Evidence map›Paper›PMID 28152525›Full record

ArticleUrologia internationalis2017

Para-Urethral Injections with Urolastic® for Treatment of Female Stress Urinary Incontinence: Subjective Improvement and Safety.

Allert M de Vries, Hendrikje M K van Breda, Jimmy G Fernandes, Pieter L Venema, John P F A Heesakkers

Abstract readMulticenter Study
In one paragraph

Article in Urologia internationalis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Article
  5. Article
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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

5 authors.

Allert M de VriesDepartment of Urology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Hendrikje M K van Breda
Jimmy G Fernandes
Pieter L Venema
John P F A Heesakkers

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFemale stress urinary incontinence (SUI) is often treated surgically. Urethral bulking agents are a minimally invasive alternative, especially in patients suffering from intrinsic sphincter deficiency, but often with limited long-term efficacy. Urolastic® is a non-deformable, non-resorbable silicone elastomer that is used as an injectable. Its properties might result in a more durable response after injection. If this durability factor can be combined with a low complication rate, this can become a useful treatment option. We therefore assessed the subjective improvement and safety after treatment with Urolastic®. MATERIALS AND

methodsIn 2 Dutch hospitals, 65 patients were treated with Urolastic®. The subjective improvement was assessed and the medical charts were reviewed for complications that appeared during the follow-up period. The complications were classified using the Clavien-Dindo classification.

resultsWe found that 76-88% of the patients showed subjective improvement at 12-25 months follow-up. The rate of improvement experienced was 50-70%. The rate of complications classified as Clavien-Dindo >II was 24-33%. The 12 patients with 75-100% subjective improvement after 2 months, showed 85% improvement after a median of 25 months.

conclusionsWith careful patient selection, Urolastic® seems to be a safe, durable and effective treatment option for female SUI.

Indexed as

AdultAgedAged, 80 and overDimethylpolysiloxanesFemaleHumansInjectionsMiddle AgedNetherlandsPatient SatisfactionPatient SelectionRecovery of FunctionRetrospective StudiesRisk FactorsTime FactorsTitaniumDimethylpolysiloxanesTitaniumurolasticComplicationsFemale stress urinary incontinenceInjectableUrethral bulking agentUrolastic

Identifiers

PMID28152525
PMCPMC5637293

What OpenQuestion holds

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Registered trials

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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.