Evidence map›Paper›PMID 35103930›Full record

Observational studyInternational urology and nephrology2022

The role of occlusion and micro-incontinence in the pathogenesis of penile lichen sclerosus: an observational study of pro-inflammatory cytokines' gene expression.

M Czajkowski, P Wierzbicki, A Kotulak-Chrząszcz, K Czajkowska, M Bolcewicz, J Kłącz, K Kreft, A Lewandowska, B Nedoszytko, M Sokołowska-Wojdyło and 4 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in International urology and nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Genital Lichen Sclerosus: From Hidden Mechanisms to Healing Horizons.International journal of molecular sciences · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Inflammation in Penile Squamous Cell Carcinoma: A Comprehensive Review.International journal of molecular sciences · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

14 authors at 3 institutions in 2 countries.

M CzajkowskiDepartment of Urology, Medical University of Gdańsk, Mariana Smoluchowskiego 17 street, 80-214, Gdańsk, Poland. drmatczajkowski@gmail.com.ORCID http://orcid.org/0000-0003-2017-5417
P WierzbickiDepartment of Histology, Medical University of Gdańsk, Gdańsk, Poland.ORCID http://orcid.org/0000-0002-4310-1616
A Kotulak-ChrząszczDepartment of Histology, Medical University of Gdańsk, Gdańsk, Poland.ORCID http://orcid.org/0000-0002-2942-6270
K CzajkowskaDepartment of Dermatology, Venerology and Allergology, Medical University of Gdańsk, Gdańsk, Poland.ORCID http://orcid.org/0000-0003-3296-3453
M BolcewiczDivision of Medical Laboratory Diagnostics, Medical University of Gdańsk, Gdańsk, Poland.ORCID http://orcid.org/0000-0002-5873-2576
J KłączDepartment of Urology, Medical University of Gdańsk, Mariana Smoluchowskiego 17 street, 80-214, Gdańsk, Poland.ORCID http://orcid.org/0000-0001-5010-9336
K KreftDivision of Medical Laboratory Diagnostics, Medical University of Gdańsk, Gdańsk, Poland.ORCID http://orcid.org/0000-0003-0503-6566
A LewandowskaDivision of Medical Laboratory Diagnostics, Medical University of Gdańsk, Gdańsk, Poland.ORCID http://orcid.org/0000-0002-9369-427X
B NedoszytkoDepartment of Dermatology, Venerology and Allergology, Medical University of Gdańsk, Gdańsk, Poland.ORCID http://orcid.org/0000-0002-6286-0693
M Sokołowska-WojdyłoDepartment of Dermatology, Venerology and Allergology, Medical University of Gdańsk, Gdańsk, Poland.ORCID http://orcid.org/0000-0002-7626-3689
Z KmiećDepartment of Histology, Medical University of Gdańsk, Gdańsk, Poland.ORCID http://orcid.org/0000-0002-9801-8166
L KalinowskiDivision of Medical Laboratory Diagnostics, Medical University of Gdańsk, Gdańsk, Poland.ORCID http://orcid.org/0000-0001-7270-1592
R J NowickiDepartment of Dermatology, Venerology and Allergology, Medical University of Gdańsk, Gdańsk, Poland.ORCID http://orcid.org/0000-0003-4768-1387
M MatuszewskiDepartment of Urology, Medical University of Gdańsk, Mariana Smoluchowskiego 17 street, 80-214, Gdańsk, Poland.ORCID http://orcid.org/0000-0002-7799-685X
Gdańsk Medical University · PLGreater Poland Cancer Center · PLReproductive Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the expression of selected cytokines in penile lichen sclerosus (PLS) and associate them with the occurrence of micro-incontinence (MI) in different stages of PLS.

methodsThe skin biopsies from 49 PLS affected, and 13 from nonlesional foreskins (healthy control adult males undergoing circumcision due to phimosis caused by short frenulum) were obtained. All specimens were used for RNA extraction and RT-qPCR. Quantitative assessment of the gene expression of interleukin 1-A (IL-1A), interleukin 1-B (IL-1B), interleukin 1 receptor antagonist (IL-1RN), interleukin 6 (IL-6), transforming growth factor β1 (TGF-β1), and interferon-gamma (INF-γ) was performed. To determinate the presence of MI, the patients were asked about voiding patterns, especially leaking tiny drops of urine from the urethral meatus after urination.

resultsIL-1A, IL-6, and INF-γ mRNA levels were approximately 150, 16, and 59 times higher in PLS than in control samples, respectively. The highest IL-1A mRNA levels were observed in early PLS (n = 13), INF-γ in moderate PLS (n = 32), while IL-6 in severe PLS (n = 4). MI was noted in 45 PLS patients vs. 0 in control (p < 0.0001). IL-1A and IL-6 vs control ratios were concentration (ca.) 400 and 30 times higher, respectively, in MI PLS samples than in PLS without MI.

conclusionOcclusion and irritating urine effect are associated with the clinical progression of penile LS with increased mRNA expression of IL-1A, INF-γ, and IL-6 pro-inflammatory cytokines in the foreskin.

Indexed as

Lichen Sclerosus et AtrophicusPhimosisAdultCytokinesForeskinGene ExpressionHumansMaleCytokinesIFN-γIL-1IL-6Micro-incontinencePenile lichen sclerosusTGF-β1

Identifiers

PMID35103930
PMCPMC8924098
OpenAlexW4210465239

What OpenQuestion holds

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LicenceCC BY
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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.