Evidence map›Paper›PMID 34159084›Full record

ArticleTranslational andrology and urology2021

Multicenter urethroplasty outcomes for urethral stricture disease for patients with neurogenic bladder or bladder dysfunction requiring clean intermittent catheterization.

Andrew J Cohen, Philip J Cheng, Sikai Song, German Patino, Jeremy B Myers, Samit S Roy, Sean P Elliott, Joseph Pariser, Justin Drobish, Brad A Erickson and 5 more

Open access · diamondAbstract read
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In one paragraph

Article in Translational andrology and urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

0 citing papers in PubMed, 7 citations in OpenAlex.

No citing paper in PubMed yet.

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

15 authors at 7 institutions in 2 countries.

Andrew J CohenJames Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, MD, USA.
Philip J ChengDepartment of Urology, University of Utah, Salt Lake City, UT, USA.
Sikai SongDepartment of Urology, Zuckerberg San Francisco General Hospital, University of California-San Francisco, San Francisco, CA, USA.
German PatinoDepartment of Urology, Zuckerberg San Francisco General Hospital, University of California-San Francisco, San Francisco, CA, USA.
Jeremy B MyersDepartment of Urology, University of Utah, Salt Lake City, UT, USA.
Samit S RoyUniversity of Minnesota, Minneapolis, MN, USA.
Sean P ElliottUniversity of Minnesota, Minneapolis, MN, USA.
Joseph PariserUniversity of Minnesota, Minneapolis, MN, USA.
Justin DrobishUniversity of Iowa, Iowa City, IA, USA.
Brad A EricksonUniversity of Iowa, Iowa City, IA, USA.
Thomas W FullerUniversity of California, San Diego, CA, USA.
Jill C BuckleyUniversity of California, San Diego, CA, USA.
Alex J VanniLahey Hospital and Medical Center, Burlington, MA, USA.
Nima BaradaranDepartment of Urology, Ohio State, Columbus, OH, USA.
Benjamin N BreyerDepartment of Urology, Zuckerberg San Francisco General Hospital, University of California-San Francisco, San Francisco, CA, USA.
San Francisco General Hospital · USUniversity of Minnesota · USUniversity of California, San Diego · USUniversity of Iowa · USUniversity of Utah · USJohns Hopkins Hospital · USLahey Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur objective is to better comprehend treatment considerations for urethral stricture disease (USD) in patients requiring long-term clean intermittent catheterization (CIC). Patient characteristics, surgical outcomes and complications are unknown in this population.

methodsSix members of the Trauma and Urologic Reconstruction Network of Surgeons (TURNS) participated in a prospective (2009 to present) and retrospective (prior to 2009) database recording patient demographics, surgical approach and outcomes. We included all patients undergoing urethroplasty who perform CIC. Descriptive statistics were used to analyze results.

resultsA total of 37 patients with 39 strictures were included. Bladder dysfunction was characterized as detrusor failure in 35% and neurogenic etiology in 65%. Median stricture length was 3 cm (IQR: 1.5-5.5) with 28% repaired with dorsal onlay buccal mucosal graft, 26% excision and primary anastomosis, 8% dorsal inlay, 8% ventral and dorsal, 8% flap based 8% non-transecting and 15% other. Functional success was 90%: 4 patients required DVIU or dilation due to recurrence, with 2 of those ultimately requiring repeat urethroplasty. 86% of patients returned to CIC; no patients reported new pad use for urinary leakage after urethroplasty. During a median follow-up period of 3.1 years (IQR: 1.0-5.3), no patients underwent urinary diversion.

conclusionsUrethroplasty is suitable, safe and effective for patients dependent on CIC suffering from USD. The effect of continual CIC on long-term outcomes remains uncertain.

Indexed as

neurogenic bladderSpinal cord injuriesurethral strictureurethroplastyurinary catheterization

Identifiers

PMID34159084
PMCPMC8185657
OpenAlexW3161470942

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.