Evidence map›Paper›PMID 28727385›Full record

ArticleInternational braz j urol : official journal of the Brazilian Society of Urology

Abobotulinum - a toxin injection in patients with refractory idiopathic detrusor overactivity: injections in detrusor, trigone and bladder neck or prostatic urethra, versus detrusor - only injections.

Maryam Emami, Pejman Shadpour, Amir H Kashi, Masoud Choopani, Mohammadreza Zeighami

Open access · diamondAbstract readComparative Study
In one paragraph

Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

5 authors at 2 institutions in 1 country.

Maryam EmamiHasheminejad Kidney Center (HKC), Iran University of Medical Sciences (IUMS), Tehran, Iran.
Pejman ShadpourHasheminejad Kidney Center (HKC), Iran University of Medical Sciences (IUMS), Tehran, Iran.
Amir H KashiHasheminejad Kidney Center (HKC), Iran University of Medical Sciences (IUMS), Tehran, Iran.
Masoud ChoopaniHasheminejad Kidney Center (HKC), Iran University of Medical Sciences (IUMS), Tehran, Iran.
Mohammadreza ZeighamiHasheminejad Kidney Center (HKC), Iran University of Medical Sciences (IUMS), Tehran, Iran.
Hasheminejad Kidney Center · IRIran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate if the injections of abobotulinum-A toxin in trigone and bladder neck/prostatic urethra in addition to detrusor provides better symptoms relief and urodynamic findings in patients with idiopathic detrusor overactivity (IDO) refractory to medical treatment. MATERIALS AND

methodsA total of 74 patients with IDO refractory to anticholinergics received injections in detrusor, trigone and bladder neck/prostatic urethra (Group A, N=36) versus detrusor only injections (Group B, N=38) of abobotulinum-A toxin. All patients were evaluated by a standard overactive bladder symptom score (OABSS) questionnaire and cystometrography before and 6 weeks after the operation. OABSS questionnaire was also completed 20 weeks after the operation.

resultsThe magnitude of OABSS reduction from baseline to 6 weeks after operation in groups A and B patients was 13.4±2.2 versus 11.7±2.1 (p=0.001). Cystometry results were similar in both groups except for higher volume at urgent desire to void in Group B patients (p <0.001). The mean±SD change in residual volume in Group A at 6 weeks after the operation was -4.8±28.6mL (p=0.33) compared to 21.3±16.9mL in Group B patients (p <0.001).

conclusionsIn patients with IDO, adding trigone, and bladder neck/prostatic urethra as sites of abobotulinum- A toxin injection produces greater reductions in OABSS score and less residual urine volume but a lower volume at urgent desire to void in comparison with detrusor only injections.

Indexed as

Acetylcholine Release InhibitorsAdultBotulinum Toxins, Type AFemaleHumansInjections, IntramuscularMaleMiddle AgedProspective StudiesTreatment OutcomeUrinary Bladder, OveractiveYoung AdultabobotulinumtoxinAAcetylcholine Release InhibitorsBotulinum Toxins, Type ABotulinum ToxinsUrinary Bladder, Overactive

Identifiers

PMID28727385
PMCPMC5734076
OpenAlexW2783492432

What OpenQuestion holds

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LicenceCC BY
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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.