Evidence map›Paper›PMID 30349963›Full record

ArticleInternational urology and nephrology2018

Need for upper urinary tract stenting in cases of ureteral orifice injury during laser enucleation of the prostate.

Dmitry Enikeev, Petr Glybochko, Leonid Rapoport, Olesya Snurnitsyna, Natalia Potoldykova, Tamara Novoselova, Ekaterina Laukhtina, Mark Taratkin, Vitaly Margulis

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In one paragraph

Article in International urology and nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 2 institutions in 2 countries.

Dmitry EnikeevResearch Institute for Uronephrology and Reproductive Health, Sechenov University, Bolshaya Pirogovskaya st, 2-1, Moscow, Russia, 119991. enikeev_dv@mail.ru.
Petr GlybochkoResearch Institute for Uronephrology and Reproductive Health, Sechenov University, Bolshaya Pirogovskaya st, 2-1, Moscow, Russia, 119991.
Leonid RapoportResearch Institute for Uronephrology and Reproductive Health, Sechenov University, Bolshaya Pirogovskaya st, 2-1, Moscow, Russia, 119991.
Olesya SnurnitsynaResearch Institute for Uronephrology and Reproductive Health, Sechenov University, Bolshaya Pirogovskaya st, 2-1, Moscow, Russia, 119991.
Natalia PotoldykovaResearch Institute for Uronephrology and Reproductive Health, Sechenov University, Bolshaya Pirogovskaya st, 2-1, Moscow, Russia, 119991.
Tamara NovoselovaDepartment of Medical Statistic, Sechenov University, Moscow, Russia.
Ekaterina LaukhtinaResearch Institute for Uronephrology and Reproductive Health, Sechenov University, Bolshaya Pirogovskaya st, 2-1, Moscow, Russia, 119991.
Mark TaratkinResearch Institute for Uronephrology and Reproductive Health, Sechenov University, Bolshaya Pirogovskaya st, 2-1, Moscow, Russia, 119991.
Vitaly MargulisDepartment of Urology, UT Southwestern Medical Center, Dallas, TX, USA.
Sechenov University · RUSouthwestern Medical Center

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBenign prostatic hyperplasia (BPH) can be associated with marked intravesical protrusion, placing ureteral orifices at risk for injury during bladder outlet procedures.

aimTo determine whether ureteral stenting is necessary in cases of ureteral orifice injury during laser enucleation. MATERIALS AND

methodsRetrospective study included 465 patients with bladder outlet obstruction (IPSS > 20, Qmax < 10) secondary to BPH who were managed with thulium fiber laser (ThuFLEP) or holmium laser enucleation of the prostate (HoLEP). In seven patients, the ureteral orifices were injured during surgery (3-HoLEP; 4-ThuFLEP). Three of the seven patients underwent intraoperative stenting of the upper urinary tract (1-HoLEP; 2-ThuFLEP). In four cases, stenting was not performed (2-HoLEP; 2-ThuFLEP). The follow-up period was 6 months.

resultsPostoperatively, none of the patients with a stent in the upper urinary tract exhibited signs of pelvicalyceal system (PCS) dilatation or inhibited urine flow from the kidney (assessed with abdominal ultrasound at 1, 3, 10, and 30 days after surgery). In two patients without stents, follow-up revealed no dilatation of the PCS. The other two patients without stents developed asymptomatic dilatation of the PCS (the pelvis-up to 1.5 cm; the calyx-up to 0.5 cm). At 1 month after surgery, no patients had dilatation of the PCS.

conclusionsUpper urinary tract stenting in cases of intraoperative ureteral orifice injury during laser enucleation of the prostate for BPH may not be warranted.

Indexed as

StentsAgedDilatation, PathologicHumansIntraoperative ComplicationsLasers, Solid-StateMaleMiddle AgedPostoperative ComplicationsProstatectomyProstatic HyperplasiaRetrospective StudiesUreterUrinary Bladder Neck ObstructionComplicationsEndoscopic enucleation of the prostateHoLEPLaserOrificeThuFLEP

Identifiers

PMID30349963
OpenAlexW2896398466

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.