Evidence map›Paper›PMID 31542825›Full record

ReviewWorld journal of urology2020

Female urethral reconstruction: dorsal buccal mucosa graft onlay.

Reynaldo G Gomez, Fernando J Segura, Alvaro Saavedra, Rodrigo A Campos

Abstract readReview
PubMed Publisher
In one paragraph

Review in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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  18. Genitourinary reconstruction.World journal of urology · 2020
    Article
  19. Editorial Comment: Female urethroplasty: contemporary thinking.International braz j urol : official journal of the Brazilian Society of Urology
    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

4 authors at 4 institutions in 1 country.

Reynaldo G GomezUrology Service, Hospital del Trabajador, Ramón Carnicer 185, Santiago, Chile. rgomez@ext.achs.cl.ORCID http://orcid.org/0000-0001-6115-3412
Fernando J SeguraUrology Service, Hospital Regional, Valdivia, Chile.
Alvaro SaavedraService of Urology, Hospital Dr. Sótero del Río, Santiago, Chile.
Rodrigo A CamposUrology Service, Hospital del Trabajador, Ramón Carnicer 185, Santiago, Chile.
Austral University of Chile · CLHospital del Trabajador · CLPontificia Universidad Católica de Chile · CLUniversidad Andrés Bello · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFemale urethral stricture (FUS) is an infrequent entity, but may cause significant morbidity. Despite a rising interest in recent years, there is still scarce published information. In this article, we review FUS with a special attention to the use of dorsal buccal mucosa grafts (DBMG).

methodsA literature search was conducted summarizing information about etiology, anatomy, diagnosis, and management. A detailed description of our technique for DBMG urethroplasty is given, with a summary report of our experience and results.

resultsFUS accounts for about 1% of all women consulting for lower urinary tract symptoms (LUTS). Diagnosis is suspected in front of persistent LUTS suggestive of obstruction. Confirmatory tests are uroflowmetry, endoscopy, and urethrography; true anatomic strictures must be differentiated from functional or physiological obstructions. Initial management may include dilations, but recurrence is frequent. On the contrary, reconstructive surgery is highly efficient, with overall curative rates around 90%. For reconstruction, DBMG has gained popularity, because it would maintain intact the ventro-lateral urethral supporting structures, important for continence. The pathology of female strictures is unknown and neither the pre nor the intraoperative assessment allows determining the precise location and extent or the urethral damage; therefore, we advise extensive grafting of the entire urethra. Collected success of DBMG is 86% at a mean follow-up of 21 months. Morbidity is very low and de novo stress incontinence has not been reported.

conclusionsBecause of its many advantages, DMBG currently represents a prime choice for FUS reconstruction.

Indexed as

FemaleHumansMouth MucosaUrethraUrethral StrictureUrologic Surgical ProceduresBuccal mucosal graftDorsal urethral onlayFemale urethral strictureFemale urethroplastyReconstructive urology

Identifiers

PMID31542825
OpenAlexW2974806931

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.