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Analysis of institutional authors

Sastre, Laura CallesCorresponding AuthorSanchez, Augusto PereiraAuthorVallejo, Mar RiosAuthorMedina, Tirso PerezAuthor

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August 17, 2023
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Complications of Pessaries Amenable to Surgical Correction: Two Case Reports and a Systematic Review of the Literature

Publicated to:Journal Of Personalized Medicine. 13 (7): 1056- - 2023-07-01 13(7), DOI: 10.3390/jpm13071056

Authors: Sastre, Laura Calles; Perez-Cejuela, Belen Almoguera; Sanchez, Augusto Pereira; Gamiz, Sofia Herrero; Magrina, Javier F; Vallejo, Mar Rios; Medina, Tirso Perez

Affiliations

Mayo Clin Hosp, Dept Med & Surg Gynecol, Phoenix, AZ 85054 USA - Author
Puerta de Hierro Univ Hosp, Dept Gynecol Surg, Majadahonda 28222, Madrid, Spain - Author

Abstract

Background: Forty percent of women will experience prolapse in their lifetime. Vaginal pessaries are considered the first line of treatment in selected patients. Major complications of vaginal pessaries rarely occur. Methods: PubMed and Embase were searched from 1961 to 2022 for major complications of vaginal pessaries using Medical Subject Headings (MeSH) and free-text terms. The keywords were pessary or pessaries and: vaginal discharge, incontinence, entrapment, urinary infections, fistula, complications, and vaginal infection. The exclusion criteria were other languages than English, pregnancy, complications without a prior history of pessary placement, pessaries unregistered for clinical practice (herbal pessaries), or male patients. The extracted data included symptoms, findings upon examination, infection, type of complication, extragenital symptoms, and treatment. Results: We identified 1874 abstracts and full text articles; 54 were assessed for eligibility and 49 met the inclusion criteria. These 49 studies included data from 66 patients with pessary complications amenable to surgical correction. Clavien-Dindo classification was used to grade the complications. Most patients presented with vaginal symptoms such as bleeding, discharge, or ulceration. The most frequent complications were pessary incarceration and fistulas. Surgical treatment included removal of the pessary under local or general anesthesia, fistula repair, hysterectomy and vaginal repair, and the management of bleeding. Conclusions: Pessaries are a reasonable and durable treatment for pelvic organ prolapse. Complications are rare. Routine follow-ups are necessary. The ideal patient candidate must be able to remove and reintroduce their pessary on a regular basis; if not, this must be performed by a healthcare worker at regular intervals.

Keywords

cancercomplicationsfistulagenital prolapseincarcerationpessaryCancerClassificationComplicationsFistulaGenital prolapseIncarcerationMigrationNeglected vaginal pessariesPelvic organ prolapsePessaryRectovaginal fistulaRepairSecondarySurgical complicationVesicovaginal fistula

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal Of Personalized Medicine due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2023, it was in position 59/329, thus managing to position itself as a Q1 (Primer Cuartil), in the category Medicine, General & Internal.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 1.72, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Aug 2025)

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-03:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 28 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

    It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

    • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
    • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: https://repositorio.uam.es/handle/10486/713900

    Leadership analysis of institutional authors

    This work has been carried out with international collaboration, specifically with researchers from: United States of America.

    There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (CALLES SASTRE, LAURA BEATRIZ) and Last Author (PEREZ MEDINA, TIRSO).

    the author responsible for correspondence tasks has been CALLES SASTRE, LAURA BEATRIZ.