Evidence map›Paper›PMID 42789065›Full record

ReviewInternational urogynecology journal2026

Management of Major Non-mesh Complications After Primary Uterovaginal Prolapse Surgery: A Systematic Review.

Fernanda Santis-Moya, Dylan T Wolff, Alexander Koven, Maria J D'Amico, Javier Pizarro-Berdichevsky, Iryna Schmeil, Danielle Antosh, Reut Rotem, Jan Deprest, Amy Sisson and 2 more

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In one paragraph

Review in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Fernanda Santis-MoyaCentro de Innovación en Piso Pélvico, Hospital Sotero del Rio, Santiago, Chile.
Dylan T WolffDepartment of Urology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Alexander KovenGlickman Urologic Institute, Lerner College of Medicine, Cleveland Clinic, Cleveland, OH, USA.
Maria J D'AmicoGlickman Urologic Institute, Lerner College of Medicine, Cleveland Clinic, Cleveland, OH, USA.
Javier Pizarro-BerdichevskyCentro de Innovación en Piso Pélvico, Hospital Sotero del Rio, Santiago, Chile.
Iryna SchmeilDepartment of Gynecology and Obstetrics, Sana Klinikum Offenbach, Offenbach, Germany.
Danielle AntoshDivision of Urogynecology, Department of Obstetrics and Gynecology, Houston Methodist Hospital, Houston, TX, USA.
Reut RotemDepartment of Urogynecology, Cork University Maternity Hospital, Cork, Ireland.
Jan DeprestDepartment Obstetrics and Gynaecology, University Hospitals KU Leuven, Leuven, Belgium.
Amy SissonCarpenter Medical Library, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Howard B GoldmanGlickman Urologic Institute, Lerner College of Medicine, Cleveland Clinic, Cleveland, OH, USA.
Jacqueline ZilliouxDepartment of Urology, University of Virginia School of Medicine, 500 Ray C. Hunt Dr, 3rd Floor, Charlottesville, VA, 22903, USA. zillioux.jm@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMajor complications following uterovaginal prolapse (UPOP) repair are rare but carry significant morbidity. High quality evidence regarding their management is scarce. Our objective was to perform a systematic review of available evidence and develop standardized consensus-based clinical principles and algorithms for these complications.

methodsFollowing Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we retrieved studies from MEDLINE, EMBASE, and clinicaltrials.gov through 11/11/25 describing management of major complications following UPOP surgery. GRADE criteria were used to assess quality. Expert opinion and Delphi process were used to develop consensus-based management algorithms and clinical principles.

resultsOf the 8890 abstracts screened, 24 studies met eligibility criteria. Most studies were retrospective and case reports with overall low to very low quality of evidence. Studies on management of complications such as bowel and ureteral injury, neuropathic pain, pyometra, and hemorrhage were retrieved.

conclusionsThis systematic review and consensus document addresses a critical void in pelvic floor surgery by establishing the first structured management framework for bowel, ureteral, neuropathic, pyometra, and hemorrhagic complications following UPOP surgery.

Indexed as

Bowel injuryComplicationHemorrhageNeuropathic painPyometraUreteral injuryUterovaginal prolapse

Identifiers

PMID42789065

What OpenQuestion holds

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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.