ArticleWorld journal of urology2026
Transvaginal repair of "irreparable" radiation related vesicovaginal fistula with graciloplasty.
Article in World journal of urology, 2026. 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
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe purpose was to evaluate the efficacy of the transvaginal fistula repair with gracilis muscle interposition (graciloplasty) in the prone jack-knife position for the treatment of radiation related vesicovaginal fistula (RVVF).
methodsPatients who received transvaginal fistula repair with graciloplasty in the prone jack-knife position for the treatment of RVVF between January 2020 and December 2024 were retrospectively reviewed. All patients underwent fistula repair at least 3 months after the injury or the previous failed repair. At three months after operation, patients were assessed by computer tomography urography (CTU), flexible cystoscopy and methylene blue to rule out fistula persistence. The over active bladder symptom score (OABSS) and Urogenital Distress Inventory-6 (UDI-6) was used to assess bladder function. The absence of urine from the vagina during the examination with methylene blue was defined as success.
resultsIn total, 21 patients with RVVFs received transvaginal fistula repair with graciloplasty in the prone jack-knife position. In three patients, the fistulas could not be closed because of the severe fibrotic tissue and high suture tension. Therefore, the fistula was plugged with the muscle belly of the distal end of the gracilis muscle. After a mean follow-up of 16.5 months, 66.7% (14/21) patients were cured by one repair. After a second surgery, the overall success rate reached 80.9% (17/21).
conclusionsThe prone jack-knife position with graciloplasty increases the success rates of transvaginal RVVF repair. This surgical technique is feasible and another option for RVVFs.
Indexed as
Identifiers
42603205What 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.