Evidence map›Paper›PMID 31953717›Full record

ArticleInternational urology and nephrology2020

A pilot study of autologous rectus fascial wrap at the time of artificial urinary sphincter placement in patients at risk of cuff erosion.

J Gani, D B Hennessey, N Hoag, D Lee, E Chung

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Article in International urology and nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

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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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. The fragile urethra: what to do next?-a narrative review.Translational andrology and urology · 2024
    Review
  4. Review
  5. Review
  6. Review
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.

J GaniDepartment of Urology, Austin Hospital, Heidelberg, VIC, Australia.
D B HennesseyDepartment of Urology, Austin Hospital, Heidelberg, VIC, Australia. derek.hennessey@gmail.com.ORCID http://orcid.org/0000-0002-7372-0100
N HoagDepartment of Urology, Austin Hospital, Heidelberg, VIC, Australia.
D LeeDepartment of Urology, St George Hospital, Kogarah, NSW, Australia.
E ChungDepartment of Urology, Princess Alexandra Hospital, Brisbane, QLD, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCuff erosion is one of the dreaded complications of artificial urinary sphincter (AUS) implantation. Patients with a history of pelvic irradiation are at increased risk of erosion. To reduce the risk of erosion we describe a novel technique and report the results in our initial series of patients. MATERIALS AND

methodsA prospective analysis of patients treated with AUS and rectus fascial wrap was performed. Inclusion criteria were severe urinary incontinence (UI) and previous pelvic radiation therapy (RTX). Primary outcomes were erosion rate, complications and continence rate. Secondary outcomes were patient satisfaction.

resultsTwenty-three patients were analysed. The median age was 70 years. Nine (39%) had previous surgery; 6/9 had an Advance sling, 2/9 had a Virtue sling, and 1/9 had an AUS which had eroded. Median pad use was five pads/day IQR, (4-6). Median pad weight was 630 ml, 6 cm of fascia was harvested in every case, but cuff size varied. Complications occurred in 6/23 (26%): two patients with Clavien 1 and four patients with Clavien 3B (urinary retention requiring suprapubic catheter). In all cases, the retention resolved. One patient presented at 3 months post-op with erosion (4.3% erosion rate). Median follow-up was 32 months, IQR (24-37). Excluding the patient with erosion, 17/22 (77.3%) of patients achieved complete continence, while 5/22 (22.7%) achieved social continence.

conclusionThe autologous fascial wrap technique is efficient and easy to harvest, with comparable clinical outcomes to other techniques. The medium-term results have been encouraging, but longer-term follow up is needed.

Indexed as

Urinary Sphincter, ArtificialAgedAutograftsFasciaHumansPilot ProjectsProspective StudiesProsthesis FailureProsthesis ImplantationRectus AbdominisRisk FactorsUrologic Surgical ProceduresArtificial urinary sphincterRectus fasciaSphincter erosionUrinary incontinence

Identifiers

PMID31953717

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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.