Evidence map›Paper›PMID 41883231›Full record

ReviewNeurourology and urodynamics2026

How Can We Improve the Assessment and Indifferent Outcomes From Pelvic Organ Prolapse Management From Conservative and Surgical Therapies? ICI-RS 2025.

Rohna Kearney, Adrian Wagg, Wendy Bower, Chris Chapple, Vik Khullar, Dudley Robinson, Annika Taithongchai, Philip Toozs Hobson, Alan Wein, Paul Abrams

Abstract readReview
In one paragraph

Review in Neurourology and urodynamics, 2026. 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. 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

10 authors.

Rohna KearneyThe Warrell Unit, Saint Mary's Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.ORCID https://orcid.org/0000-0002-1489-4397
Adrian WaggDepartment of Medicine, Division of Geriatric Medicine, College of Health Sciences, Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada.ORCID https://orcid.org/0000-0002-5372-530X
Wendy BowerContinence Clinic and Department of Physiotherapy, The Royal Melbourne Hospital and Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0003-2029-4731
Chris ChappleDepartment of Urology, Sheffield Teaching Hospitals NHS Foundation Trust, Faculty of Health, University of Sheffield, Northern Ireland, UK.ORCID https://orcid.org/0000-0002-2960-9931
Vik KhullarDepartment of Urogynaecology, St. Mary's Hospital, Imperial College, London, UK.ORCID https://orcid.org/0000-0002-4775-7495
Dudley RobinsonKings College Hospital, London, UK.ORCID https://orcid.org/0000-0002-4879-6672
Annika TaithongchaiKings College Hospital, London, UK.ORCID https://orcid.org/0000-0001-6996-632X
Philip Toozs HobsonDepartment of Urogynaecology, Birmingham Women's and Children's Hospital, NHS Foundation Trust, Birmingham, UK.ORCID https://orcid.org/0000-0002-1859-9934
Alan WeinDesai Sethi Institute of Urology, University of Miami Miller School of Medicine, Miami, Florida, USA.ORCID https://orcid.org/0000-0002-6910-8656
Paul AbramsBristol Urological Institute, Southmead Hospital, Bristol, UK.ORCID https://orcid.org/0000-0003-2776-2200

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPelvic organ prolapse is a common condition and many women seek surgical treatment for prolapse symptoms. However, recurrence of prolapse after surgical treatment is common. A think tank was held at ICI-RS 2025 to discuss how the assessment and indifferent results from conservative and surgical management can be improved.

methodsData were collected and presented on identification of women at risk of prolapse recurrence after surgery, understanding patient goals and expectations, optimising lifestyle interventions, pelvic floor muscle training, pessary management, and surgical care. Discussions identified knowledge gaps and proposed research studies that could advance knowledge to improve treatment outcomes.

resultsThere is insufficient information to understand the assessment of prolapse treatment outcomes; examination findings do not necessarily correlate with symptoms. Further research is needed to understand if patient-reported goal attainment is superior to patient-reported outcome measures, including measures of patient satisfaction. There is insufficient information on the value of lifestyle adjustments and pelvic floor muscle training as prehabilitation to improve surgical outcomes. The place of pessary management in an optimally integrated prolapse treatment pathway is unclear and the role that pessaries may have in anatomical modelling of prolapse is not fully understood. Further research into adjuncts to improve native tissue repair as alternatives to polypropylene mesh is needed to optimise surgical outcome.

conclusionFurther research into understanding what represents treatment, cure, and optimising conservative and surgical treatments is of high priority to improve pelvic organ prolapse treatment outcomes. The utility of preoperative rehabilitation requires investigation. Developing an optimised pessary care pathway and continued surgical innovation are required to ensure progress in reducing prolapse symptom recurrence.

Indexed as

Conservative TreatmentGynecologic Surgical ProceduresPelvic Organ ProlapseFemaleHumansPatient SatisfactionPelvic FloorPessariesRecurrenceTreatment Outcomepelvic floor muscle trainingpelvic organ prolapse recurrencesurgical failurevaginal pessary

Identifiers

PMID41883231
PMCPMC13388013

What OpenQuestion holds

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LicenceCC BY
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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.