Evidence map›Paper›PMID 35376965›Full record

ArticleInternational urogynecology journal2022

When prolapse cannot be reduced: incarcerated procidentia due to pelvic mass.

Jenna Warehime, Daniel Metzinger, Zebulun Cope, Rehan Feroz, Ankita Gupta, Stacy M Lenger

Abstract readCase Reports
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In one paragraph

Article in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 92% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 1 institution in 1 country.

Jenna WarehimeDivision of Female Pelvic Medicine and Reconstructive Surgery, University of Louisville Department of Ob/Gyn and Women's Health, 2nd floor, Chair's Suite, 550 S. Jackson Street, Louisville, KY, 40202, USA. jenna.warehime@louisville.edu.ORCID 0000-0002-2112-2678
Daniel MetzingerDivision of Gynecologic Oncology, University of Louisville Department of Ob/Gyn and Women's Health, 2nd floor, Chair's Suite, 550 S. Jackson Street, Louisville, KY, 40202, USA.
Zebulun CopeDivision of Female Pelvic Medicine and Reconstructive Surgery, University of Louisville Department of Ob/Gyn and Women's Health, 2nd floor, Chair's Suite, 550 S. Jackson Street, Louisville, KY, 40202, USA.
Rehan FerozDivision of Female Pelvic Medicine and Reconstructive Surgery, University of Louisville Department of Ob/Gyn and Women's Health, 2nd floor, Chair's Suite, 550 S. Jackson Street, Louisville, KY, 40202, USA.
Ankita GuptaDivision of Female Pelvic Medicine and Reconstructive Surgery, University of Louisville Department of Ob/Gyn and Women's Health, 2nd floor, Chair's Suite, 550 S. Jackson Street, Louisville, KY, 40202, USA.
Stacy M LengerDivision of Female Pelvic Medicine and Reconstructive Surgery, University of Louisville Department of Ob/Gyn and Women's Health, 2nd floor, Chair's Suite, 550 S. Jackson Street, Louisville, KY, 40202, USA.
University of Louisville · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisOur objective is to demonstrate a surgical approach to the treatment of incarcerated procidentia with obstructed ureters due to a pelvic mass.

methodsA 61-year-old woman presented with constipation, vaginal swelling, and difficulty voiding. On examination she had complete procidentia, which could not be reduced with gentle pressure. On imaging the prolapse appeared to contain a large pelvic mass measuring 11.5 cm in its greatest diameter, with features consistent with a mature teratoma. She was also noted to have bilateral ureteral obstruction and prominent hydronephrosis. After unsuccessful prolapse reduction under anesthesia, Bovie electrocautery was used to perform a posterior colpotomy. The obstructing mass was dissected away from the uterus and its connecting pedicle transected. The prolapse could then be reduced and a robotic hysterectomy performed.

resultsPathology showed multiple pelvic masses including an 8-cm necrotic cystic nodule most consistent with uterine fibroids and a 4.5-cm mature cystic teratoma with associated seromucinous cystadenoma of the left ovary. Bilateral nephrostomy tubes were placed postoperatively.

conclusionIncarcerated procidentia is an uncommon occurrence, which in rare cases may be due to a pelvic mass. Surgical management may be required with colpotomy for removal of the pelvic mass in order to reduce the prolapse and resolve the case.

Indexed as

PrisonersTeratomaUterine ProlapseVaginal DiseasesFemaleHumansHysterectomyMiddle AgedColpotomyIncarceratedMassProcidentia

Identifiers

PMID35376965
OpenAlexW4226106456

What OpenQuestion holds

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Registered trials

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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.