Evidence map›Paper›PMID 29519236›Full record

SynthesisBMC urology2018

Progressive bladder remodeling due to bladder outlet obstruction: a systematic review of morphological and molecular evidences in humans.

Ferdinando Fusco, Massimiliano Creta, Cosimo De Nunzio, Valerio Iacovelli, Francesco Mangiapia, Vincenzo Li Marzi, Enrico Finazzi Agrò

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05393921 (The Clinical Efficacy of Intravesical Botox Injections When Combined With HoLEP Surgery in Patients With Benign Prostatic Hyperplasia and Overactive Bladder), which is not on this map. Cited by 112 papers.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed
16.6field-weighted citation impact, top 1% 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.

NCT05393921 phase4withdrawnnot on this mapstarted 2026, after this paper: background citation

The Clinical Efficacy of Intravesical Botox Injections When Combined With HoLEP Surgery in Patients With Benign Prostatic Hyperplasia and Overactive Bladder

TypeinterventionalSponsorUniversity Hospitals Cleveland Medical CenterRan2026 to 2027Enrolled0ConditionsBenign Prostatic Hyperplasia, Overactive BladderArmsIntravesical Botox injection
3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 195 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Improvement of Bladder Dysfunction byPharmaceuticals (Basel, Switzerland) · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Angiogenesis, Angiogenic Factors, and Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS).International journal of urology : official journal of the Japanese Urological Association · 2026
    Review
  16. Pharmaceuticals (Basel, Switzerland) · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Article

52 more citing papers are in PubMed but not listed here.

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 4 institutions in 1 country.

Ferdinando FuscoDipartimento di Neuroscienze e Scienze Riproduttive ed Odontostomatologiche, Università Degli Studi Di Napoli Federico II, Via Pansini, 5, 80131, Naples, Italy. ferdinando-fusco@libero.it.ORCID http://orcid.org/0000-0002-9509-8906
Massimiliano CretaDipartimento di Neuroscienze e Scienze Riproduttive ed Odontostomatologiche, Università Degli Studi Di Napoli Federico II, Via Pansini, 5, 80131, Naples, Italy.
Cosimo De NunzioDipartimento di Urologia, Ospedale Sant'Andrea, Università Degli Studi di Roma "La Sapienza", Rota, Italy.
Valerio IacovelliDipartimento di Medicina Sperimentale e Chirurgia, Università Degli Studi di Roma "Tor Vergata", Roma, Italy.
Francesco MangiapiaDipartimento di Neuroscienze e Scienze Riproduttive ed Odontostomatologiche, Università Degli Studi Di Napoli Federico II, Via Pansini, 5, 80131, Naples, Italy.
Vincenzo Li MarziDipartimento di Urologia, Ospedale Careggi, Università Degli Studi di Firenze, Firenze, Italy.
Enrico Finazzi AgròDipartimento di Medicina Sperimentale e Chirurgia, Università Degli Studi di Roma "Tor Vergata", Roma, Italy.
University of Naples Federico II · ITUniversity of Rome Tor Vergata · ITAzienda Ospedaliera Sant'Andrea · ITAzienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBladder outlet obstruction is a common urological condition. We aimed to summarize available evidences about bladder outlet obstruction-induced molecular and morphological alterations occurring in human bladder.

methodsWe performed a literature search up to December 2017 including clinical and preclinical basic research studies on humans. The following search terms were combined: angiogenesis, apoptosis, bladder outlet obstruction, collagen, electron microscopy, extracellular matrix, fibrosis, hypoxia, histology, inflammation, innervation, ischemia, pressure, proliferation, remodeling, suburothelium, smooth muscle cells, stretch, urothelium.

resultsWe identified 36 relevant studies. A three-stages model of bladder wall remodeling can be hypothesized involving an initial hypertrophy phase, a subsequent compensation phase and a later decompensation. Histological and molecular alterations occur in the following compartments: urothelium, suburothelium, detrusor smooth muscle cells, detrusor extracellular matrix, nerves. Cyclic stretch, increased hydrostatic and cyclic hydrodynamic pressure and hypoxia are stimuli capable of modulating multiple signaling pathways involved in this remodeling process.

conclusionsBladder outlet obstruction leads to progressive bladder tissue remodeling in humans. Multiple signaling pathways are involved.

Indexed as

Disease ProgressionAnimalsCase-Control StudiesHumansMyocytes, Smooth MuscleSignal TransductionUrinary BladderUrinary Bladder Neck ObstructionUrotheliumBladder outlet obstructionBladder remodelingSystematic review

Identifiers

PMID29519236
PMCPMC5844070
OpenAlexW2791869778

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.