Evidence map›Paper›PMID 40347243›Full record

Trial reportInternational urogynecology journal2025

Comparing Post-Operative Pain Outcomes in Pelvic Organ Prolapse Surgery With and Without a Hysterectomy.

Wesley Nilsson, Elizabeth Narwold, Lindsay Turner, Jonathan Shepherd

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

4 authors.

Wesley NilssonDivision of Gynecology, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA. nilssonwesley@gmail.com.ORCID 0000-0002-4630-8938
Elizabeth NarwoldUniversity of Connecticut School of Medicine, Farmington, CT, USA.
Lindsay TurnerDivision of Urogynecology, Department of Obstetrics and Gynecology, Allegheny Health Network,, University of Pittsburgh, Pittsburgh, PA, USA.
Jonathan ShepherdDepartment of Obstetrics and Gynecology, University of Connecticut Health Center, Farmington, CT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisMany surgeons perform hysterectomy at the time of pelvic organ prolapse (POP) surgery if the uterus is present, but it is unknown how this impacts patient pain. The objective of this study was to compare POP surgeries with and without a hysterectomy for differences in post-operative pain using a visual analog scale (VAS), and morphine milligram equivalents (MME) at 24 h.

methodsThis was a secondary analysis of a randomized controlled trial comparing the impact of pre-operative intravenous acetaminophen with placebo on post-operative pain following POP surgery.

resultsWe included 202 subjects undergoing minimally invasive POP surgery. A concomitant hysterectomy was performed in 120 of the subjects (59.4%). Most were white (97.5%), had baseline POP-Q stage III prolapse (75%), and BMI 27.8 ± 4.3 kg/m

conclusionAlthough procedures were longer and patients were younger, with concomitant hysterectomy, there was no difference in 24-h VAS pain scores, 24-h MME opioid usage, or other pain metrics in POP surgeries with and without hysterectomy. Overall, opioid use and pain scores were low.

Indexed as

AcetaminophenHysterectomyPelvic Organ ProlapsePostoperative PainAgedAnalgesics, Non-NarcoticFemaleHumansMiddle AgedOperative TimePain MeasurementTreatment OutcomeAcetaminophenAnalgesics, Non-NarcoticHysterectomyLaparoscopyMinimally invasivePainPelvic organ prolapse

Identifiers

PMID40347243

What OpenQuestion holds

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Registered trials

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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.