Observational studyActa obstetricia et gynecologica Scandinavica2022
Vaginal vault prolapse and recurrent surgery: A nationwide observational cohort study.
Observational study in Acta obstetricia et gynecologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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.
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
10 citing papers in PubMed.
- Complications After Vaginal Vault Suspension: A Nationwide Cohort Study Comparing Six Apical Procedures.International urogynecology journal · 2026Article
- Long-Term Comparison of Patient-Reported Outcomes Following Six Surgical Procedures for Apical Suspension.International urogynecology journal · 2026Article
- Prolapse recurrence, methods of reoperation, and long-term mesh complications-A nationwide follow-up study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Long-term clinical outcomes of ischial spine fascia fixation compared with sacrospinous ligament fixation: a prospective cohort study over 10 years.Archives of gynecology and obstetrics · 2026Article
- Large language models in systematic review and meta-analysis of surgical treatments for vaginal vault prolapse.NPJ digital medicine · 2026Article
- The comparison of colpocleisis and sacrospinous ligament fixation surgeries for treatment of vaginal vault prolapse: an observational study.Pakistan journal of medical sciences · 2025Article
- High Uterosacral Ligaments Suspension for Post-Hysterectomy Vaginal Vault Prolapse Repair.Medicina (Kaunas, Lithuania) · 2024Article
- Gynecologists' perspectives on surgical treatment for apical prolapse: a qualitative study.International urogynecology journal · 2023Article
- Article
- Vaginal vault prolapse and recurrent surgery: A nationwide observational cohort study.Acta obstetricia et gynecologica Scandinavica · 2022Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn surgical repair of pelvic organ prolapse the recurrence rate is about 30% and the importance of apical support was recently highlighted. In surgical randomized controlled studies, the external validity can be compromised because the surgical outcomes often depend on surgical volume. Therefore, we sought to study outcomes of surgical treatment in patients with vaginal vault prolapse in a nationwide setting with a variety of surgical volumes. MATERIAL AND
methodsThis is a nationwide cohort study. All patients with a vaginal vault prolapse undergoing surgery, between January 1, 2015 and December 31, 2018, were identified from the Swedish National Quality Register of Gynecological Surgery, GynOp. The primary outcome was the frequency of recurrent pelvic organ prolapse surgery within 2 years postoperatively. Secondary outcomes included patient-reported vaginal bulging, operative time, estimated blood loss and 1-year postoperative complications.
resultsIn 1812 patients with vaginal vault prolapse, 538 (30%) had a sacrospinous ligament fixation (SSLF) with graft, 441 (24%) underwent SSLF without graft, and 200 (11%) underwent minimally invasive sacrocolpopexy (SCP) or sacrocervicopexy (SCerP). A significantly higher proportion of patients undergoing recurrent pelvic organ prolapse surgery was seen in SSLF without graft than in SSLF with graft (adjusted odds ratio [aOR] 2.2, 95% CI 1.4-3.6). Patient-reported sensation of vaginal bulging 1 year after surgery was higher in the SSLF group without graft than in the SSLF group with graft (aOR 1.9, 95% CI 1.3-2.8) and in the SCP/SCerP group (aOR 2.0, 95% CI 1.1-3.4). Finally, we found a significantly higher rate of complications 1 year after surgery in SSLF without graft (aOR 2.3, 95% CI 1.2-4.2) and in SSLF with graft (aOR 2.2, 95% CI 1.2-4.2) compared with SCP/SCerP.
conclusionsIn patients with vaginal vault prolapse, SSLF without graft was associated with a higher frequency of recurrent pelvic organ prolapse surgery compared with SSLF with graft, and a higher subjective relapse rate compared with SCP/SCerP and SSLF with graft. Additionally, the complication rate 1 year after primary surgery was higher in SSLF both with and without graft than in SCP/SCerP.
Indexed as
Identifiers
What Socratic holds
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.