Evidence map›Paper›PMID 26660301›Full record

ReviewDer Urologe. Ausg. A2016

[Bladder augmentation and urinary diversion in children and adolescents].

R Stein, L Wessel, M S Michel

Abstract readReview
PubMed Publisher
In one paragraph

Review in Der Urologe. Ausg. A, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 34% of its field
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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
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

3 authors at 3 institutions in 1 country.

R SteinZentrum für Kinder- und Jugendurologie, Universitätsmedizin Mannheim, Medizinische Fakultäten Mannheim der Universität Heidelberg; Universitätsklinikum, Theodor-Kutzner-Ufer 1-3, 68167, Mannheim, Deutschland. raimund.stein@umm.de.
L WesselKlinik für Kinderchirurgie, Universitätsmedizin Mannheim, Medizinische Fakultäten Mannheim der Universität Heidelberg; Universitätsklinikum, Theodor-Kutzner-Ufer 1-3, 68167, Mannheim, Deutschland.
M S MichelUrologische Klinik, Universitätsmedizin Mannheim, Medizinische Fakultäten Mannheim der Universität Heidelberg; Universitätsklinikum, Theodor-Kutzner-Ufer 1-3, 68167, Mannheim, Deutschland.
Heidelberg University · DEUniversity Hospital Heidelberg · DEUniversity Medical Centre Mannheim · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn children and adolescents, the indication for continent urinary diversion or bladder augmentation is rare. Today, for most patients with a neurogenic bladder, conservative treatment (clean intermittent catheterization [CIC] and pharmacotherapy) is the method of choice, while for patients with bladder exstrophy-epispadias complex (BEEC), primary reconstruction is recommended. Only after failure of conservative treatment or primary reconstruction should bladder augmentation or urinary diversion be considered. Other rare indications include patients with malignant tumor involving the lower urinary tract (e. g., rhabdomyosarcoma). DISCUSSION: In patients with a hyperreflexive, small capacity, and/or low compliance bladder with a normal upper urinary tract, bladder augmentation (bowel segments/ureter) is an option. For those unable to perform CIC via the urethra, a continent cutaneous stoma should be offered. In patients with irreparable sphincter defects and normal renal function, a continent cutaneous diversion is an option and in those with a competent anal sphincter the rectosigmoid pouch can be offered.

conclusionIn this review, surgical options with their advantages and disadvantages are discussed.

Indexed as

Urinary Reservoirs, ContinentChildChild, PreschoolCombined Modality TherapyEvidence-Based MedicineFemaleHumansInfantInfant, NewbornIntermittent Urethral CatheterizationMaleTreatment OutcomeUrinary Bladder, NeurogenicUrinary DiversionAnal diversionBladder, small capacityChildren and adolescentContinent cutaneous diversionSphincter defects

Identifiers

PMID26660301
OpenAlexW2274434654

What OpenQuestion 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 OpenQuestion graph.