Evidence map›Paper›PMID 42758296›Full record

ArticleInternational urogynecology journal2026

Comparative Effectiveness of Laparoscopic Lateral Suspension, Pectopexy and Sacrocolpopexy for Apical Pelvic Organ Prolapse: A Propensity-Weighted Retrospective Cohort Study.

Erhan Akturk, Yaşam Kemal Akpak, Sena Sayan, Neslihan Bademler, Murat İbrahim Toplu, Fatma Seda Öztürk

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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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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

6 authors.

Erhan AkturkDepartment of Obstetrics and Gynecology, Medicana Zincirlikuyu Hospital, Büyükdere cd no 165, 34394, İstanbul, Turkey. erhnakturk@gmail.com.ORCID http://orcid.org/0000-0003-1436-6049
Yaşam Kemal AkpakDepartment of Obstetrics and Gynecology, University of Health Sciences/İzmir City Hospital, İzmir, Turkey.ORCID http://orcid.org/0000-0002-1699-8667
Sena SayanDepartment of Obstetrics and Gynecology, University of Health Sciences/Prof. Dr. Cemil Taşçıoğlu City Hospital, İstanbul, Turkey.ORCID http://orcid.org/0000-0001-6758-1127
Neslihan BademlerDepartment of Obstetrics and Gynecology, University of Health Sciences/Prof. Dr. Cemil Taşçıoğlu City Hospital, İstanbul, Turkey.ORCID http://orcid.org/0000-0002-6894-8936
Murat İbrahim TopluDepartment of Obstetrics and Gynecology, University of Health Sciences/Prof. Dr. Cemil Taşçıoğlu City Hospital, İstanbul, Turkey.ORCID http://orcid.org/0000-0003-1358-9099
Fatma Seda ÖztürkDepartment of Obstetrics and Gynecology, Medicana Zincirlikuyu Hospital, Büyükdere cd no 165, 34394, İstanbul, Turkey.ORCID http://orcid.org/0009-0006-2391-8078

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe objective was to compare anatomical and safety outcomes of laparoscopic lateral suspension (LS), pectopexy (PP), and sacrocolpopexy (SCP) for apical pelvic organ prolapse (POP) in a retrospective comparative cohort using propensity score weighting. The cohort consisted of consecutive women undergoing LS, PP or SCP at a tertiary referral centre between 2017 and 2023.

methodsConfounding by indication was addressed using a multinomial propensity score with inverse probability of treatment weighting; covariate balance was assessed by standardised mean differences. Weighted regression models with robust standard errors were used; primary-outcome pairwise comparisons were Holm corrected. Sensitivity analyses included overlap weighting, entropy balancing and doubly-robust estimation. The main outcome measures were 12-month apical anatomical success; perioperative outcomes; Clavien-Dindo complications; mesh-related events; reoperation; time to recurrence.

resultsOf 188 women (58 with SCP, 63 with PP, 67 with LS), 12-month apical success was 74.1%, 73.0%, 80.6%, with no significant pairwise differences (PP vs SCP: aOR 0.80, 95% CI 0.33-1.93; LS vs SCP: aOR 1.42, 95% CI 0.56-3.60; global p = 0.437). Post hoc analysis indicated 80% power only for large effects (≈18 percentage points). LS required longer operative time (+44.2 min, p < 0.001); PP had modestly higher blood loss (+23.6 ml, p = 0.038). Complications, mesh exposure, reoperation and time-to-recurrence did not differ. Findings were robust across sensitivity analyses.

conclusionsNo significant differences in 12-month apical success or safety were detected among women undergoing SCP, PP or LS after adjustment; LS required a longer operative time. Wide confidence intervals and absence of a prespecified non-inferiority margin preclude any equivalence claim; short-term findings cannot be extrapolated to long-term durability.

Indexed as

Apical prolapseLaparoscopic sacrocolpopexyLateral suspensionPectopexyPelvic organ prolapsePropensity score weighting

Identifiers

PMID42758296

What Socratic 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 Socratic graph.