Evidence map›Paper›PMID 31619864›Full record

ArticleIndian journal of urology : IJU : journal of the Urological Society of India

Dorsal onlay graft urethroplasty for female urethral stricture improves sexual function: Short-term results of a prospective study using vaginal graft.

T Manasa, Nikhil Khattar, Mahesh Tripathi, Anuj Varshney, Hemant Goel, Rajeev Sood

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of urology : IJU : journal of the Urological Society of India. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  3. Observational
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  5. Review
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  16. Editorial Comment: Female urethroplasty: contemporary thinking.International braz j urol : official journal of the Brazilian Society of Urology
    Article
  17. What's inside?Indian journal of urology : IJU : journal of the Urological Society of India
    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

6 authors at 4 institutions in 1 country.

T ManasaDepartment of Urology, MS Ramaiah Medical College, Bengaluru, Karnataka, India.
Nikhil KhattarDepartment of Urology, Medanta - The Medicity, Gurgaon, Haryana, India.
Mahesh TripathiDepartment of Urology, PGIMER and Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Anuj VarshneyDepartment of Urology, PGIMER and Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Hemant GoelDepartment of Urology, PGIMER and Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Rajeev SoodDepartment of Urology, PGIMER and Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital · INPost Graduate Institute of Medical Education and Research · INMedanta The Medicity · INM.S. Ramaiah Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBoth dorsal and ventral approaches are acceptable options for the surgical reconstruction of female urethral strictures (FUS), but damage to the sphincter and the clitoral nerves resulting in sexual dysfunction is the chief argument against the dorsal approach. Most of the reported case series are retrospective and none has evaluated sexual functions. This study prospectively evaluates the early sexual and functional results after dorsal onlay vaginal graft urethroplasty (DVGU) for FUS. MATERIALS AND

methodsAll women with a history of obstructive voiding symptoms and previous urethral dilatation were evaluated with urodynamic study, voiding cystourethrography, and cystoscopy for the presence of FUS, which was defined as visual demonstration of anatomical narrowing on urethro-cystoscopy. DVGU was offered as a definitive management for all those identified with FUS. Surgical outcomes were assessed at 3 and 6 months with the International Prostate Symptom Score (IPSS), uroflowmetry, and postvoid residual (PVR) estimation. For sexually active females, sexual function was assessed using the Female Sexual Function Inventory (FSFI) score both preoperatively and at 3 months following surgery.

resultsSeventy-one women were evaluated. FUS was identified in 29 women (flimsy in 12 and dense in 17). Thirteen women with dense strictures underwent DVGU. The mean improvement in the IPSS score, Q

conclusionThe early functional results after DVGU are good without any negative impact on the continence or the sexual functions.

Identifiers

PMID31619864
PMCPMC6792406
OpenAlexW2978705621

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LicenceCC BY-NC-SA
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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.