{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T10:52:27Z","timestamp":1782039147502,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,15]],"date-time":"2019-10-15T00:00:00Z","timestamp":1571097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002811","name":"Cathay General Hospital","doi-asserted-by":"publisher","award":["CGH\u2010MR\u2010A10706"],"award-info":[{"award-number":["CGH\u2010MR\u2010A10706"]}],"id":[{"id":"10.13039\/501100002811","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005762","name":"National Taiwan University Hospital","doi-asserted-by":"publisher","award":["105\u2010CGN07"],"award-info":[{"award-number":["105\u2010CGN07"]}],"id":[{"id":"10.13039\/501100005762","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005762","name":"National Taiwan University Hospital","doi-asserted-by":"publisher","award":["106\u2010CGN07"],"award-info":[{"award-number":["106\u2010CGN07"]}],"id":[{"id":"10.13039\/501100005762","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To compare the surgical outcomes of conventional surgeries with or without concomitant transobturator vaginal mesh (TVM) for \u2265Stage 3 pelvic organ prolapse (POP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively investigated 166 women who received conventional surgery including vaginal total hysterectomy, modified McCall culdoplasty, and AP\u2010repair (conventional group) and 98 women with concomitant TVM (mesh group). Follow\u2010up at 3, 12, and 24 months comprised symptom interview, pelvic examination, and ultrasound assessments. The primary outcome was anatomical success defined as \u2264Stage 1 POP. Secondary outcomes were subjective symptoms, ultrasound manifestations, and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both groups showed improvements in functional and anatomical outcomes after operations. Compared with the conventional group, the mesh group had higher rates of de novo stress urinary incontinence (SUI) at 3\u2010month (3.6% vs 19.4%; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), 12\u2010month (3.7% vs 26.4%; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), and 24\u2010month (2.4% vs 21.4%; <jats:italic>P<\/jats:italic>\u2009=\u2009.001) follow\u2010up, a higher POP\u2010C point (\u22127.3\u2009\u00b1\u20090.7\u2009cm vs \u22127.6\u2009\u00b1\u20090.6\u2009cm; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) at 3\u2010month follow\u2010up, a smaller straining bladder neck angle indicating a more cranioventral straining bladder neck position (117\u2009\u00b1\u200925\u00b0 vs 102\u2009\u00b1\u200920\u00b0; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) at 3\u2010month follow\u2010up, and a less bladder neck mobility at 3\u2010month (19\u2009\u00b1\u200924\u00b0 vs 8\u2009\u00b1\u200914\u00b0; <jats:italic>P<\/jats:italic>\u2009=\u2009.002) and 12\u2010month (26\u2009\u00b1\u200918\u00b0 vs 12\u2009\u00b1\u200915\u00b0; <jats:italic>P<\/jats:italic>\u2009=\u2009.003) follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Concomitant TVM is associated with a higher rate of de novo SUI, more cranioventral straining bladder neck position, and less bladder neck mobility.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24186","type":"journal-article","created":{"date-parts":[[2019,10,16]],"date-time":"2019-10-16T04:18:54Z","timestamp":1571199534000},"page":"261-270","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Medium\u2010term outcomes for primary native tissue reconstructive surgeries with and without transobturator vaginal meshes in stress continent women with stage 3 or higher pelvic organ prolapse"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5796-3498","authenticated-orcid":false,"given":"Wen\u2010Chen","family":"Huang","sequence":"first","affiliation":[{"name":"Graduate Institute of Clinical Medicine, College of Medicine National Taiwan University  Taipei Taiwan"},{"name":"Department of Obstetrics and Gynecology Cathay General Hospital  Taipei Taiwan"},{"name":"Department of Obstetrics and Gynecology School of Medicine, College of Medicine, Taipei Medical University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenn\u2010Ming","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine, College of Medicine, Taipei Medical University  Taipei Taiwan"},{"name":"Department of Obstetrics and Gynecology Shuang Ho Hospital, Taipei Medical University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6148-2902","authenticated-orcid":false,"given":"Hsin\u2010Fu","family":"Chen","sequence":"additional","affiliation":[{"name":"Graduate Institute of Clinical Medicine, College of Medicine National Taiwan University  Taipei Taiwan"},{"name":"Graduate Institute of Medical Genomics and Proteomics, College of Medicine National Taiwan University  Taipei Taiwan"},{"name":"Department of Obstetrics and Gynecology National Taiwan University Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,15]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"1","article-title":"Surgery for women with anterior compartment prolapse","volume":"11","author":"Maher C","year":"2016","journal-title":"Cochrane Database Syst 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