Evidence map›Paper›PMID 30712091›Full record

ArticleWorld journal of urology2019

Clinical significance of cystoscopic urethral stricture recurrence after anterior urethroplasty: a multi-institution analysis from Trauma and Urologic Reconstructive Network of Surgeons (TURNS).

Nima Baradaran, Kirkpatrick B Fergus, Rachel A Moses, Darshan P Patel, Thomas W Gaither, Bryan B Voelzke, Thomas G Smith, Bradley A Erickson, Sean P Elliott, Nejd F Alsikafi and 5 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

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. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Long term outcomes of one-stage augmentation anterior urethroplasty: a systematic review and meta-analysis.International braz j urol : official journal of the Brazilian Society of Urology
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  17. A drug-coated balloon treatment for urethral stricture disease: Two-year results from the ROBUST I study.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
    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

15 authors.

Nima BaradaranDepartment of Urology, Ohio State University, Columbus, OH, USA.
Kirkpatrick B FergusDepartment of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA.
Rachel A MosesDivision of Urology, University of Utah, Salt Lake City, UT, USA.
Darshan P PatelDivision of Urology, University of Utah, Salt Lake City, UT, USA.
Thomas W GaitherDepartment of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA.
Bryan B VoelzkeDepartment of Urology, University of Washington, Seattle, WA, USA.
Thomas G SmithDepartment of Urology, Baylor College of Medicine, Houston, TX, USA.
Bradley A EricksonDepartment of Urology, University of Iowa, Iowa City, IA, USA.
Sean P ElliottDepartment of Urology, University of Minnesota, Minneapolis, MN, USA.
Nejd F AlsikafiUropartners, Gurnee, IL, USA.
Alex J VanniDepartment of Urology, Lahey Hospital and Medical Center, Burlington, MA, USA.
Jill BuckleyDepartment of Urology, University of California San Diego, San Diego, CA, USA.
Lee C ZhaoNew York University School of Medicine, New York, NY, USA.
Jeremy B MyersDivision of Urology, University of Utah, Salt Lake City, UT, USA.
Benjamin N BreyerDepartment of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA. benjamin.breyer@ucsf.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the functional Queryoutcome of patients with cystoscopic recurrence of stricture post-urethroplasty and to evaluate the role of cystoscopy as initial screening tool to predict future failure.

methodsCases with cystoscopy data after anterior urethroplasty in a multi-institutional database were retrospectively studied. Based on cystoscopic evaluation, performed within 3-months post-urethroplasty, patients were categorized as small-caliber (SC) stricture recurrence: stricture unable to be passed by standard cystoscope, large-caliber (LC) stricture accommodating a cystoscope, and no recurrence. We assessed the cumulative probability of intervention and the quality of life scores in association with cystoscopic recurrence 1-year post-urethroplasty. Patients with history of hypospadias, perineal urethrostomy, urethral fistula, and meatal pathology were excluded.

resultsFrom a total of 2630 men in our cohort, 1054 patients met the inclusion criteria: normal (n = 740), LC recurrence (n = 178), and SC recurrence (n = 136) based on the first cystoscopic evaluation performed at median 111 days postoperatively. Median follow-up was 350 days (IQR 121-617) after urethroplasty. Cystoscopic recurrence was significantly associated with secondary interventions (2.7%, 6.2%, 33.8% in normal, LC, and SC groups, respectively). Quality of life variables were not statistically significantly different among the three study groups.

conclusionsMany patients with cystoscopic recurrence do not need an intervention after initial urethroplasty. Despite good negative predictive value, cystoscopy alone may be a poor screening test for stricture recurrence defined by patient symptoms and need for secondary interventions.

Indexed as

CystoscopyAdultHumansMaleMiddle AgedRecurrenceRetrospective StudiesUrethraUrethral StrictureUrologic Surgical Procedures, MaleCystoscopyLower urinary tract symptomsSelf reportTreatment outcomeUrethraUrethral stricture

Identifiers

PMID30712091

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.