Evidence map›Paper›PMID 42821112›Full record

ReviewInternational urogynecology journal2026

Exploring Fistula Development in Gynaecologic Malignancies: Aetiology, Diagnosis and Treatment Advances.

Ratri Wulandari, Devina Yudistiarta, Nurida Khasanah, Addin Trirahmanto, Muhammad Nurhadi Rahman

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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

5 authors.

Ratri WulandariDivision of Gynaecology Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Jl. Farmako Sekip Utara, Yogyakarta, 55281, Indonesia. ratri.wulandari@ugm.ac.id.ORCID http://orcid.org/0000-0001-5589-8450
Devina YudistiartaDepartment of Radiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Nurida KhasanahDivision of Urogynaecology Reconstruction, Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Addin TrirahmantoDivision of Gynaecology Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Jl. Farmako Sekip Utara, Yogyakarta, 55281, Indonesia.
Muhammad Nurhadi RahmanDivision of Urogynaecology Reconstruction, Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisFistulas related to gynaecological cancer may develop as a result of direct tumour invasion or as complications of treatment, including surgery and radiotherapy. These conditions are serious and can significantly affect patients' quality of life. This paper aims to review the aetiology, diagnostic approaches and management strategies for pelvic fistulas associated with gynaecological malignancies.

methodsThis article synthesises current evidence and clinical experience regarding the causes, diagnostic evaluation and therapeutic options for fistulas occurring in the context of gynaecological cancer. Emphasis is placed on comprehensive evaluation of the nature, location, course and complexity of a fistula to establish the appropriate diagnosis and management.

resultsFistulas in gynaecological malignancies present diverse aetiologies and clinical courses. Diagnostic evaluation requires careful imaging and clinical examination to determine the extent and complexity. Management strategies range from conservative approaches to surgical intervention, depending on individual patient characteristics, fistula type and disease status.

conclusionPelvic fistulas associated with gynaecological cancer represent a challenging clinical entity. Accurate diagnosis and personalised management are essential to optimise patient outcomes and improve quality of life.

Indexed as

Malignant fistulaRectovaginalUrogenital

Identifiers

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.