Evidence map›Paper›PMID 27493809›Full record

ArticleArab journal of urology2016

Internal versus external ureteric stents for uretero-ileal anastomosis after laparoscopic radical cystectomy with orthotopic neobladder: A prospective comparative study.

Mahmoud A Abdel Hakim, Ahmed A Abdalla, Ismail R Saad, Mohammed S ElSheemy, Ahmed S El Feel, Hosni K Salem, Amr M Abdel Hakim

Open access · diamondAbstract read
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Article in Arab journal of urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Mahmoud A Abdel HakimDepartment of Urology, Faculty of Medicine, Cairo University, Egypt.
Ahmed A AbdallaDepartment of Urology, Faculty of Medicine, Cairo University, Egypt.
Ismail R SaadDepartment of Urology, Faculty of Medicine, Cairo University, Egypt.
Mohammed S ElSheemyDepartment of Urology, Faculty of Medicine, Cairo University, Egypt.
Ahmed S El FeelDepartment of Urology, Faculty of Medicine, Cairo University, Egypt.
Hosni K SalemDepartment of Urology, Faculty of Medicine, Cairo University, Egypt.
Amr M Abdel HakimDepartment of Urology, Faculty of Medicine, Cairo University, Egypt.
Cairo University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo prospectively compare the use of external ureteric stents with internal JJ stenting of the uretero-ileal anastomosis in patients undergoing laparoscopic radical cystectomy (LRC) with a Y-shaped ileal orthotopic neobladder (ON). PATIENTS AND

methodsThe study included 69 patients undergoing LRC with ON. Patients were grouped according to the type of uretero-ileal stents used. An external ureteric stent was used in Group A (33 patients) and a JJ stent was used in Group B (36). We prospectively compared the duration of hospital stay, the incidence of short- and intermediate-term complications in the two study groups.

resultsThe mean (SD) follow-up periods were 29.18 (3.94) and 28.19 (3.37) months for patients in Groups A and B, respectively. Perioperative patient characteristics were comparable in the two study groups. The use of JJ stenting was associated with a shorter hospital stay compared with external stenting, at a mean (SD) of 14.63 (3.74) and 6.8 (3.03) days in Groups A and B, respectively (P < 0.001). The incidence of urinary leakage was comparable in the two study groups, at 6.1% in Group A vs 8.3% in Group B (P = 1.0). Strictures of the uretero-ileal anastomosis occurred in two patients (6%) in Group A and confirmed by intravenous urography. All strictures were treated with antegrade JJ fixation.

conclusionJJ stents could be used as an effective alternative to external ureteric stents to support the uretero-ileal anastomosis. JJ stenting is associated with a shorter hospital stay and similar complication rates compared with external stenting in patients undergoing LRC with ON.

Indexed as

ASA, American Society of AnesthesiologistsExternal ureteral cathetersIleal neobladderInternal JJ stents(L)RC, (laparoscopic) radical cystectomyON, orthotopic neobladderUretero-ileal anastomosisUrinary diversionUS, ultrasonography

Identifiers

PMID27493809
PMCPMC4963168
OpenAlexW2415244703

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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.