Cochrane · systematic review · CD013105
Perioperative interventions in pelvic organ prolapse surgery
Haya, N, Feiner, B, Baessler, K, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
Gynaecology and FertilityAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
4
No studies
3
Included studies
NR
No studies 3 · 42.9%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 42.9%Moderate 1 · 14.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Pelvic floor muscle training before and after prolapse surgery compared to no training in pelvic organ prolapse surgery
Population: women undergoing pelvic organ prolapse surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Objective failure at any site: at 12 to 24 months Pelvic floor muscle training before and after prolapse surgery vs no training | OR 0.93 [0.56, 1.54] | 2 studies · 327 participants | Moderate Downgraded: imprecision |
Subjective awareness of prolapse: Pelvic organ prolapse Symptom score (POP‐SS) at 12 months Pelvic floor muscle training before and after prolapse surgery vs no training | no estimate extracted | 1 study · 48 participants | Low Downgraded: imprecision |
Subjective awareness of prolapse: feeling of bulge at 24 months Pelvic floor muscle training before and after prolapse surgery vs no training | OR 1.07 [0.61, 1.87] | 1 study · 305 participants | Low Downgraded: imprecision |
Intraoperative blood loss Pelvic floor muscle training before and after prolapse surgery vs no training | no estimate extracted | NR | No studies |
Intraoperative ureteral injury Pelvic floor muscle training before and after prolapse surgery vs no training | no estimate extracted | NR | No studies |
Postoperative urinary tract infection Pelvic floor muscle training before and after prolapse surgery vs no training | no estimate extracted | NR | No studies |
Repeat surgery (or pessary) for recurrent prolapse Pelvic floor muscle training before and after prolapse surgery vs no training | OR 1.92 [0.74, 5.02] | 1 study · 316 participants | Low Downgraded: risk of bias, imprecision |