Evidence map›Paper›PMID 40909305›Full record

ArticleIJU case reports2025

Bladder Eversion Through a Vesicovaginal Fistula in a Patient With Complete Uterine Prolapse.

Ryoken Tsunekawa, Naoki Wada, Haruka Takagi, Tsubasa Hatakeyama, Masaya Nagabuchi, Shun Morishita, Hidetoshi Ichikawa

Abstract read
In one paragraph

Article in IJU case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Ryoken TsunekawaDepartment of Renal and Urologic Surgery Asahikawa Medical University Asahikawa Japan.
Naoki WadaDepartment of Renal and Urologic Surgery Asahikawa Medical University Asahikawa Japan.ORCID https://orcid.org/0000-0002-9587-6798
Haruka TakagiDepartment of Renal and Urologic Surgery Asahikawa Medical University Asahikawa Japan.
Tsubasa HatakeyamaDepartment of Renal and Urologic Surgery Asahikawa Medical University Asahikawa Japan.
Masaya NagabuchiDepartment of Renal and Urologic Surgery Asahikawa Medical University Asahikawa Japan.
Shun MorishitaDepartment of Renal and Urologic Surgery Asahikawa Medical University Asahikawa Japan.
Hidetoshi IchikawaDepartment of Obstetrics and Gynaecology Asahikawa Medical University Asahikawa Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: We report a case of bladder eversion through a vesicovaginal fistula (VVF) in an elderly patient with severe pelvic organ prolapse (POP). Case Presentation: A 90-year-old woman presented with a sensation of prolapse and urinary leakage. She was diagnosed with complete uterine prolapse and bladder mucosal ectropion through a VVF, with renal dysfunction due to bilateral hydronephrosis. A one-stage minimally invasive surgical repair was performed. The VVF was then closed in two layers and reinforced with a Martius flap. Colpocleisis was performed without the addition of transvaginal hysterectomy. At 18 months after surgery, the patient remained free of POP and urinary incontinence. Conclusion: In elderly patients, VVF can develop in advanced POP. Minimally invasive treatment is desirable, and early intervention for POP may help prevent this complication.

Indexed as

bladder eversionuterine prolapsevesicovaginal fistula

Identifiers

PMID40909305
PMCPMC12408170

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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.