Evidence map›Paper›PMID 41602457›Full record

ArticleFrontiers in bioengineering and biotechnology2025

Uneven effects of trans-vaginal mesh reconstruction on the viscoelastic property of the urinary bladder in patients with pelvic organ prolapse.

Hui-Hsuan Lau, Cheng-Yuan Lai, Ming-Chun Hsieh, Hsien-Yu Peng, Dylan Chou, Tsung-Hsien Su, Jie-Jen Lee, Tzer-Bin Lin

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in bioengineering and biotechnology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05682989 (Evaluation of Efficacy and Safety of Urogynecology Synthetic Mesh Surgery in Women With Pelvic Organ Prolapse), which is not on this 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

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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.

NCT05682989 recruitingnot on this map

Evaluation of Efficacy and Safety of Urogynecology Synthetic Mesh Surgery in Women With Pelvic Organ Prolapse

TypeobservationalSponsorMackay Medical CollegeRan2022 to 2027Enrolled150ConditionsPelvic Organ Prolapse, Stage III and IV High Grade Pelvic Organ ProlapseArmsUrodynamic investigations before and after a mesh surgery protocol., Urodynamic investigations before and after a robotic-assisted sacrocolpopexy protocol., Urodynamic investigations before and after a hysterectomy with trans-vaginal mesh repair
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

8 authors.

Hui-Hsuan Lau *Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan.
Cheng-Yuan Lai *Institute of Biomedical Sciences, Mackay Medical University, New Taipei, Taiwan.
Ming-Chun HsiehDepartment of Medicine, Mackay Medical University, New Taipei, Taiwan.
Hsien-Yu PengDepartment of Medicine, Mackay Medical University, New Taipei, Taiwan.
Dylan ChouDepartment of Medicine, Mackay Medical University, New Taipei, Taiwan.
Tsung-Hsien SuDivision of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan.
Jie-Jen LeeDepartment of Medicine, Mackay Medical University, New Taipei, Taiwan.
Tzer-Bin LinInstitute of Translational Medicine and New Drug Development, College of Medicine, China Medical University, Taichung, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The pathophysiology underlying deficits in bladder storage and possible rationale for how transvaginal mesh (TVM) reconstruction benefits bladder function in patients with pelvic organ prolapse (POP) remain unclear. Compliance, a viscoelastic parameter, crucially characterizes the bladder's storage function. Pressure-volume analysis (PVA) has been recently applied to specifically assess compliance dynamics during different stages of bladder filling. This study investigated compliance dynamics in patients with POP using PVA and analyzed the impact of TVM on bladder compliance. Methods: PVAs were retrospectively constructed by plotting intravesical volume (Vive) against detrusor pressure (Pdet) in patients with POP undergoing TVM repair. Parameters analyzed included mean compliance during the entire, early, and late halves of bladder filling (Cm, C1/2, and C2/2, respectively); infused volume (Vinf); threshold pressure (Pthd); Pdet changes in the early and late filling (ΔPthd1/2 and ΔPthd2/2, respectively); post-void residual volume (Vres); and ultrasound imaging. Results: Before TVM, patients exhibited significantly lower C2/2 than C1/2 (p < 0.001, N = 22), while postoperatively, no significant difference was observed between C2/2 and C1/2 (p = 0.102, N = 22). TVM significantly increased Cm (p = 0.004, N = 22) and C2/2 (p < 0.001, N = 22) but had no significant effect on C1/2 (p = 0.572, N = 22). Postoperatively, Pthd (p = 0.001, N = 22) and ΔPthd2/2 (p = 0.001, N = 22) were significantly reduced, while ΔPthd1/2 (p = 0.084, N = 22) and Vinf (p = 0.112, N = 22) remained unaffected. Ultrasound imaging demonstrated that TVM relieved restrictions on bladder expansion during late filling. Discussion: Patients with POP showed heterogeneous compliance deficits, particularly during late bladder filling. TVM selectively improved compliance impairment possibly by restoring anatomical geometry for bladder expansion. Clinical Trial Registration: ClinicalTrials.gov (NCT05682989).

Indexed as

dynamic compliancepelvic reconstructiontransvaginal mesh repairviscoelasticityvolume-pressure analysis

Identifiers

PMID41602457
PMCPMC12832731

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Registered trials

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.