The impact of pelvic organ prolapse and/or continence surgery on pelvic floor muscle function in women: A systematic review
Open accessAbstract
Aims: To systematically review the evidence for the effect of pelvic organ prolapse (POP) and/or continence surgery on pelvic floor muscle (PFM) morphometry and function in women, and to investigate whether a relationship exists between PFM measures and clinician‐reported objective pelvic floor outcomes postoperatively. Methods: Six electronic databases were searched until March 2018. Studies were included if they examined the effect of POP and/or continence surgery on the PFM in women, and reported pre‐ and postoperative data. Methodological quality was assessed using a modified Downs and Black checklist. Three meta‐analyses were planned based on postoperative follow‐up time. Results: Twenty‐one studies met the inclusion criteria. Varied surgical interventions and 33 different PFM measures were represented. The methodological quality of included studies varied considerably. The 0 to 6 weeks postoperative meta‐analysis showed no statistically significant change in PFM function (SMD = 0.04; 95% confidence interval [CI] = −0.26 to 0.33). This was consistent at 3 and 6 or more months (SMD = 1.13; 0.35 95% CI = −0.34 to 2.60, − 0.42 to 1.12 respectively). None of the included studies investigated the relationship between PFM measures and clinician‐reported objective outcomes postoperatively. Conclusions: This review did not show a clear effect of POP and/or continence surgery on PFM morphometry or function in women and was unable to show a relationship with outcomes such as objective prolapse score and urodynamic findings. This could be because surgery does not measurably impact on the PFM or due to the poor quality and heterogeneity of studies. Future well‐designed research is needed to specifically investigate change in the PFM following surgery.
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- Author/s: Mastwyk, S;McClelland, J;Rosamilia, A;Frawley, H Title: The impact of pelvic organ prolapse and/or continence surgery on pelvic floor muscle function in women: A systematic review Date: 2019-08 Citation:
- Mastwyk, S., McClelland, J., Rosamilia, A. & Frawley, H. (2019). The impact of pelvic organ prolapse and/or continence surgery on pelvic floor muscle function in women: A systematic review. NEUROUROLOGY AND URODYNAMICS, 38 (6), pp.1467-1481. https:// doi.org/10.1002/nau.24025. Persistent Link: http://hdl.handle.net/11343/285889
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Sorted by citations
Espiño-Albela, A., Castaño-García, C., Díaz-Mohedo, E., & Ibáñez-Vera, A. J. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12050806 · Cited by 28 · see citing works
Nyhus, M. Ø., Mathew, S., Salvesen, Ø., Salvesen, K. Å., Stafne, S., & Volløyhaug, I. (2020) · Ultrasound in Obstetrics & Gynecology · doi:10.1002/uog.22007 · Cited by 27 · see citing works
- Authors
- Mastwyk, S., McClelland, J., Rosamilia, A., & Frawley, H.
- Affiliations
- La Trobe University (AU)
- Monash Health (AU)
- Monash University (AU)
- Corresponding author
- Mastwyk, Sally
- Venue
- Neurourology and Urodynamics
- Publisher
- Wiley
- Published
- 2019-05-25
- Volume
- 38
- Issue
- 6
- Pages
- 1467-1481
- ISSN
- 0733-2467 (ISSN-L)
- 1520-6777
- OpenAlex
- W2946715424
- Cited by
- 5
- References
- 59
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 1 · 2020: 2
- FWCI
- 0.12
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Neurourology and Urodynamics (publishedVersion)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Keywords
- pelvic organ prolapse, continence surgery, pelvic floor muscle function, postoperative outcomes, women, urodynamic findings
- MeSH terms
- Female, Humans, Middle Aged, Postoperative Period, Pelvic Floor, Pelvic Organ Prolapse
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