Evidence map›Paper›PMID 33985934›Full record

SynthesisEuropean urology focus2022

The Effect of Low-intensity Shockwave Therapy on Non-neurogenic Lower Urinary Tract Symptoms: A Systematic Review and Meta-analysis of Preclinical and Clinical Studies.

Ioannis Sokolakis, Nikolaos Pyrgidis, Andreas Neisius, Michael Gierth, Thomas Knoll, Jens Rassweiler, Georgios Hatzichristodoulou, German Society for Shock Wave Lithotripsy

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European urology focus, 2022. 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
1.1field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Ioannis SokolakisDepartment of Urology, Martha-Maria Hospital Nuremberg, Nuremberg, Germany.
Nikolaos PyrgidisDepartment of Urology, Martha-Maria Hospital Nuremberg, Nuremberg, Germany.
Andreas NeisiusDepartment of Urology, Barmherzige Brüder Hospital Trier, Trier, Germany.
Michael GierthDepartment of Urology, University Hospital Regensburg, Regensburg, Germany.
Thomas KnollDepartment of Urology, Klinikverbund Südwest, Sindelfingen Hospital, Sindelfingen, Germany.
Jens RassweilerDepartment of Urology, SLK Hospital Heilbronn, Heilbronn, Germany.
Georgios HatzichristodoulouDepartment of Urology, Martha-Maria Hospital Nuremberg, Nuremberg, Germany. Electronic address: georgios.hatzichristodoulou@martha-maria.de.
German Society for Shock Wave Lithotripsy
Martha-Maria Hospital · DEKlinikverbund Südwest · DEKrankenhaus der Barmherzigen Brüder Trier · DESLK-Kliniken Heilbronn · DEUniversity Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextLow-intensity shockwave therapy (LiST) has emerged as an effective treatment for pain in patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), and it has been postulated that LiST may also be effective in patients with lower urinary tract symptoms (LUTS).

objectiveTo perform a systematic review and meta-analysis of experimental and clinical studies exploring the effect of LiST on LUTS in an attempt to provide clinical implications for future research. EVIDENCE ACQUISITION: We systematically searched PubMed, Cochrane Library, and Scopus databases from inception to March 2021 for relevant studies. We provided a qualitative synthesis regarding the role of LiST in LUTS and performed a single-arm, random-effect meta-analysis to assess the absolute effect of LiST on LUTS only in patients with CP/CPPS (PROSPERO: CRD42021238281). EVIDENCE SYNTHESIS: We included 23 studies (11 experimental studies, seven nonrandomized controlled trials [non-RCTs], and five RCTs) in the systematic review and seven in the meta-analysis. All experimental studies were performed on rats with LUTS, and the clinical studies recruited a total of 539 participants. In patients with CP/CPPS, the absolute effect of LiST on maximum flow rate and postvoid residual was clinically insignificant. However, the available studies suggest that LiST is effective for the management of pain in patients with either CP/CPPS or interstitial cystitis/bladder pain syndrome. Additionally, LiST after intravesical instillation of botulinum neurotoxin type A may enhance its absorption and substitute botulinum neurotoxin type A injections in patients with overactive bladder. Furthermore, the available evidence is inconclusive about the role of LiST in patients with benign prostatic obstruction, stress urinary incontinence, or underactive bladder/detrusor hypoactivity.

conclusionsLiST may be effective for some disorders causing LUTS. Still, further studies on the matter are necessary, since the available evidence is scarce. PATIENT SUMMARY: Low-intensity shockwave therapy represents a safe, easily applied, indolent, and repeatable on an outpatient basis treatment modality that may improve lower urinary tract symptoms.

Indexed as

Botulinum Toxins, Type AChronic PainHigh-Energy Shock WavesLower Urinary Tract SymptomsProstatitisAnimalsHumansMalePelvic PainRatsBotulinum Toxins, Type ALower urinary tract symptomsLow-intensity shockwave therapyMeta-analysis

Identifiers

PMID33985934
OpenAlexW3160355586

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.