Evidence map›Paper›PMID 32744999›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2021

A drug-coated balloon treatment for urethral stricture disease: Two-year results from the ROBUST I study.

Rachel A Mann, Ramón Virasoro, Jessica M DeLong, Rafael E Estrella, Merycarla Pichardo, Ramón Rodríguez Lay, Gustavo Espino, Joshua D Roth, Sean P Elliott

Open access · diamondAbstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.5field-weighted citation impact, top 8% 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, 25 citations in OpenAlex.

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  3. Paclitaxel Drug-Coated Balloon (OptilumeMedicina (Kaunas, Lithuania) · 2026
    Review
  4. Economic evaluation of urethroplasty vs. repeated endoscopic dilation in short bulbar urethral stricture management.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
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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

9 authors at 5 institutions in 3 countries.

Rachel A MannDepartment of Urology, University of Minnesota, Minneapolis, MN, United States.
Ramón VirasoroDepartment of Urology, Eastern Virginia Medical School, Norfolk, VA, United States.
Jessica M DeLongDepartment of Urology, Eastern Virginia Medical School, Norfolk, VA, United States.
Rafael E EstrellaClinica Union Medica, Santiago de los Caballeros, Dominican Republic.
Merycarla PichardoURUS, Santo Domingo, Dominican Republic.
Ramón Rodríguez LayUrology Royal Center Panamá City, Panamá.
Gustavo EspinoCentro Especializado San Fernando, Panamá City, Panamá.
Joshua D RothDepartment of Urology, University of Minnesota, Minneapolis, MN, United States.
Sean P ElliottDepartment of Urology, University of Minnesota, Minneapolis, MN, United States.
University of Minnesota · USEastern Virginia Medical School · USPanama Canal Authority · PAPontificia Universidad Católica Madre y Maestra · DOUniversidad Especializada de las Américas · PA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMechanical balloon dilation and direct visualization internal urethrotomy (DVIU) are the most widely used treatments for urethral stricture disease in the U.S., but recurrence rates are high, especially after re-treatment. This study investigates the safety and efficacy of the Optilume™ paclitaxel-coated balloon for the treatment of recurrent strictures.

methodsMen with recurrent bulbar strictures ≤2 cm with 1-4 prior endoscopic treatments were treated with the Optilume™ drug-coated balloon. Patients were evaluated within 14 days, three, six, 12, and 24 months post-treatment. The primary safety endpoint was serious urinary adverse events. The primary efficacy endpoint was ≥50% improvement in International Prostate Symptom Score (IPSS) at 24 months. Secondary outcomes included quality of life, erectile function, flow rate, and post-void residual urine volume.

resultsA total of 53 subjects were enrolled and treated; 46 completed the 24-month followup. Forty-three percent of men had undergone >1 previous dilations, with a mean of 1.7 prior dilations. There were no serious adverse events related to treatment at two years. Success was achieved in 32/46 (70%), and baseline IPSS improved from a mean of 25.2 to 6.9 at 24 months (p<0.0001). Quality of life, flow rate, and post-void residual urine volumes improved significantly from baseline. There was no impact on erectile function.

conclusionsTwo-year data indicates the Optilume™ paclitaxel-coated balloon is safe for the treatment of recurrent bulbar urethral strictures. Early efficacy results are encouraging and support further followup of these men through five years, as well as further investigation with a randomized trial.

Identifiers

PMID32744999
PMCPMC7864702
OpenAlexW3001710884

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.