Table 5.

Recurrence of POP after surgery in relation to pubovisceral avulsions

First author	n with levator avulsion		Percentage of women of study population with levator avulsion	Follow-up durationa	Conclusion
Dietz [32]	Complete	29	35 %	4.5 years [3–6.4]	Complete avulsion was associated with an RR of 3 to 4 for cystocele recurrence
Model [34]	Complete	156	21 %	NR	Complete avulsion was associated with an increased prevalence of significant POP and symptoms of POP after previous POP or anti- incontinence surgery
Morgan [28]	Major	46	55 %	42.3 days (12.0)	Women with major avulsions were less likely to have anterior compartment support at least 2 cm above the hymen after surgery compared to women with no or minor avulsions
Weemhoff [35]	Partial	59	39 %	31 months [14–50]	Fifty-two percent of women with anatomical recurrence of cystocele had a complete avulsion compared to 31 % of women without anatomical recurrence. There was no difference in anatomical recurrence in relation to partial avulsion
	Complete	63	41 %
Wongb [37]	Complete	83	38 %	2.1 years [6 weeks–5.6 years]	Complete avulsion was associated with an OR of 2.27 (95 % CI 1.23–4.21) for significant cystocele recurrence on ultrasound. This effect was significant for women after a specific type of mesh operation

POP pelvic organ prolapse, n number of patients, SD standard deviation, NR not reported, RR relative risk, OR odds ratio, 95 % CI 95 % confidence interval

^aMedian [range] or mean (SD)

^bConference abstract, (so far) no full text article available