SynthesisInternational urogynecology journal2019
Uterine-preserving surgeries for the repair of pelvic organ prolapse: a systematic review with meta-analysis and clinical practice guidelines.
Synthesis in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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.
Who cites it
19 citing papers in PubMed, 55 citations in OpenAlex.
- Laparoscopic Hysteropexy: How, When and for Whom Is It an Alternative Option? A Narrative Review of the Literature.Journal of clinical medicine · 2025Review
- Laparoscopic Hysterosacropexy: Is it A Safe Option for Fertility Spearing?Journal of family & reproductive health · 2023Article
- A Laparoscopic Conservative Surgery Approach to Puerperium Complicated by Uterine Prolapse After Vaginal Delivery: A Case Series.Journal of family & reproductive health · 2023Article
- Bilateral Sacrospinous Hysteropexy Versus Bilateral Sacrospinous Ligament Fixation with Vaginal Hysterectomy for Apical Uterovaginal Prolapse.International neurourology journal · 2022Article
- How and on whom to perform uterine-preserving surgery for uterine prolapse.Obstetrics & gynecology science · 2022Article
- A novel bilateral anterior sacrospinous hysteropexy technique for apical pelvic organ prolapse repair via the vaginal route: a cohort study.Archives of gynecology and obstetrics · 2022Article
- Satisfactory medium-long term patient reported outcomes after laparoscopic single-mesh sacrohysteropexy.Facts, views & vision in ObGyn · 2022Article
- Prospective analysis of transvaginal mesh hysteropexy in the treatment of uterine prolapse.International urogynecology journal · 2021Article
- Update in fertility-sparing native-tissue procedures for pelvic organ prolapse.International urogynecology journal · 2020Article
- A new technique of laparoscopic fixation of the uterus to the anterior abdominal wall with the use of overfascial mesh in the treatment of pelvic organ prolapse.International urogynecology journal · 2020Article
- Complications and reoperation after pelvic organ prolapse, impact of hysterectomy, surgical approach and surgeon experience.International urogynecology journal · 2020Article
- Transvaginal uterosacral ligament hysteropexy versus hysterectomy plus uterosacral ligament suspension: a matched cohort study.International urogynecology journal · 2020Article
- Laparoscopic uterine ventrosuspension procedure by using anterior mesh incorporated with bilateral round ligamentopexy: Kahyaoglu technique.Facts, views & vision in ObGyn · 2020Article
- The resurrection of sacrospinous fixation: unilateral apical sling hysteropexy.International urogynecology journal · 2020Article
- Surgical treatment of primary uterine prolapse: a comparison of vaginal native tissue surgical techniques.International urogynecology journal · 2019Article
- Revisiting current treatment options for stress urinary incontinence and pelvic organ prolapse: a contemporary literature review.Research and reports in urology · 2019Review
- Scarf Technique for Pectohysteropexy: A Step-by-step Demonstration Video.Gynecology and minimally invasive therapyArticle
- Factors affecting women's decision between uterine-preserving versus hysterectomy-based surgery for pelvic organ prolapse.Women's health (London, England)Article
- Is Minimally Invasive Transvaginal Sacrospinous Ligament Hysteropexy a Viable Surgical Option for Young Women Experiencing Severe Uterine Prolapse?Gynecology and minimally invasive therapyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 11 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisWe aimed to systematically review the literature on pelvic organ prolapse (POP) surgery with uterine preservation (hysteropexy). We hypothesized that different hysteropexy surgeries would have similar POP outcomes but varying adverse event (AE) rates.
methodsMEDLINE, Cochrane, and clinicaltrials.gov databases were reviewed from inception to January 2018 for comparative (any size) and single-arm studies (n ≥ 50) involving hysteropexy. Studies were extracted for participant characteristics, interventions, comparators, outcomes, and AEs and assessed for methodological quality.
resultsWe identified 99 eligible studies: 53 comparing hysteropexy to POP surgery with hysterectomy, 42 single-arm studies on hysteropexy, and four studies comparing stage ≥2 hysteropexy types. Data on POP outcomes were heterogeneous and usually from <3 years of follow-up. Repeat surgery prevalence for POP after hysteropexy varied widely (0-29%) but was similar among hysteropexy types. When comparing sacrohysteropexy routes, the laparoscopic approach had lower recurrent prolapse symptoms [odds ratio (OR) 0.18, 95% confidence interval (CI) 0.07-0.46), urinary retention (OR 0.05, 95% CI 0.003-0.83), and blood loss (difference -104 ml, 95% CI -145 to -63 ml) than open sacrohysteropexy. Laparoscopic sacrohysteropexy had longer operative times than vaginal mesh hysteropexy (difference 119 min, 95% CI 102-136 min). Most commonly reported AEs included mesh exposure (0-39%), urinary retention (0-80%), and sexual dysfunction (0-48%).
conclusionsHysteropexies have a wide range of POP recurrence and AEs; little data exist directly comparing different hysteropexy types. Therefore, for women choosing uterine preservation, surgeons should counsel them on outcomes and risks particular to the specific hysteropexy type planned.
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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 Socratic graph.