Evidence map›Paper›PMID 40464913›Full record

ArticleInternational urogynecology journal2025

Pelvic Organ Prolapse Quantification After Pessary Removal: The Use of Upright MRI in POP Research.

Annemarie van der Steen, Frank F J Simonis, Anique T M Grob

Abstract readVideo-Audio Media
In one paragraph

Article in International urogynecology journal, 2025. 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.

Annemarie van der SteenMulti Modality Medical Imaging (M3I), TechMed Centre, University of Twente, Drienerlolaan 5, 7522, NB, Enschede, The Netherlands. a.vandersteen-1@utwente.nl.ORCID 0000-0001-8645-7586
Frank F J SimonisMagnetic Detection and Imaging (MD&I), TechMed Centre, University of Twente, Enschede, The Netherlands.
Anique T M GrobMulti Modality Medical Imaging (M3I), TechMed Centre, University of Twente, Drienerlolaan 5, 7522, NB, Enschede, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhen pelvic organ prolapse (POP) patients change from pessary to surgical treatment, new POP quantification is often necessary. However, the time to maximal POP recurrence after pessary removal is unclear. This video-article illustrates the variation over time of POP extent after pessary removal.

methodsUpright MRI scans of 12 POP patients were used to measure the distances from the lowest points of bladder and cervix to the Pelvic Inclination Correction System (PICS)) line, with the pessary in situ, immediately, 4 and 8 h after pessary removal. Statistical differences between time points were determined.

resultsThe bladder descended immediately after pessary removal from a median of 0.1 cm above to 1.8 cm below the PICS line. In 58% of patients, the bladder then remained stable; in 33%, the bladder further descended up to 5.4 cm after 4 to 8 h. The cervix descended immediately after pessary removal from a median of 3.1 cm to 1.9 cm above the PICS line. In 17% of patients, a late cervix descent after 4-8 h was seen.

conclusionPOP quantification should be delayed at least 8 h after pessary removal to prevent underestimation of POP extent.

Indexed as

Device RemovalMagnetic Resonance ImagingPelvic Organ ProlapsePessariesAgedCervix UteriFemaleHumansMiddle AgedRecurrenceTime FactorsUrinary BladderMagnetic resonance imagingPelvic inclination correction systemPelvic organ prolapsePelvic organ quantification systemPessary treatmentUpright

Identifiers

PMID40464913
PMCPMC12356738

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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.