Evidence map›Paper›PMID 29974197›Full record

ArticleWorld journal of urology2019

Clinical results of a dorsally positioned hydraulic ID-sling in male patients with post-prostatectomy-incontinence.

Sabina Sevcenco, Peter Nyirady, Attila Majoros, Lukas Lusuardi, Hans-Christoph Klingler

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Article in World journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
–field-weighted citation impact, top 88% of its field
1 · What the graph read from it

What it found

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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

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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

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0 citing papers in PubMed, 0 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Sabina SevcencoDepartment of Urology, Donauspital, Vienna, Austria.
Peter NyiradyDepartment of Urology, Semmelweis University Budapest, Budapest, Hungary.
Attila MajorosDepartment of Urology, Semmelweis University Budapest, Budapest, Hungary.
Lukas LusuardiDepartment of Urology, Paracelsus Medical University, Salzburg, Austria.
Hans-Christoph KlinglerDepartment of Urology and Pediatric Urology, Wilhelminenspital, Vienna, Austria. hanschristoph.klingler@wienkav.at.
Semmelweis University · HUDonauspital · ATParacelsus Medical University · ATWilhelminen Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo prospectively evaluate the effectiveness and safety of and the long-term experience with a re-adjustable hydraulic sling (ID-sling) device positioned dorsally to the urethra for the treatment of male post-prostatectomy incontinence (PPI). MATERIALS AND

methodsBetween September 2007 and November 2009 13 patients with persisting SUI were treated consecutively with an ID-sling™ in two European tertiary centers by a single surgeon. Physical examinations and standardized questionnaires (ICIQ-SF + VAS), pad tests, and 24-h pad number counts were performed at baseline and during follow-up.

resultsThe implantation of the hydraulic cuff was uncomplicated in all cases. The ICIQ-SF score diminished from a preoperative mean value of 18 to a mean of five postoperatively. One patient remained completely dry with normal micturition. All patients demonstrated a mild improvement at primary filling but did not show any significant improvement after the second or any subsequent filling. In total, 1/13 (7.7%) patients were completely dry and 5/13 (38.4%) showed improved continence. In 6/13 (46.2%) patients, satisfactory continence results according to subjective criteria, were not achieved. Subsequently, artificial urinary sphincter (AUS) implantation was offered to one patient (7.7%) after 12 months and to ten patients (76,9%) after 24 months.

conclusionsThe implantation of a dorsally placed hydraulic sling is a not yet standardized and complex procedure, even for the experienced surgeon. To date, this implantation method is not an alternative to other devices. An improved sling design is necessary to simplify the surgical procedure and to improve long-term stability.

Indexed as

ProstatectomySuburethral SlingsAgedHumansMaleMiddle AgedPostoperative ComplicationsProspective StudiesReoperationRetrospective StudiesTreatment OutcomeUrinary Incontinence, StressUrinary Sphincter, ArtificialAdjustable male hydraulic urethral slingMale stress urinary incontinenceRadical prostatectomy

Identifiers

PMID29974197
OpenAlexW2880174842

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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.