{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:03:11Z","timestamp":1787169791148,"version":"build-2736575974"},"reference-count":3,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A 62-year-old hypertensive female presented with a mass protruding from the vagina for the past 20 years. She complained of dysuria and urinary incontinence for the past 3 months. There was no history of surgical intervention in the past. The examination revealed a tender irreducible total uterine prolapse (procidentia) and cystocele with a decubitus ulcer. Computed tomography urogram showed a total uterine prolapse along with the prolapse of a part of urinary bladder, with a vesical calculus of size 2.8 cm \u00d7 2.7 cm in the prolapsed part of the bladder, below the level of the pubic symphysis, with minimal wall thickening. After optimization, vesical lithotripsy and bilateral ureteric stenting were performed, followed by hysterectomy after 2 days.<\/jats:p>","DOI":"10.4103\/iju.iju_20_23","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T02:59:36Z","timestamp":1680231576000},"page":"163-164","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Hourglass appearance in cystocele with an impacted vesical calculus"],"prefix":"10.4103","volume":"39","author":[{"given":"Manickam","family":"Ramalingam","sequence":"first","affiliation":[{"name":"Department of Urology, Hindusthan Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senthil","family":"Kallappan","sequence":"additional","affiliation":[{"name":"Department of Urology, Hindusthan Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M N","family":"Janani","sequence":"additional","affiliation":[{"name":"Department of Urology, Hindusthan Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,3,31]]},"reference":[{"key":"R1-20240903","doi-asserted-by":"crossref","first-page":"S125","DOI":"10.5489\/cuaj.4634","article-title":"Pelvic organ prolapse:A primer for urologists","volume":"11","author":"aaureau","year":"2017","journal-title":"Can Urol Assoc J"},{"key":"R2-20240903","doi-asserted-by":"crossref","first-page":"77","DOI":"10.3329\/jdmc.v25i1.33962","article-title":"Uterovaginal prolapse with multiple vesical calculi:A rare case report","volume":"25","author":"Saha","year":"2016","journal-title":"J Dhaka Med Coll"},{"key":"R3-20240903","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.ejogrb.2019.10.002","article-title":"Cystolitholapaxy and laparoscopic sacrocolpopexy in a case of multiple urinary bladder calculi and vault prolapse","volume":"243","author":"Hiremath","year":"2019","journal-title":"Eur J Obstet Gynecol Reprod Biol"}],"container-title":["Indian Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_20_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:12:54Z","timestamp":1787166774000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_20_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,31]]},"references-count":3,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/iju.iju_20_23","relation":{},"ISSN":["0970-1591","1998-3824"],"issn-type":[{"value":"0970-1591","type":"print"},{"value":"1998-3824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,31]]},"assertion":[{"value":"2023-01-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}