventory (PFDI-20) questionnaire, Pelvic Floor Impact Questionnaire (PFIQ-7), Patient Global Impression of Improvement (PGI-I) scores, and complications rate. Complications were defined according to the Clavien-Dindo scale. The outcomes of the postoperative 3, 6, and 12 months were analyzed retrospectively.

resultsThe objective and subjective outcomes indicated improvements in both groups. There was no statistically significant difference between the two groups in the change of subjective outcomes. The short-term objective and subjective outcomes for both techniques were found to be comparable. The anatomical success rate for apical and anterior prolapse was 93.85% in the LHUS group and 93.44% in the LLS group at a median follow-up of 12 months. LLS demonstrated a superior effect on the degree of postoperative point Ba (the distance from the most protruding point to the hymen on the anterior vaginal wall) improvement compared with LHUS.

conclusionsLHUS and LLS are both effective, safe surgical techniques for the treatment of apical prolapse, with or without concomitant anterior prolapse, exhibiting low complication rates and high short-term anatomical cure rates. LLS demonstrated certain advantages over LHUS in terms of anterior prolapse improvement and symptom relief.

Indexed as

Gynecologic Surgical ProceduresLaparoscopyLigamentsPelvic Organ ProlapseAgedChinaFemaleHumansMiddle AgedPatient SatisfactionPostoperative ComplicationsRetrospective StudiesSurgical MeshTreatment OutcomeHigh uterosacral ligament suspensionLaparoscopic lateral suspensionPelvic organ prolapse

Identifiers

PMID40126703
PMCPMC11933215

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.