Evidence map›Paper›PMID 34501359›Full record

ReviewJournal of clinical medicine2021

Treatment of Urethral Strictures in Transmasculine Patients.

Mieke Waterschoot, Wietse Claeys, Piet Hoebeke, Wesley Verla, Marjan Waterloos, Michel Wirtz, Marlon Buncamper, Nicolaas Lumen

Open access · goldAbstract readReview
In one paragraph

Review 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.1field-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.

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

1 citing paper in PubMed, 13 citations in OpenAlex.

  1. Article
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

8 authors at 1 institution in 1 country.

Mieke WaterschootDepartment of Urology, Ghent University Hospital, 9000 Gent, Belgium.ORCID 0000-0002-9510-611X
Wietse ClaeysDepartment of Urology, Ghent University Hospital, 9000 Gent, Belgium.ORCID 0000-0002-4314-793X
Piet HoebekeDepartment of Urology, Ghent University Hospital, 9000 Gent, Belgium.ORCID 0000-0002-9883-7647
Wesley VerlaDepartment of Urology, Ghent University Hospital, 9000 Gent, Belgium.
Marjan WaterloosDepartment of Urology, Ghent University Hospital, 9000 Gent, Belgium.
Michel WirtzDepartment of Urology, Ghent University Hospital, 9000 Gent, Belgium.
Marlon BuncamperDepartment of Plastic and Reconstructive Surgery, Ghent University Hospital, 9000 Gent, Belgium.
Nicolaas LumenDepartment of Urology, Ghent University Hospital, 9000 Gent, Belgium.
Ghent University Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrethral strictures are a common complication after genital gender-affirming surgery (GGAS) in transmasculine patients. Studies that specifically focus on the management of urethral strictures are scarce. The aim of this systematic review is to collect all available evidence on the management of urethral strictures in transmasculine patients who underwent urethral lengthening.

methodsWe performed a systematic review of the management of urethral strictures in transmasculine patients after phalloplasty or metoidioplasty (PROSPERO, CRD42021215811) with literature from PubMed, Embase, Web of Science and Cochrane. Preferred Reporting Items for Systematic reviews and Meta-Analysis-(PRISMA) guidelines were followed, and risk of bias was assessed for every individual study using the 5-criterion quality appraisal checklist.

resultsEight case series were included with a total of 179 transmasculine patients. Only one study discussed the management of urethral strictures after metoidioplasty. Urethral strictures were most often seen at the anastomosis between the fixed and pendulous urethra. For each stricture location, different techniques have been reported. All studies were at a high risk of bias. The current evidence is insufficient to favor one technique over another.

conclusionsDifferent techniques have been described for the different clinical scenarios of urethral stricture disease after GGAS. In the absence of comparative studies, however, it is impossible to advocate for one technique over another. This calls for additional research, ideally well-designed prospective randomized controlled trials (RCTs), focusing on both surgical and functional outcome parameters.

Indexed as

sex reassignment surgerytransgendertransmenurethral stricture

Identifiers

PMID34501359
PMCPMC8432136
OpenAlexW3198532442

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.