ArticleBMC urology2025
Feasibility assessment of modified chest-knee position in female urethral diverticulectomy: a single-center experience.
Article in BMC urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThis single-center experience assesses the technical feasibility of a modified chest-knee position for transvaginal female urethral diverticulectomy. The approach was developed to address ergonomic challenges and intraoperative visualization limitations associated with conventional lithotomy positioning during pelvic floor reconstruction. CLINICAL PRESENTATION: Six female patients (mean age: 42.67 years, normal BMI) presented with symptomatic uncomplicated mid/distal urethral diverticula (mean maximum diameter: 3.68 cm), presenting with dysuria, recurrent urinary tract infections, and palpable vaginal masses. Transvaginal ultrasound (TVUS) was utilized as the primary diagnostic modality, with MRI employed for suspected complex cases (e.g., multiloculation or sphincteric involvement). INTERVENTION AND OUTCOMES: All patients underwent diverticulectomy under general anesthesia using the modified chest-knee position, which optimized anterior vaginal wall exposure. A layered closure technique preserved 5-10% of the diverticular wall to reduce urethral trauma. Key outcomes included a mean operative duration of 67.5 ± 28.3 min and mean positioning setup time of 8-10 min. No major perioperative complications (urethrovaginal fistula, stress incontinence) occurred. During a mean follow-up of 28.67 months (range: 11-74), all patients maintained complete symptom resolution without sonographic evidence of recurrence.
conclusionsThis experience demonstrates the technical feasibility and perioperative safety of the modified chest-knee position for mid/distal urethral diverticulectomy. While technically feasible in our cohort, the limited sample size precludes definitive conclusions regarding ergonomic advantages or clinical superiority; consequently, further validation studies are warranted to substantiate these findings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.