Evidence map›Paper›PMID 34645564›Full record

ArticleInjury2022

The effects of primary realignment or suprapubic cystostomy on prostatic displacement in patients with pelvic fracture urethral injury: a clinical study based on MR urethrography.

Zeyu Wang, Tao Liang, Guoping Song, Jiahao Lin, Yunfeng Xiao, Feixiang Wang, Kaile Zhang, Jiong Zhang, Yuemin Xu, Qiang Fu and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Injury, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Zeyu WangDepartment of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China; Shanghai Eastern Institute of Urologic Reconstruction, Shanghai, 200233, China. Electronic address: wangzeyu0418@163.com.
Tao LiangDepartment of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China; Shanghai Eastern Institute of Urologic Reconstruction, Shanghai, 200233, China. Electronic address: medicine1999@163.com.
Guoping SongDepartment of Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China. Electronic address: songgp1979@163.com.
Jiahao LinDepartment of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China; Shanghai Eastern Institute of Urologic Reconstruction, Shanghai, 200233, China. Electronic address: cheers5612ljh@126.com.
Yunfeng XiaoDepartment of Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China. Electronic address: 18930173335@163.com.
Feixiang WangShanghai Key Laboratory of Forensic Medicine, Academy of Forensic Science, Shanghai, 200063, China. Electronic address: wangfx@ssfjd.cn.
Kaile ZhangDepartment of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China; Shanghai Eastern Institute of Urologic Reconstruction, Shanghai, 200233, China. Electronic address: great_z0313@126.com.
Jiong ZhangDepartment of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China; Shanghai Eastern Institute of Urologic Reconstruction, Shanghai, 200233, China. Electronic address: huangquewb@163.com.
Yuemin XuDepartment of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China; Shanghai Eastern Institute of Urologic Reconstruction, Shanghai, 200233, China. Electronic address: xuyuemin@263.net.
Qiang FuDepartment of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China; Shanghai Eastern Institute of Urologic Reconstruction, Shanghai, 200233, China. Electronic address: jamesqfu@aliyun.com.
Lujie SongDepartment of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China; Shanghai Eastern Institute of Urologic Reconstruction, Shanghai, 200233, China. Electronic address: ljsong@sjtu.edu.cn.
Shanghai Jiao Tong University · CNInstitute of Forensic Science · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo provide direct evidence of whether primary realignment (PR) or suprapubic cystostomy (SPC) had different effects on the prostatic displacement and prognosis in patients with pelvic fracture urethral injury who needed delay anastomotic urethroplasty based on Magnetic Resonance (MR) urethrography.

methodsWe screened the urethral stenosis database of our single institution from January 2016 to June 2020. Patients who underwent delayed anastomotic urethroplasty with a preoperative MR urethrography and no treatment history of urethra were included. We compared the urethral gap length and prostatic displacement between the PR and SPC group based on MR urethrography. The terminal outcomes such as stenosis-free rate, urinary continence and erectile function were also analyzed between two groups.

results66 patients were included in this retrospective study in which 36 were in PR group and 30 in SPC group. Mean follow-up time was 15.1 months (3-38 months). One and two patients experienced recurrence of stenosis after urethroplasty in two groups (p = 1.000). No difference of erectile dysfunction and urinary incontinence was found between two groups. Based on MR urethrography, the urethral gap length was 17.4 mm and 23.3 mm (p = 0.008) which presented a significant decrease in PR group. The superior prostatic displacement was similar in two groups (9.8 mm vs. 13.8 mm, p = 0.081). The numbers and distance of displacement on lateral aspect showed no difference, either. However, PR group had less anterior-posterior prostatic displacement (p = 0.005). Besides, the erectile function was significantly related to the lateral prostatic displacement (p = 0.030/0.047).

conclusionsBased on MR urethrography, patients in PR group showed shorter urethral gap distance and slighter anterior-posterior prostatic displacement without extra erectile dysfunction or incontinence. Besides, patients' erectile function might be significantly related to the lateral prostatic displacement.

Indexed as

Fractures, BonePelvic BonesUrethral StrictureCystostomyHumansMagnetic Resonance SpectroscopyMaleRetrospective StudiesUrethraEmergency treatmentErectile dysfunctionMagnetic resonance imagingProstateUrethral stenosisUrethroplasty

Identifiers

PMID34645564
OpenAlexW3202867968

What OpenQuestion holds

Textmetadata
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.