Evidence map›Paper›PMID 27484205›Full record

ReviewWorld journal of urology2017

Neural supply of the male urethral sphincter: comprehensive anatomical review and implications for continence recovery after radical prostatectomy.

Thomas Bessede, Prasanna Sooriakumaran, Atsushi Takenaka, Ash Tewari

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in World journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04037800 (Impact of Sustainable Functional Urethral Reconstruction on Early Continence Recovery After Robotic-assisted Radical Prostatectomy), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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.

NCT04037800 nacompletednot on this mapstarted 2019, after this paper: background citation

Impact of Sustainable Functional Urethral Reconstruction on Early Continence Recovery After Robotic-assisted Radical Prostatectomy: a Randomized Controlled Trial

TypeinterventionalSponsorChanghai HospitalRan2019 to 2021Enrolled96ConditionsProstate Cancer, Urinary IncontinenceArmsSFUR-RARP, Standard RARP
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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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

4 authors.

Thomas BessedeDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York City, NY, 10029, USA. thomas.bessede@gmail.com.ORCID http://orcid.org/0000-0003-3215-1332
Prasanna SooriakumaranNuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.
Atsushi TakenakaDivision of Urology, Department of Surgery, Faculty of Medicine, Tottori University, Tottori, Japan.
Ash TewariDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York City, NY, 10029, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo review the anatomical facts of urethral sphincter (US) innervation discovered over the last three decades and to determine the implications for continence recovery after radical prostatectomy (RP).

methodsUsing the PubMed

resultsSeventeen articles on 254 anatomical subjects were reviewed. Coexisting pathways were described in every article. Dissection, histology, simulation or electron microscopy evidence supported arguments for somatic and autonomic pathways. From the most to the least substantiated, somatic sphincteric fibers were described extra- or intrapelvic as: direct from the distal pudendal nerve (PuN), recurrent from the dorsal nerve of the penis, from the proximal PuN with an intrapelvic course, extrapudendal somatic fibers dispersed among autonomic pelvic fibers. From the pelvic plexus, or from the neurovascular bundles, autonomic fibers to the US have been described in 13 of the reviewed articles, with at least each of the available anatomical methods.

conclusionBecause continence depends on a number of factors, it is challenging to delineate the specific impact of periprostatic nerve sparing on continence, but the anatomical data suggest that RP surgeons should steer toward the preservation and protection of these nerves whenever possible.

Indexed as

Autonomic PathwaysHumansHypogastric PlexusMaleOrgan Sparing TreatmentsPostoperative ComplicationsProstateProstatectomyProstatic NeoplasmsPudendal NerveRecovery of FunctionUrethraUrinary IncontinenceInnervationNerve sparingProstateUrinary continence

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.