Evidence map›Paper›PMID 30982146›Full record

ArticleInternational urology and nephrology2019

A new modification of tubeless cutaneous ureterostomy following radical cystectomy.

Arman Tsaturyan, Serine Sahakyan, Armen Muradyan, Sergey Fanarjyan, Ashot Tsaturyan

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04610385 (Comparative Study Between Ileal Conduit and Unilateral Cutaneous Ureterostomy With Separate Stomas Post Radical Cystectomy), which is not on this 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
2.0field-weighted citation impact, top 14% 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.

NCT04610385 unknown statusnot on this mapstarted 2020, after this paper: background citation

Comparative Study Between Ileal Conduit and Unilateral Cutaneous Ureterostomy With Separate Stomas Post Radical Cystectomy

TypeobservationalSponsorAssiut UniversityRan2020 to 2022Enrolled40ConditionsPatient Satisfaction, Bladder CancerArmsradical cystectomy with urinary diversion
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Bricker ileal conduit vs. Cutaneous ureterostomy after radical cystectomy for bladder cancer: a systematic review.International braz j urol : official journal of the Brazilian Society of Urology
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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.

Arman TsaturyanDepartment of Urology, Yerevan State Medical University, Yerevan, Armenia. tsaturyanarman@yahoo.com.ORCID http://orcid.org/0000-0002-2499-7015
Serine SahakyanTurpanjian School of Public Health, American University of Armenia, Yerevan, Armenia.
Armen MuradyanDepartment of Urology, Yerevan State Medical University, Yerevan, Armenia.
Sergey FanarjyanDepartment of Urology, Yerevan State Medical University, Yerevan, Armenia.
Ashot TsaturyanDepartment of Urology, "Artmed" Medical Center, Yerevan, Armenia.
Yerevan State Medical University · AMAmerican University of Armenia · AM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCutaneous ureterostomy is a well-established surgical technique of incontinent urinary diversion treatment. However, stoma stenosis limits widespread utilization of this technique. We present our modification of constructing single-site tubeless cutaneous ureterostomy aiming to reduce stomal complications and improve catheter-free rate of those patients. MATERIALS AND

methodsIn 2016-2017, 30 patients with 60 renal units underwent modified and 30 patients with 60 renal units standard technique. The main differences of our method from previously described techniques were the preservation of parietal peritoneum and fixation of ureteral orifices one to another. Catheter-free rate was calculated in all patients with a minimum follow-up period of 12 months. In total, 52 patients, 26 from the modified cutaneous ureterostomy group, and 26 from the standard cutaneous ureterostomy group were available for the final analysis.

resultsThe patients' mean age was 63.1 years. The median follow-up period was 25.8 months (ranging from 1-37 months). The catheter-free rate was achieved 76.9% (20 patients) in the modified group compared to 42.3% (11 patients) in the standard group (P value = 0.013). No statistically significant differences were observed between two groups for late complications and readmission rates.

conclusionsOur technique of single-site-modified cutaneous ureterostomy is a safe and simple surgical technique with similar postoperative complications rate and better catheter-free rate compared to standard cutaneous ureterostomy. We believe that this technique could be a method of choice not only for candidates for cutaneous ureterostomy but also for selected patients for ileal conduit.

Indexed as

CystectomyHumansMaleMiddle AgedPostoperative ComplicationsPostoperative PeriodUreterostomyUrinary Bladder NeoplasmsUrinary DiversionCutaneous ureterostomyIleal conduitRadical cystectomyUreteroureterostomyUrinary diversion

Identifiers

PMID30982146
OpenAlexW2938753441

What OpenQuestion holds

Textmetadata
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.