Evidence map›Paper›PMID 32675114›Full record

ArticleBMJ case reports2020

Open removal of a migrated Gellhorn pessary and repair of a vesicovaginal fistula.

Sylvia Yan, Roger Walker, Abdul H Sultan

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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

3 authors.

Sylvia YanUrology, Kingston Hospital NHS Foundation Trust, Kingston upon Thames, London, UK sylvia.yan@doctors.org.uk.
Roger WalkerEpsom and Saint Helier University Hospitals NHS Trust, Epsom, Surrey, UK.
Abdul H SultanCroydon University Hospital, Croydon, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is a case of a 91-year-old woman presenting with urinary incontinence following insertion of a Gellhorn pessary 10 months previously. She had unfortunately missed her 6 months appointment for a change of pessary as she was admitted to hospital. Our patient was found to have had erosion of her Gellhorn shelf pessary into her urinary bladder. She underwent an open removal of the migrated Gellhorn pessary in the bladder and repair of the vesicovaginal fistula with omental interposition. She recovered well and has elected to keep her suprapubic catheter long-term.

Indexed as

Device RemovalVesicovaginal FistulaAged, 80 and overFemaleHumansPessariesUrinary BladderUrogenital Surgical ProceduresVaginaobstetrics, gynaecology and fertilitysafetyunwanted effects / adverse reactionsurinary and genital tract disorders

Identifiers

PMID32675114
PMCPMC7368583

What OpenQuestion holds

Textmetadata
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.