{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T02:49:32Z","timestamp":1789526972473,"version":"build-2803163510"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T00:00:00Z","timestamp":1611100800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>It has been a global trend that increasing complications related to pelvic floor surgeries have been reported over time. The current study aimed to outline the development of Chinese pelvic floor surgeries related to pelvic organ prolapse (POP) over the past 14 years and investigate the potential influence of enhanced monitoring conducted by the Chinese Association of Urogynecology since 2011.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>A total of 44,594 women with POP who underwent pelvic floor surgeries between October 1, 2004 and September 30, 2018 were included from 22 tertiary academic medical centers. The data were reported voluntarily and obtained from a database. We compared the proportion of each procedure in the 7 years before and 7 years after September 30, 2011. The data were analyzed by performing <jats:italic toggle=\"yes\">Z<\/jats:italic> test (one-sided).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>The number of different procedures during October 1, 2011\u2212September 30, 2018 was more than twice that during October 1, 2004\u2212September 30, 2011. Regarding pelvic floor surgeries related to POP, the rate of synthetic mesh procedures increased from 38.1% (5298\/13,906) during October 1, 2004\u2013September 30, 2011 to 46.0% (14,107\/30,688) during October 1, 2011\u2013September 30, 2018, whereas the rate of non-mesh procedures decreased from 61.9% (8608\/13,906) to 54.0% (16,581\/30,688) (<jats:italic toggle=\"yes\">Z<\/jats:italic> = 15.53, <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a&lt;\u200a0.001). Regarding synthetic mesh surgeries related to POP, the rates of transvaginal placement of surgical mesh (TVM) procedures decreased from 94.1% (4983\/5298) to 82.2% (11,603\/14,107) (<jats:italic toggle=\"yes\">Z<\/jats:italic> = 20.79, <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a&lt;\u200a0.001), but the rate of laparoscopic sacrocolpopexy (LSC) procedures increased from 5.9% (315\/5298) to 17.8% (2504\/14,107).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>The rate of synthetic mesh procedures increased while that of non-mesh procedures decreased significantly. The rate of TVM procedures decreased while the rate of LSC procedures increased significantly.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Trial registration number:<\/jats:title>\n            <jats:p>NCT03620565, https:\/\/register.clinicaltrials.gov.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/cm9.0000000000001237","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T18:12:21Z","timestamp":1610647941000},"page":"200-205","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["A 14-year multi-institutional collaborative study of Chinese pelvic floor surgical procedures related to pelvic organ prolapse"],"prefix":"10.1097","volume":"134","author":[{"given":"Zhi-Jing","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiu-Qi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Graduate School of Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing-He","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and School of Basic Medicine, Peking Union Medical College, Beijing 100730, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong-Xian","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The Fourth Medical Center, Chinese PLA General Hospital, Beijing 100048, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke-Qin","family":"Hua","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 200433, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin-Song","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100083, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huai-Fang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Tongji Hospital, Tongji University, Shanghai 200065, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao-Wen","family":"Tong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Tongji Hospital, Tongji University, Shanghai 200065, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, West China Second Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu, Sichuan 061110, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian-Liu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang-Hua","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 075100, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei-Shu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, Shandong 250002, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan-Feng","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, 900 Hospital of the Joint Logistics Team, Fuzhou, Fujian 350025, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hang-Mei","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing-Yan","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu 210006, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu-Wen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing-Kai","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Shanghai Jiao Tong University Sixth Hospital, Shanghai 200300, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Gynecology, The Affiliated Wuxi Maternity and Child Health Care Hospital of Nanjing Medical University, Wuxi, Jiangsu 214002, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong 264000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Qun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Jiangxi Maternal and Child Health Hospital, Nanchang, Jiangxi 330006, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhao-Ai","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Shanxi Maternal and Child Health Hospital, Taiyuan, Shanxi 030013, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui-Cheng","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The First Affiliated Hospital of Army Medical University (Southwest Hospital), Chongqing 400038, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi-Jun","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Na","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Gynecology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 831118, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Gansu Province Maternity and Child-care Hospital, Lanzhou, Gansu 730050, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,1,20]]},"reference":[{"key":"R1-20250603","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1097\/AOG.0b013e3181f73729","article-title":"Lifetime risk of undergoing surgery for pelvic organ prolapse","volume":"116","author":"Smith","year":"2010","journal-title":"Obstet Gynecol"},{"key":"R2-20250603","doi-asserted-by":"crossref","first-page":"463.e1","DOI":"10.1016\/j.ajog.2014.10.025","article-title":"Trends in management of pelvic organ prolapse among female Medicare beneficiaries","volume":"212","author":"Khan","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"R3-20250603","doi-asserted-by":"crossref","first-page":"2044","DOI":"10.1002\/nau.23231","article-title":"Short-term complications associated with the use of transvaginal mesh in pelvic floor reconstructive surgery: results from a multi-institutional prospectively maintained dataset","volume":"36","author":"Caveney","year":"2017","journal-title":"Neurourol Urodyn"},{"key":"R4-20250603","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1002\/nau.22318","article-title":"Immediate effects of the initial FDA notification on the use of surgical mesh for pelvic organ prolapse surgery in medicare beneficiaries","volume":"32","author":"Reynolds","year":"2013","journal-title":"Neurourol Urodyn"},{"key":"R5-20250603","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s00192-011-1581-2","article-title":"Time to rethink: an evidence-based response from pelvic surgeons to the FDA Safety Communication: \u201cUPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse\u201d","volume":"23","author":"Murphy","year":"2012","journal-title":"Int Urogynecol J"},{"key":"R6-20250603","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1097\/AOG.0000000000002485","article-title":"Rate of pelvic organ prolapse surgery among privately insured women in the United States, 2010-2013","volume":"131","author":"Sammarco","year":"2018","journal-title":"Obstet Gynecol"},{"key":"R7-20250603","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1097\/AOG.0000000000003488","article-title":"U.S. Food and Drug Administration statements about transvaginal mesh and changes in apical prolapse surgery","volume":"134","author":"Winkelman","year":"2019","journal-title":"Obstet Gynecol"},{"key":"R8-20250603","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1016\/j.urology.2015.08.022","article-title":"Trends in 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Gynecol"},{"key":"R15-20250603","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1111\/1471-0528.12454","article-title":"Anterior colporrhaphy compared with collagen-coated transvaginal mesh for anterior vaginal wall prolapse: a randomised controlled trial","volume":"121","author":"Rudnicki","year":"2014","journal-title":"BJOG"},{"key":"R16-20250603","doi-asserted-by":"crossref","first-page":"1826","DOI":"10.1056\/NEJMoa1009521","article-title":"Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse","volume":"364","author":"Altman","year":"2011","journal-title":"N Engl J Med"},{"key":"R17-20250603","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.eururo.2018.01.044","article-title":"Safety of vaginal mesh surgery versus laparoscopic mesh sacropexy for cystocele repair: results of the prosthetic pelvic floor repair randomized controlled trial","volume":"74","author":"Lucot","year":"2018","journal-title":"Eur Urol"},{"key":"R18-20250603","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.1007\/s00192-019-03952-7","article-title":"Mesh-related complications of laparoscopic sacrocolpopexy","volume":"30","author":"Baines","year":"2019","journal-title":"Int Urogynecol J"},{"key":"R19-20250603","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1111\/jog.13908","article-title":"Comparison between laparoscopic uterus\/sacrocolpopexy and total pelvic floor reconstruction with vaginal mesh for the treatment of pelvic organ prolapse","volume":"45","author":"Wei","year":"2019","journal-title":"J Obstet Gynaecol Res"},{"key":"R20-20250603","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1097\/SPV.0000000000000395","article-title":"The role of the surgeon on outcomes of vaginal prolapse surgery with mesh","volume":"23","author":"Eilber","year":"2017","journal-title":"Female Pelvic Med Reconstr Surg"},{"key":"R21-20250603","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1111\/1471-0528.13780","article-title":"The use of vaginal mesh has no advantage over conventional surgery in the treatment of prolapse: AGAINST: There may be a role for the use of mesh","volume":"123","author":"Doumouchtsis","year":"2016","journal-title":"BJOG"}],"container-title":["Chinese Medical 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