Factors influencing the outcome of surgery for pelvic organ prolapse
Open accessAbstract
INTRODUCTION AND HYPOTHESIS: Pelvic organ prolapse (POP) surgery is a common gynecological procedure. Our aim was to assess the influence of obesity and other risk factors on the outcome of anterior and posterior colporrhaphy with and without mesh. METHODS: Data were retrieved from the Swedish National Register for Gynecological Surgery on 18,554 women undergoing primary and repeat POP surgery without concomitant urinary incontinence (UI) surgery between 2006 and 2015. Multivariate logistic regression analyses were used to identify independent risk factors for a sensation of a vaginal bulge, de novo UI, and residual UI 1 year after surgery. RESULTS: The overall subjective cure rate 1 year after surgery was 80% (with mesh 86.4% vs 77.3% without mesh, p < 0.001). The complication rate was low, but was more frequent in repeat surgery that were mainly mesh related. The use of mesh was also associated with more frequent de novo UI, but patient satisfaction and cure rates were higher compared with surgery without mesh. Preoperative sensation of a vaginal bulge, severe postoperative complications, anterior colporrhaphy, prior hysterectomy, postoperative infections, local anesthesia, and body mass index (BMI) ≥30 were risk factors for sensation of a vaginal bulge 1 year postsurgery. Obesity had no effect on complication rates but was associated increased urinary incontinence (UI) after primary surgery. Obesity had no influence on cure or voiding status in women undergoing repeat surgery. CONCLUSIONS: Obesity had an impact on the sensation of a vaginal bulge and the presence of UI after primary surgery but not on complications.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Smoking is strongly associated with recurrent bothersome bulge symptoms.
“However, our results show a strong association with recurrent bulge symptoms, which confirms the findings by Bohlin et al, where the authors stated that smokers have lower surgical satisfaction.25”
From Risk factors for pelvic organ prolapse recurrence after sacrospinous hysteropexy or vaginal hysterectomy with uterosacral ligament suspension (2022) · cites this paper as [25]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Pelvic organ prolapse in the women's health initiative: Gravity and gravidity
Hendrix, S. L., Clark, A., Nygaard, I., Aragaki, A. K., Barnabei, V. M., & McTiernan, A. (2002) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2002.123819 · Cited by 1,273 · see citing works
Surgical management of pelvic organ prolapse in women
Maher, C., Feiner, B., Baeßler, K., & Glazener, C. M. A. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004014.pub4 · Cited by 1,120 · see citing works
Shumaker, S. A., Wyman, J. F., Uebersax, J. S., McClish, D. K., & Fantl, J. A. (1994) · Quality of Life Research · doi:10.1007/bf00451721 · Cited by 1,098 · see citing works
Surgical management of pelvic organ prolapse in women
Maher, C., Feiner, B., Baessler, K., & Schmid, C. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004014.pub5 · Cited by 784 · see citing works
Epidemiology and outcome assessment of pelvic organ prolapse
Barber, M. D., & Maher, C. (2013) · International Urogynecology Journal · doi:10.1007/s00192-013-2169-9 · Cited by 767 · see citing works
Rortveit, G., Brown, J. S., Thom, D. H., Van Den Eeden, S. K., Creasman, J. M., & Subak, L. L. (2007) · Obstetrics & Gynecology · doi:10.1097/01.aog.0000263469.68106.90 · Cited by 314 · see citing works
Gyhagen, M., Bullarbo, M., Nielsen, T., & Milsom, I. (2012) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.12020 · Cited by 306 · see citing works
Self-citationClark, A. L., Gregory, T., Smith, V. J., & Edwards, R. (2003) · American Journal of Obstetrics and Gynecology · doi:10.1067/s0002-9378(03)00829-9 · Cited by 290 · see citing works
Daneshgari, F. (2009) · European Urology · doi:10.1016/j.eururo.2009.01.055 · Cited by 230 · see citing works
Milsom, I., Altman, D., Cartwright, R., Lapitan, M. C., Nelson, R. S., Sillén, U., & Tikkinen, K. A. O. (2013) · Cited by 213 · see citing works
Self-citationHysterectomy and risk of stress-urinary-incontinence surgery: nationwide cohort study
Altman, D., Granath, F. N., Cnattingius, S., et al. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61635-3 · Cited by 177 · see citing works
Natural history of pelvic organ prolapse in postmenopausal women
Bradley, C. S., Zimmerman, M. B., Qi, Y., & Nygaard, I. E. (2007) · Obstetrics & Gynecology · doi:10.1097/01.aog.0000255977.91296.5d · Cited by 158 · see citing works
Effect of weight change on natural history of pelvic organ prolapse
Kudish, B. I., Iglesia, C. B., Sokol, R. J., Cochrane, B., Richter, H. E., Larson, J., Hendrix, S. L., & Howard, B. V. (2009) · Obstetrics & Gynecology · doi:10.1097/aog.0b013e318190a0dd · Cited by 140 · see citing works
Can we screen for pelvic organ prolapse without a physical examination in epidemiologic studies?
Barber, M. D., Neubauer, N. L., & Klein-Olarte, V. (2006) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2006.02.050 · Cited by 133 · see citing works
Obesity and Pelvic Floor Disorders
Greer, W. J., Richter, H. E., Bartolucci, A. A., & Burgio, K. L. (2008) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e31817cfdde · Cited by 125 · see citing works
Risk Factors for Pelvic Organ Prolapse Repair After Hysterectomy
Dällenbach, P., Kaelin-Gambirasio, I., Dubuisson, J., & Boulvain, M. (2007) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000278567.37925.4e · Cited by 120 · see citing works
Urinary incontinence after surgery for pelvic organ prolapse
Lensen, E. J. M., Withagen, M. I. J., Kluivers, K. B., Milani, A. L., & Vierhout, M. E. (2012) · Neurourology and Urodynamics · doi:10.1002/nau.22327 · Cited by 95 · see citing works
Chen, C. C. G., Gatmaitan, P., Koepp, S., Barber, M. D., Chand, B., Schauer, P. R., & Brethauer, S. A. (2008) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2008.10.006 · Cited by 91 · see citing works
Identification of risk factors for genital prolapse recurrence
Salvatore, S., Athanasiou, S., Digesu, G. A., Soligo, M., Sotiropoulou, M., Serati, M., Antsaklis, A., & Milani, R. (2009) · Neurourology and Urodynamics · doi:10.1002/nau.20639 · Cited by 89 · see citing works
Haya, N., Baeßler, K., Christmann‐Schmid, C., et al. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2015.02.017 · Cited by 84 · see citing works
A short-form questionnaire identified genital organ prolapse
Tegerstedt, G., Miedel, A., Mæhle-Schmidt, M., Nyrén, O., & Hammarström, M. (2005) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2004.06.008 · Cited by 76 · see citing works
Kulseng‐Hanssen, S., & Borstad, E. (2003) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2003.01406.x · Cited by 76 · see citing works
Haverkorn, R. M., Williams, B. J., Kubricht, W. S., et al. (2011) · The Journal of Urology · doi:10.1016/j.juro.2010.10.064 · Cited by 41 · see citing works
Factors influencing the incidence and remission of urinary incontinence after hysterectomy
Bohlin, K. S., Ankardal, M., Lindkvist, H., et al. (2016) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2016.08.034 · Cited by 40 · see citing works
Self-citationLadfors, M. B., Löfgren, M., Gabriel, B., et al. (2002) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1034/j.1600-0412.2001.810511.x · Cited by 37 · see citing works
Obesity as a risk for the recurrence of anterior vaginal wall prolapse after anterior colporrhaphy.
Kawasaki, A., Corey, E. G., Laskey, R. A., Weidner, A. C., Siddiqui, N. Y., & Wu, J. M. (2013) · PubMed · Cited by 28 · see citing works
The indication for hysterectomy as a risk factor for subsequent pelvic organ prolapse repair
Lykke, R., Blaakær, J., Ottesen, B., & Gimbel, H. M. (2015) · International Urogynecology Journal · doi:10.1007/s00192-015-2757-y · Cited by 28 · see citing works
Lo, T., Tan, Y. L., Khanuengkitkong, S., et al. (2012) · International Urogynecology Journal · doi:10.1007/s00192-012-1940-7 · Cited by 24 · see citing works
Danish Hysterectomy Trial Group, Andersen, L. L., Møller, L. M. A., et al. (2015) · International Urogynecology Journal · doi:10.1007/s00192-015-2778-6 · Cited by 10 · see citing works
Tuschy, B., Berlit, S., Kehl, S., Sütterlin, M., & Bussen, S. (2012) · PubMed · Cited by 2 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [21]Maher C BK, Barber M, Cheon C, Deitz V, De Tayrac R, Gutman R, Sentilhes L, Karram M. (2013) Pelvic organ prolapse surgery. 5th edition edn.
Cited by
Sorted by citations
Schulten, S. F., Detollenaere, R. J., IntHout, J., Kluivers, K. B., & Van Eijndhoven, H. W. (2022) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2022.04.017 · Cited by 39 · see citing works
Zenebe, C. B., Chanie, W. F., Aregawi, A. B., Andargie, T. M., & Mihret, M. S. (2021) · Reproductive Health · doi:10.1186/s12978-021-01104-z · Cited by 21 · see citing works
Weltz, V., Guldberg, R., Larsen, M. D., & Lose, G. (2021) · International Urogynecology Journal · doi:10.1007/s00192-020-04482-3 · Cited by 9 · see citing works
Effects of Obesity on Urogynecologic Prolapse Surgery Outcomes
Ringel, N. E., Lenger, S. M., High, R., Alas, A., Houlihan, S., Chang, O. H., Pennycuff, J., Singh, R., White, A., Lipitskaia, L., et al. (2024) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000005525 · Cited by 10 · see citing works
Richter, H. E., Sridhar, A., Nager, C. W., Komesu, Y. M., Harvie, H. S., Zyczynski, H. M., Rardin, C., Visco, A., Mazloomdoost, D., & Thomas, S. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2022.07.048 · Cited by 7 · see citing works
- Authors
- Bohlin, K. S., Ankardal, M., Nüssler, E., Lindkvist, H., & Milsom, I.
- Affiliations
- University of Gothenburg (SE)
- Hallands sjukhus Halmstad (SE)
- Umeå University (SE)
- Corresponding author
- Bohlin, Katja Stenström
- Venue
- International Urogynecology Journal
- Published
- 2017-09-11
- Volume
- 29
- Issue
- 1
- Pages
- 81-89
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- PMC
- PMC5754405
- OpenAlex
- W2756029689
- Cited by
- 39
- References
- 30
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 2 · 2023: 5 · 2022: 6 · 2021: 5 · 2020: 9 · 2019: 3
- FWCI
- 2.87
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- International Urogynecology Journal (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- Funders
- National LUA/ALF grant (11315)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Keywords
- pelvic organ prolapse, obesity, body mass index, anterior colporrhaphy, posterior colporrhaphy, mesh augmentation, urinary incontinence, surgical complications, risk factors, cure rate, patient satisfaction
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Humans, Middle Aged, Obesity, Postoperative Complications, Prospective Studies, Surveys and Questionnaires, Registries, Reoperation, Risk Factors, Gynecologic Surgical Procedures, Surgical Mesh, Urinary Incontinence, Stress, Vaginal Diseases, Treatment Outcome, Patient Satisfaction, Young Adult, Pelvic Organ Prolapse
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
