Evidence map›Paper›PMID 34156506›Full record

ArticleInternational urogynecology journal2021

Trigone as a diagnostic and therapeutic target for bladder-centric interstitial cystitis/bladder pain syndrome.

Amy D Dobberfuhl, Stefanie van Uem, Eboo Versi

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

NCT05463822 early_phase1completednot on this map

Feasibility and Efficacy of Transvaginal Botulinum Toxin A Chemodenervation of the Bladder for the Third Line Treatment of Refractory Overactive Bladder

TypeinterventionalSponsorStanford UniversityRan2019 to 2021Enrolled15ConditionsOveractive Bladder, Bladder, Overactive, Urge Incontinence, Urgency UrinaryArmsTransvaginal botulinum toxin A (BTA) injection
NCT05485207 early_phase1unknown statusnot on this mapstarted 2022, after this paper: background citation

T3STOPBPS: Open Label Clinical Trial of Transvaginal Trigone Treatment (T3) With Botulinum Toxin A (BTA) for Interstitial Cystitis / Bladder Pain Syndrome (IC/BPS)

TypeinterventionalSponsorStanford UniversityRan2022 to 2025Enrolled5ConditionsInterstitial Cystitis, Bladder Pain SyndromeArmsTransvaginal botulinum toxin A (BTA) injection
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 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

3 authors at 3 institutions in 1 country.

Amy D DobberfuhlStanford University School of Medicine, Department of Urology, 300 Pasteur Drive, Grant S-287, Stanford, CA, 94305, USA. adobber@stanford.edu.ORCID 0000-0003-3451-3878
Stefanie van UemStanford University School of Medicine, Department of Urology, 300 Pasteur Drive, Grant S-287, Stanford, CA, 94305, USA.ORCID 0000-0003-4484-5489
Eboo VersiRutgers Robert Wood Johnson Medical School, Department of Obstetrics, Gynecology and Reproductive Sciences, 125 Paterson Street, New Brunswick, NJ, 08901, USA.ORCID 0000-0001-9366-7370
Rutgers, The State University of New Jersey · USStanford Medicine · USStanford University · US

Funding

NIDDK NIH HHS L30 DK115056
6 · The paper itself

Abstract

The pathophysiology of interstitial cystitis/bladder pain syndrome (IC/BPS) may be bladder-centric, with afferent nerve hyperexcitability and/or due to neural central sensitization. In bladder-centric disease, the trigone's unmyelinated nociceptive C-fibers are thought to be upregulated, suggesting this as a potential target for diagnostic modalities and for treatment with local anesthetics and chemodenervation. We propose that the transvaginal trigone treatment (T3) route of administration of such treatments should be considered in women with IC/BPS, as this approach is easier and less invasive than cystoscopy. For T3, or other bladder-centric treatments to be successful, patient selection should attempt to exclude patients with predominantly neural central sensitization.

Indexed as

Cystitis, InterstitialAnesthetics, LocalCystoscopyFemaleHumansUrinary BladderAnesthetics, LocalAfferent pathwaysFemaleInterstitial cystitisLocal anestheticsType A botulinum toxinsUrinary bladder

Identifiers

PMID34156506
OpenAlexW3174213969

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.