ReviewAdvances in urology2016
Hypothesis That Urethral Bulb (Corpus Spongiosum) Plays an Active Role in Male Urinary Continence.
Review in Advances in urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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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.
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Who cites it
20 citing papers in PubMed, 44 citations in OpenAlex.
- [Male slings-an overview].Urologie (Heidelberg, Germany) · 2026Review
- The impact of preoperative 5-alpha reductase inhibitors on functional outcomes and health-related quality of life following radical prostatectomy - A propensity score matched longitudinal study.World journal of urology · 2024Article
- A New Proximal Adjustable Sling ATOMS SSPJournal of clinical medicine · 2023Article
- A narrative review: evaluation and surgical management of persistent and recurrent urinary incontinence after previous surgical treatment.Translational andrology and urology · 2023Review
- Physiotherapy as an Effective Method to Support the Treatment of Male Urinary Incontinence: A Systematic Review.Journal of clinical medicine · 2023Review
- Secondary urethral sphincter function of the rabbit pelvic and perineal muscles.Frontiers in neuroscience · 2023Article
- Management of Urinary Incontinence Following Radical Prostatectomy: Challenges and Solutions.Therapeutics and clinical risk management · 2023Review
- Article
- Compression or obstruction: Prospective analysis of the function of the Adjustable Transobturator Male System (ATOMS) based on preand postoperative urodynamic data.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022Article
- ATOMS (Adjustable Transobturator Male System) Is an Effective and Safe Second-Line Treatment Option for Recurrent Urinary Incontinence after Implantation of an AdVance/AdVance XP Fixed Male Sling? A Multicenter Cohort Analysis.Journal of clinical medicine · 2021Article
- [Alloplastic material in the treatment of urinary incontinence].Der Urologe. Ausg. A · 2021Review
- Narrative review of male urethral sling for post-prostatectomy stress incontinence: sling type, patient selection, and clinical applications.Translational andrology and urology · 2021Review
- [Incontinence surgery-quality criteria and structured follow-up].Der Urologe. Ausg. A · 2021Review
- Current Management of Post-radical Prostatectomy Urinary Incontinence.Frontiers in surgery · 2021Review
- A novel human cadaver model to investigate a retrourethral transobturator male sling procedure.Investigative and clinical urology · 2019Article
- The AdVance and AdVanceXP male sling in urinary incontinence: is there a difference?World journal of urology · 2018Article
- [Incontinence after radical prostatectomy : Male Sling or "best option" first?]Der Urologe. Ausg. A · 2017Review
- AdVance male sling.Translational andrology and urology · 2017Review
- Proposal of a new way to evaluate the external sphincter function prior male sling surgey.International braz j urol : official journal of the Brazilian Society of UrologyArticle
- Impact of obesity on male urethral sling outcomes.Therapeutic advances in urologyArticle
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 at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The proximal urethral bulb in men is enlarged, surrounds the bulbous urethra, and extends dorsally towards the perineum. During intercourse engorgement takes place due to increased blood flow through the corpus spongiosum. Antegrade ejaculation is facilitated by contraction of the bulbospongiosus muscles during climax. Micturition during sexual stimulation is functionally inhibited. Supporting the bulb may indirectly facilitate continence in a certain subset of patients with postprostatectomy incontinence. During physical activity with increased abdominal pressure, reflex contraction of the pelvic floor muscles as well as the bulbospongiosus muscles occurs to support sphincter function and limit urinary incontinence. Operations to the prostate may weaken urinary sphincter function. It is hypothesized that the distal urinary sphincter may be supported indirectly by placing a hammock underneath the urethral bulb. During moments of physical stress the "cushion" of blood within the supported corpus spongiosum helps to increase the zone of coaptation within the sphincteric (membranous) urethra. This may lead to urinary continence in patients treated by a transobturator repositioning sling in patients with postprostatectomy incontinence. This paper describes the possible role of the urethral bulb in male urinary continence, including its function after retroluminal sling placement (AdVance, AdVance XP® Male Sling System, Minnetonka, USA).
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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 OpenQuestion graph.