Evidence map›Paper›PMID 31868966›Full record

ArticleNeurourology and urodynamics2020

Early sacral neuromodulation ameliorates urinary bladder function and structure in complete spinal cord injury minipigs.

Elena E Keller, Irina Patras, Ioan Hutu, Karin Roider, Karl-Dietrich Sievert, Ludwig Aigner, Günter Janetschek, Lukas Lusuardi, Reinhold Zimmermann, Sophina Bauer

Open access · hybridAbstract read
In one paragraph

Article in Neurourology and urodynamics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.6field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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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

10 authors at 5 institutions in 4 countries.

Elena E KellerDepartment of Urology and Andrology, University Clinics Salzburg, Salzburg, Austria.ORCID 0000-0003-4560-1515
Irina PatrasBanat University of Agricultural Science and Veterinary Medicine, Timișoara, Romania.
Ioan HutuBanat University of Agricultural Science and Veterinary Medicine, Timișoara, Romania.
Karin RoiderDepartment of Urology and Andrology, University Clinics Salzburg, Salzburg, Austria.
Karl-Dietrich SievertKlinik für Urologie, Klinikum Lippe, Detmold, Germany.
Ludwig AignerInstitute of Molecular Regenerative Medicine, Paracelsus Medical University, Salzburg, Austria.
Günter JanetschekSpinal Cord Injury and Tissue Regeneration Center Salzburg, Paracelsus Medical University, Salzburg, Austria.
Lukas LusuardiDepartment of Urology and Andrology, University Clinics Salzburg, Salzburg, Austria.
Reinhold ZimmermannDepartment of Urology, American Hospital Dubai, Dubai, United Arab Emirates.
Sophina BauerDepartment of Urology and Andrology, University Clinics Salzburg, Salzburg, Austria.
University of Salzburg · ATParacelsus Medical University · ATUnivesity of Life Science "King Mihai I" from Timisoara · ROAmerican University in Dubai · AEComprehensive Cancer Center Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo determine the effects of early sacral neuromodulation (SNM) and pudendal neuromodulation (PNM) on lower urinary tract (LUT) function, minipigs with complete spinal cord injury (cSCI) were analyzed. SNM and PNM have been proposed as therapeutic approaches to improve bladder function, for example after cSCI. However, further evidence on efficacy is required before these methods can become clinical practice.

methodsEleven adults, female Göttingen minipigs with cSCI at vertebral level T11-T12 were included: SNM (n = 4), PNM (n = 4), and SCI control (SCIC: n = 3). Tissue from six healthy minipigs was used for structural comparisons. Stimulation was started 1 week after cSCI. Awake urodynamics was performed on a weekly basis. After 16 weeks follow-up, samples from the urinary bladder were taken for analyses.

resultsSNM improved bladder function with better capacities and lower detrusor pressures at voiding and avoided the emergence of detrusor sphincter dyssynergia (DSD). PNM and untreated SCI minipigs had less favorable outcomes with either DSD or constant urinary retention. Structural results revealed SCI-typical fibrotic alterations in all cSCI minipigs. However, SNM showed a better-balanced distribution of smooth muscle to connective tissue with a trend towards the reduced progression of bladder wall scarring.

conclusionEarly SNM led to an avoidance of the emergence of DSD showing a more physiological bladder function during a 4 month follow-up period after cSCI. This study might pave the way for the clinical continuation of early SNM for the treatment of neurogenic LUT dysfunction after SCI.

Indexed as

AnimalsFemaleLower Urinary Tract SymptomsLumbosacral PlexusMuscle, SmoothRecovery of FunctionSpinal Cord InjuriesSwineSwine, MiniatureTreatment OutcomeUrinary BladderUrinary Bladder DiseasesUrinary RetentionUrodynamicsminipigspudendal neuromodulationregenerationsacral neuromodulationspinal cord injuryurinary bladder

Identifiers

PMID31868966
PMCPMC7027870
OpenAlexW2997679423

What OpenQuestion holds

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LicenceCC BY-NC
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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.