Evidence map›Paper›PMID 41910640›Full record

ArticleInternational urogynecology journal2026

Overactive Bladder Symptoms Following Apical Prolapse Repair With or Without Midurethral Sling.

Katie Propst, Leslie A Meyn, Stuart H Shippey, Uduak U Andy, Kimberly A Kenne, Shannon L Wallace, Noelani Guaderrama, Dobie Giles, Abigail Davenport, Jennifer T Anger and 2 more

Abstract read
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In one paragraph

Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Katie PropstUrogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Morsani College of Medicine, University of South Florida, 2 Tampa General Circle, 4Th Floor, Tampa, FL, 33606, USA. KatiePropst@usf.edu.ORCID http://orcid.org/0000-0001-7122-6187
Leslie A MeynDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Pittsburgh, PA, USA.
Stuart H ShippeyAscension Sacred Heart OB/GYN Residency, Pensacola, FL, USA.
Uduak U AndyDivision of Urogynecology, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA.
Kimberly A KenneUrogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Iowa, Iowa City, IA, USA.
Shannon L WallaceUrogynecology and Reconstructive Pelvic Surgery, Ob/Gyn & Women's Health Institute, Cleveland Clinic, Cleveland, OH, USA.
Noelani GuaderramaDivision of Urogynecology and Reconstructive Surgery, Department of Obstetrics and Gynecology, Southern California Permanente Medical Group, Irvine, CA, USA.
Dobie GilesDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics & Gynecology, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
Abigail DavenportUrogynecology and Reconstructive Pelvic Surgery, MedStar Franklin Square Medical Center, Georgetown University School of Medicine, Baltimore, MD, USA.
Jennifer T AngerDepartments of Urology and Obstetrics and Gynecology, UC San Diego Health, San Diego, CA, USA.
Ukpebo R OmosighoDivision of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN, USA.
Ladin A Yurteri-KaplanSection of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisData are limited regarding the impact of concomitant midurethral sling (MUS) placement at the time of apical pelvic organ prolapse repair (POPR) on postoperative changes in overactive bladder and urge urinary incontinence (OAB/UUI). This study is aimed at comparing OAB/UUI outcomes in women following POPR with versus without MUS.

methodsThis is a retrospective cohort study of women with pelvic organ prolapse (POP) who underwent vaginal apical native tissue repair, sacrocolpopexy, or colpocleisis. All patients had baseline OAB/UUI or mixed urinary incontinence; outcomes of those who did and those did not undergo MUS were assessed using validated questionnaires. OAB/UUI outcomes were classified as improved/resolved or persistent.

resultsA total of 167 participants met the inclusion criteria, 59 underwent MUS placement, and 108 did not. There was no significant difference between cohorts regarding persistence of OAB/UUI at 12 months. Persistent OAB/UUI was present in 8 patients with MUS (13.6%) versus 15 without MUS (13.9%; p > 0.9). There was no difference in new postoperative treatment for OAB/UUI between cohorts (p > 0.9) and there was no difference in measures of bother associated with urinary frequency and UUI between cohorts postoperatively. Participants who underwent MUS or had improved/resolved OAB/UUI were more likely to report global improvement of their bladder function after surgery.

conclusionsIn women undergoing apical POPR, OAB/UUI symptoms often improved or resolved, regardless of concomitant MUS placement. However, women who had a concomitant MUS were more likely to report improvement in patient-reported outcomes.

Indexed as

Gynecologic Surgical ProceduresPelvic Organ ProlapsePostoperative ComplicationsSuburethral SlingsUrinary Bladder, OveractiveUrinary Incontinence, UrgeAgedFemaleHumansMiddle AgedRetrospective StudiesTreatment OutcomeOveractive bladderPelvic organ prolapse repairPostoperative outcomesUrge urinary incontinence

Identifiers

PMID41910640

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.