Evidence map›Paper›PMID 34209631›Full record

ArticleJournal of clinical medicine2021

Contemporary Outcomes after Transurethral Procedures for Bladder Neck Contracture Following Endoscopic Treatment of Benign Prostatic Hyperplasia.

Clemens M Rosenbaum, Malte W Vetterlein, Margit Fisch, Philipp Reiss, Thomas Stefan Worst, Jennifer Kranz, Joachim Steffens, Luis A Kluth, Daniel Pfalzgraf, On Behalf Of The Trauma And Reconstructive Urology Working Party Of The European Association Of Urology Eau Young Academic Urologists Yau

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 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

10 authors at 4 institutions in 1 country.

Clemens M RosenbaumDepartment of Urology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.
Malte W VetterleinDepartment of Urology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.ORCID 0000-0001-5987-3883
Margit FischDepartment of Urology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.
Philipp ReissDepartment of Urology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.
Thomas Stefan WorstDepartment of Urology, University Medical Center Mannheim, Heidelberg University, 68167 Mannheim, Germany.ORCID 0000-0001-5429-126X
Jennifer KranzDepartment of Urology, St.-Antonius-Hospital, 52249 Eschweiler, Germany.
Joachim SteffensDepartment of Urology, St.-Antonius-Hospital, 52249 Eschweiler, Germany.
Luis A KluthDepartment of Urology, University Hospital, Goethe University Frankfurt am Main, 60590 Frankfurt, Germany.
Daniel PfalzgrafDepartment of Urology, University Medical Center Mannheim, Heidelberg University, 68167 Mannheim, Germany.ORCID 0000-0002-3608-1805
On Behalf Of The Trauma And Reconstructive Urology Working Party Of The European Association Of Urology Eau Young Academic Urologists Yau
Universität Hamburg · DEHeidelberg University · DESankt-Antonius-Hospital Eschweiler · DEGoethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBladder neck contracture (BNC) is a bothersome complication following endoscopic treatment for benign prostatic hyperplasia (BPH). The objective of our study was to give a more realistic insight into contemporary endoscopic BNC treatment and to evaluate and identify risk factors associated with inferior outcome. MATERIAL AND

methodsWe identified patients who underwent transurethral treatment for BNC secondary to previous endoscopic therapy for BPH between March 2009 and October 2016. Patients with vesico-urethral anastomotic stenosis after radical prostatectomy were excluded. Digital charts were reviewed for re-admissions and re-visits at our institutions and patients were contacted personally for follow-up. Our non-validated questionnaire assessed previous urologic therapies (including radiotherapy, endoscopic, and open surgery), time to eventual further therapy in case of BNC recurrence, and the modality of recurrence management.

resultsOf 60 patients, 49 (82%) and 11 (18%) underwent transurethral bladder neck resection and incision, respectively. Initial BPH therapy was transurethral resection of the prostate (TURP) in 54 (90%) and holmium laser enucleation of the prostate (HoLEP) in six (10%) patients. Median time from prior therapy was 8.5 (IQR 5.3-14) months and differed significantly in those with (6.5 months; IQR 4-10) and those without BNC recurrence (10 months; IQR 6-20;

conclusionsA longer time interval between previous BPH therapy and subsequent BNC incidence seems to favorably affect treatment success of endoscopic BNC treatment, and transurethral resection and incision appear equally effective. Granted the relatively small sample size, BNC treatment success seems to be higher after HoLEP compared to TURP, which warrants validation in larger cohorts.

Indexed as

bladder neck stenosisBPHendourologyHoLEPTURP

Identifiers

PMID34209631
PMCPMC8268764
OpenAlexW3175451946

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.