Evidence map›Paper›PMID 35152322›Full record

SynthesisWorld journal of urology2022

Urethral stricture following endoscopic prostate surgery: a systematic review and meta-analysis of prospective, randomized trials.

Giacomo Maria Pirola, Daniele Castellani, Ee Jean Lim, Marcelo Langer Wroclawski, Dong Le Quy Nguyen, Marilena Gubbiotti, Emanuele Rubilotta, Vinson Wai-Shun Chan, Mariela Corrales, Esther García Rojo and 3 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

13 authors at 13 institutions in 9 countries.

Giacomo Maria PirolaDepartment of Urology, San Giuseppe Hospital, Multimedica Group, Milano, Italy.
Daniele CastellaniDepartment of Urology, University Hospital "Ospedali Riuniti" and Polytechnic University of Marche Region, Ancona, Italy.
Ee Jean LimDepartment of Urology, Singapore General Hospital, Singapore, Singapore.
Marcelo Langer WroclawskiHospital Israelita Albert Einstein, BP-A Beneficência Portuguesa de São Paulo, São Paulo, Brazil.
Dong Le Quy NguyenDepartment of Urology, Binh Dan Hospital, Danang, Vietnam.
Marilena GubbiottiDepartment of Urology, Usl Toscana Sud Est, San Donato Hospital, Arezzo, Italy.
Emanuele RubilottaDepartment of Urology, A.O.U.I. Verona University, Verona, Italy.
Vinson Wai-Shun ChanSchool of Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
Mariela CorralesDepartment of Urology, Tenon Hospital, Sorbonne University, Paris, France.
Esther García RojoDepartment of Urology, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain.
Thomas R W HerrmannDepartment of Urology, Spital Thurgau AG (STGAG), Frauenfeld, Switzerland.
Jeremy Yuen-Chun TeohDepartment of Surgery, S.H. Ho Urology Center, The Chinese University of Hong Kong, Hong Kong, China.
Vineet GauharDepartment of Urology, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore. vineet_gauhar@nuhs.edu.sg.ORCID http://orcid.org/0000-0002-3740-7141
Chinese University of Hong Kong · HKDa Nang Hospital · VNHM Hospitales · ESHospital Israelita Albert Einstein · BRMarche Polytechnic University · ITMultiMedica · ITNg Teng Fong General Hospital · SGOspedale San Donato · ITSingapore General Hospital · SGSorbonne Université · FRSpital Thurgau (Switzerland) · CHUniversity of Leeds · GBUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

objectivesThis systematic review aims to evaluate the incidence and influencing factors of urethral stricture (US) in relation to different BPH endoscopic techniques. MATERIALS AND

methodsWe performed a systematic literature review using MEDLINE, EMBASE, and Cochrane Central Controlled Register of Trials. The incidence of US was estimated through comparative studies between different endoscopic techniques. Patients were assigned into groups according to the type of surgery (enucleation, ablation and resection group). Incidences of US were pooled using the Cochran-Mantel-Haenszel Method with the random effect model and reported as Risk Ratio (RR), 95% Confidence Intervals (CI), and p-values.

resultsA total of 80 studies were included for meta-analysis. The pooled incidence of US was 1.7% after enucleation, 2.1% after ablation, 3.8% after monopolar (M)-TURP and 2.1% after bipolar (B)-TURP. The incidence of US was significantly lower after Enucleation than after TURP (RR 0.58 95% CI 0.39-0.84, p = 0.004). US incidence was lower for Ablation procedures than TURP, but the difference did not reach significance (RR 0.79 95% CI 0.61-1.3, p = 0.08). However, this was significant in the subgroup of M-TURP studies (RR 0.67, 95% CI, 0.49-0.91, p = 0.01). Sub-analysis showed that the risk of US was significantly lower after Enucleation than after TURP within 12 months after surgery (RR 0.51 95% CI 0.33-0.81, p = 0.004).

conclusionThe study shows an increased incidence of US after TURP compared to enucleation and ablation procedures. The main factors related to increased US incidence are the use of monopolar energy, instrument caliber and duration of postoperative catheterization.

Indexed as

Prostatic HyperplasiaTransurethral Resection of ProstateUrethral StrictureHumansMaleProspective StudiesProstateRandomized Controlled Trials as TopicTreatment OutcomeAblationBenign prostatic hyperplasiaEnucleationPostoperative complicationsTransurethral resection of the prostateUrethral stricture

Identifiers

PMID35152322
OpenAlexW4213296754

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.