Evidence map›Paper›PMID 34337493›Full record

ArticleEuropean urology open science2021

Minimally Invasive Buccal Mucosa Dorsal Graft for Female Distal Urethroplasty.

Elisa Berdondini, Lorenzo Tosco, Andrea Margara, Alessandro Giacobbe, Devis Collura, Federico Germinale, Marisa Kurti, Gianluca Muto, Giovanni Muto

Abstract read
In one paragraph

Article in European urology open science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

9 authors.

Elisa BerdondiniCenter for Genital Surgery, Humanitas Gradenigo Hospital, Turin, Italy.
Lorenzo ToscoDepartment of Urology, Humanitas Gradenigo Hospital, Turin, Italy.
Andrea MargaraCenter for Genital Surgery, Humanitas Gradenigo Hospital, Turin, Italy.
Alessandro GiacobbeDepartment of Urology, Humanitas Gradenigo Hospital, Turin, Italy.
Devis ColluraDepartment of Urology, Humanitas Gradenigo Hospital, Turin, Italy.
Federico GerminaleDepartment of Urology, Humanitas Gradenigo Hospital, Turin, Italy.
Marisa KurtiDepartment of Urology, Humanitas Gradenigo Hospital, Turin, Italy.
Gianluca MutoDepartment of Urology, University of Florence, Careggi Hospital, Florence, Italy.
Giovanni MutoDepartment of Urology, Humanitas Gradenigo Hospital, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFemale urethral stricture (FUS) represents a sporadic condition. There is a lack of data and standardized guidelines on diagnostics and therapeutics. Several surgical techniques have been described for FUS urethroplasty, among which the flap-based or graft-based ones are most reported. Buccal mucosa graft (BMG) represents the gold standard for male urethroplasty, and this can theoretically be applied also to FUS treatment.

objectiveTo describe and present preliminary results of a novel minimally invasive technique for buccal mucosa dorsal graft (mini-dorsal BMG) urethroplasty for the treatment of FUS. DESIGN SETTING AND

participantsThis is a retrospective study on buccal mucosa dorsal graft urethroplasty for the treatment of FUS. SURGICAL PROCEDURE: Every patient was placed in lithotomic position. Two stiches were placed at 10 and 2 o'clock positions to facilitate the dorsal median urethrotomy. The margins of the incised dorsal urethra at the 12 o'clock position are then dissected from the periurethral tissue. This dissection results in an elliptical raw area between the edges of the urethra over the periurethral tissue. The harvested BMG was fixed with several quilting sutures, using 5-0 and 4-0 absorbable sutures, to cover the raw area. The margins of the graft were sutured to the edges of the incised urethra. MEASUREMENTS: A chart review was performed. RESULTS AND LIMITATIONS: Thirteen patients underwent the mini-dorsal-BMG technique. The median preoperative uroflow was 5.6 (3-13) ml/s, and the median postoperative value was 23.4 (14-58) ml/s.

conclusionsThe mini-dorsal-BMG technique for the treatment of FUS gives good results with low complication rates. Other series and long-term follow-up are necessary to confirm the reproducibility of this technique. PATIENT SUMMARY: We present the technical aspects and the promising preliminary results of a novel surgical technique for the treatment of female urethral stricture by using the buccal mucosa to correct this invalidating disease.

Indexed as

Buccal mucosaFemaleStrictureUrethralUrethroplasty

Identifiers

PMID34337493
PMCPMC8317839

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