Evidence map›Paper›PMID 33773597›Full record

ArticleJournal of medical case reports2021

Novel operative technique of advancement urethral meatoplasty utilizing buccal mucosa for Vulvar Paget's disease with urethral invasion: two case reports.

Masaki Nakamura, Yuji Hakozaki, Shohei Iwata, Yusuke Sato, Katsuhiro Makino, Taketo Kawai, Yuta Yamada, Daisuke Yamada, Motofumi Suzuki, Jun Omatsu and 4 more

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of medical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 96% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

14 authors at 1 institution in 1 country.

Masaki NakamuraDepartment of Urology, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. masakin64@gmail.com.ORCID http://orcid.org/0000-0002-7473-3325
Yuji HakozakiDepartment of Urology, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Shohei IwataDepartment of Urology, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yusuke SatoDepartment of Urology, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Katsuhiro MakinoDepartment of Urology, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Taketo KawaiDepartment of Urology, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yuta YamadaDepartment of Urology, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Daisuke YamadaDepartment of Urology, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Motofumi SuzukiDepartment of Urology, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Jun OmatsuDepartment of Dermatology, The Graduate school of Medicine, The University of Tokyo, Tokyo, Japan.
Masanobu AbeDepartment of Oral-maxillofacial surgery, The Graduate school of Medicine, The University of Tokyo, Tokyo, Japan.
Kazuto HoshiDepartment of Oral-maxillofacial surgery, The Graduate school of Medicine, The University of Tokyo, Tokyo, Japan.
Haruki KumeDepartment of Urology, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yasuhiko IgawaDepartment of Urology, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
The University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVulvar Paget's disease (VPD) is a rare malignant disorder originating in the external genitalia. It occasionally invades into urethral or vaginal mucosa of female, making surgical treatment more complicating. In case of urethral invasion of Paget's cells, systematic mapping biopsy of urethral mucosa is the standard of care to determine the range of surgical resection. Resection of urethral mucosa and simple skin grafting often result in urethral stricture after surgery, which severely deteriorates patient's quality of life. CASE PRESENTATION: We applied a new technique of advancement urethral meatoplasty using buccal mucosa, in two Japanese cases of VPD with urethral invasion. After broad resection of vulvar skin together with the urethral mucosa, buccal mucosa was implanted between advanced urethral mucosa and skin graft. In both cases, we could prevent urethral stricture one year and two years after surgery, respectively.

conclusionThis technique prevented urethral stricture after surgery and could be a useful technique as part of urethroplasty for VPD.

Indexed as

Mouth MucosaUrethral StrictureFemaleHumansQuality of LifeSkin TransplantationUrethraBuccal mucosaUrethral strictureVulvar paget’s disease

Identifiers

PMID33773597
PMCPMC8005229
OpenAlexW3144029055

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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.