ReviewInternational urogynecology journal2026
The Use of Preoperative Defecography and Magnetic Resonance Imaging in Patients Undergoing Surgery for Primary Uterovaginal Prolapse: A Systematic Review.
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.
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
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThe role of preoperative diagnostic testing, including preoperative defecography and magnetic resonance imaging (MRI) for women undergoing primary uterovaginal pelvic organ prolapse (U-POP) repair is not well described. Our primary objective was to evaluate the role of preoperative defecography and MRI for women undergoing surgery for U-POP.
methodsFollowing Preferred Reporting Items for Systematic Reviews and Meta-Analyses, we retrieved studies from MEDLINE and EMBASE in November 2025. Our population included women undergoing surgery for U-POP who underwent defecography or MRI as part of preoperative work-up. We evaluated indications for imaging, clinical utility of imaging in predicting surgical outcomes, and change in surgical planning based on imaging. Studies of all designs and in all languages were included if they had at least 30 patients with U-POP. Conference and video abstracts were excluded. Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criteria were used to assess the quality of the articles included. These data were used to create consensus guidelines, which were presented in-person at the U-POP consensus conference in Winston Salem, NC, USA on 20-21 April 2026.
resultsFor the systematic review regarding the use of preoperative defecography, 174 abstracts were identified and 135 abstracts were screened yielding 3 studies that met the eligibility criteria and had Grade C to D level of evidence. There was no evidence for routine preoperative defecography in patients undergoing primary U-POP repair. For MRI, 576 abstracts were screened with 29 full-text results reviewed, 2 of which met Population, Intervention, Comparison, Outcomes and Study criteria. Results presented here are therefore summarized from the papers included and extrapolated from a broader urogynecology population.
conclusionsBased on limited existing evidence, the global consensus concluded that "clinicians should only consider defecography in the evaluation of patients with U-POP with symptoms of obstructed defecation." No consensus was reached on the optimal use of MRI in the preoperative evaluation of patients with U-POP.
Indexed as
Identifiers
42782527What Socratic 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 Socratic graph.