Evidence map›Paper›PMID 38733381›Full record

ArticleInternational urogynecology journal2024

Surgical Approach to Urethral Diverticulum and Urethrovaginal Fistula With Mesh Erosion.

Alicia Smith, Lauren Burton, Saifuddin Mama

Abstract readCase ReportsVideo-Audio Media
In one paragraph

Article in International urogynecology journal, 2024. 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
–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. 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

3 authors.

Alicia SmithDepartment of Obstetrics and Gynecology, Jefferson Einstein Hospital, Philadelphia, PA, USA. alicia.smith4@jefferson.edu.
Lauren BurtonDepartment of Obstetrics and Gynecology, Division of Urogynecology, Cooper University Healthcare, Camden, NJ, USA.
Saifuddin MamaDepartment of Obstetrics and Gynecology, Division of Urogynecology, Cooper University Healthcare, Camden, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThis video illustrates a rare surgical case involving a urethral diverticulum, urethrovaginal fistula, and mesh erosion.

methodsWe present a 58-year-old patient attending a tertiary care center with a suspected urethrovaginal fistula. Her concerns included stress urinary incontinence (SUI), recurrent urinary tract infection, and vaginal pain. The surgical history was notable for the placement of two different mesh slings during the same procedure to treat SUI. Preoperative evaluation and findings are illustrated in detail. The video uses a high-definition surgical camera to emphasize the initial intraoperative evaluation with localization of the fistula and diverticulum. We then demonstrate the approach to the dissection with the goal of ensuring complete resection of the diverticulum, fistula, and mesh, while preserving healthy tissue for subsequent closure. The utilization of unique and specialized tools for each portion of the procedure is also illustrated. A layered vaginal closure, including a Martius flap, is created to prevent recurrence.

resultsThe surgery was accomplished without complications.

conclusionsTo our knowledge, concomitant findings of a urethral diverticulum, urethrovaginal fistula, and mesh erosion are unique in the literature. We postulate that this triad could have resulted from the mesh burden in this particular patient.

Indexed as

DiverticulumSurgical MeshUrethral DiseasesUrinary FistulaVaginal FistulaFemaleHumansMiddle AgedSuburethral SlingsUrinary Incontinence, StressMesh erosionPelvic surgeryUrethral diverticulumUrethrovaginal fistulaUrinary incontinenceVaginal surgery

Identifiers

PMID38733381
PMCPMC11245446

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.