Evidence map›Paper›PMID 42627495›Full record

ArticleInternational urogynecology journal2026

Environmental Impact of a Vaginal Pelvic Organ Prolapse Procedure: A Life Cycle Assessment with Scenario Modelling of Mitigation Strategies.

Lisa M Stoter, Karin Oegema, Emma Kooistra, Hugo W F van Eijndhoven, Sanne A L van Leijsen, Kirsten B Kluivers, Tim Stobernack

Abstract read
PubMed Publisher
In one paragraph

Article 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

7 authors.

Lisa M Stoter *Department of Obstetrics and Gynecology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, the Netherlands. lisa.stoter@radboudumc.nl.
Karin Oegema *Department of Obstetrics and Gynecology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, the Netherlands.
Emma KooistraDepartment of Intensive Care Medicine, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, the Netherlands.
Hugo W F van EijndhovenDepartment of Obstetrics and Gynecology, Isala, Dokter Van Heesweg 2, 8025 AB, Zwolle, the Netherlands.
Sanne A L van LeijsenDepartment of Obstetrics and Gynecology, Máxima Medical Center, De Run 4600, 5504 DB, Veldhoven, the Netherlands.
Kirsten B Kluivers *Department of Obstetrics and Gynecology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, the Netherlands.
Tim Stobernack *Department of Intensive Care Medicine, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, the Netherlands.

Funding

Interreg North-West Europe 33098.03
6 · The paper itself

Abstract

introduction and hypothesisSurgical treatment of pelvic organ prolapse (POP) contributes to healthcare-related emissions, yet its specific environmental impact remains unknown. We hypothesized that a life cycle assessment (LCA) would identify carbon hotspots and reveal potential mitigation strategies.

methodsWe conducted a multicentre cradle-to-grave LCA of 18 vaginal POP procedures (Manchester procedure n = 6, sacrospinous hysteropexy n = 6, vaginal hysterectomy with colporrhaphy n = 6) performed in three Dutch hospitals (academic n = 1, teaching n = 2). The LCA was performed according to ISO14040/44 guidelines and ReCiPe 2016 methodology. The primary outcome was the global warming potential (GWP) of one vaginal POP procedure. Secondary outcomes included the identification of carbon hotspots and modelling of potential mitigation strategies.

resultsThe mean GWP of a POP procedure was 72.5 (95% CI 61.5, 83.5) kg CO

conclusionsA POP procedure is associated with a considerable GWP, with disposables, staff commuting and patient travel identified as the key contributors. Several mitigation strategies offer meaningful opportunities to reduce emissions. These insights support the development of evidence-based strategies by clinicians and policymakers to enhance the environmental sustainability of POP surgery.

Indexed as

Global warming potentialLife cycle assessmentOperating roomPelvic organ prolapseSustainability

Identifiers

PMID42627495

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.