Surgery for women with apical vaginal prolapse (Review)

Maher, Christopher, Feiner, Benjamin, Baessler, Kaven, Christmann-Schmid, Corina, Haya, Nir and Brown, Julie (2016) Surgery for women with apical vaginal prolapse (Review). Cochrane Database of Systematic Reviews, 10: . doi:10.1002/14651858.CD012376

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Author Maher, Christopher
Feiner, Benjamin
Baessler, Kaven
Christmann-Schmid, Corina
Haya, Nir
Brown, Julie
Title Surgery for women with apical vaginal prolapse (Review)
Journal name Cochrane Database of Systematic Reviews   Check publisher's open access policy
ISSN 1361-6137
Publication date 2016-10-01
Year available 2016
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/14651858.CD012376
Open Access Status File (Publisher version)
Issue 10
Total pages 190
Place of publication Chichester, West Sussex United Kingdom
Publisher John Wiley & Sons
Language eng
Formatted abstract

Apical vaginal prolapse is a descent of the uterus or vaginal vault (post-hysterectomy). Various surgical treatments are available and there are no guidelines to recommend which is the best.


To evaluate the safety and efficacy of any surgical intervention compared to another intervention for the management of apical vaginal prolapse.

Search methods

We searched the Cochrane Incontinence Group's Specialised Register of controlled trials, which contains trials identified from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE,, WHO ICTRP and handsearching of journals and conference proceedings (searched July 2015) and (searched January 2016).

Selection criteria

We included randomised controlled trials (RCTs).

Data collection and analysis

We used Cochrane methods. Our primary outcomes were awareness of prolapse, repeat surgery and recurrent prolapse (any site).

Main results

We included 30 RCTs (3414 women) comparing surgical procedures for apical vaginal prolapse. Evidence quality ranged from low to moderate. Limitations included imprecision, poor methodological reporting and inconsistency.
Keyword Medicine, General & Internal
General & Internal Medicine
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
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