Evidence map›Paper›PMID 32462011›Full record

ReviewBioMed research international2020

Urethral Diverticulum following Polypropylene Mesh Midurethral Slings: A Literature Review.

Elizabeth Pacer, Omar Felipe Duenas-Garcia, Lekha Hota, Kristan Hornsby, Robert Shapiro

Open access · hybridAbstract readReview
In one paragraph

Review in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Elizabeth PacerDepartment of Obstetrics & Gynecology, West Virginia University School of Medicine, Morgantown, WV 26506, USA.
Omar Felipe Duenas-GarciaDepartment of Obstetrics & Gynecology, West Virginia University School of Medicine, Morgantown, WV 26506, USA.ORCID https://orcid.org/0000-0003-1663-8415
Lekha HotaDepartment of Obstetrics & Gynecology, West Virginia University School of Medicine, Morgantown, WV 26506, USA.
Kristan HornsbyDepartment of Obstetrics & Gynecology, West Virginia University School of Medicine, Morgantown, WV 26506, USA.
Robert ShapiroDepartment of Obstetrics & Gynecology, West Virginia University School of Medicine, Morgantown, WV 26506, USA.ORCID https://orcid.org/0000-0003-3378-3585
West Virginia University · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Sally Lynn Hodder · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

aimsIt is currently unknown whether an association exists between polypropylene mesh and urethral diverticulum formation following placement of polypropylene midurethral slings (MUS) for the treatment of stress urinary incontinence (SUI). We aimed to examine the literature associating MUS with the occurrence of urethral diverticula.

methodsMultiple online research databases, including PubMed, Google Scholar, EBSCOhost, and the Cochrane Library, were searched, from January 2019 to February 2019, for evidence related to the occurrence of urethral diverticula following polypropylene MUS procedures.

resultsFour case reports were published demonstrating the occurrence of urethral diverticula following the use of polypropylene mesh for surgical treatment of SUI. Subjects of these cases were menopausal and had an elevated body mass index (BMI), recurrent urinary tract infections (UTIs), autoimmune conditions, or prior pelvic floor surgeries. A thorough urologic workup, including imaging prior to sling placement, was not always performed.

conclusionNo clear association exists between polypropylene MUS placement and subsequent urethral diverticulum formation. Factors that diminish polypropylene mesh biocompatibility include elevated BMI, menopause, recurrent UTIs, prior pelvic surgeries, and preexisting medical conditions. Symptoms associated with urethral diverticula should prompt a complete urologic workup prior to MUS placement.

Indexed as

DiverticulumUrethral DiseasesAdultHumansMiddle AgedPolypropylenesSuburethral SlingsSurgical MeshUrinary Incontinence, StressPolypropylenes

Identifiers

PMID32462011
PMCPMC7240659
OpenAlexW3024229981

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.