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ArticleInternational braz j urol : official journal of the Brazilian Society of Urology

Can Concomitant Bladder Neck Incision and Primary Valve Ablation Reduce Early Re-admission Rate and Secondary Intervention?

Ahmed Abdelhalim, Abdelwahab Hashem, Ebrahim E Abouelenein, Ahmed M Atwa, Mohamed Soltan, Ashraf T Hafez, Mohamed S Dawaba, Tamer E Helmy

Open access · greenAbstract read
In one paragraph

Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 34% 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, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Ahmed AbdelhalimDepartment of Pediatric Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Abdelwahab HashemDepartment of Pediatric Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Ebrahim E AboueleneinDepartment of Pediatric Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Ahmed M AtwaDepartment of Pediatric Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Mohamed SoltanDepartment of Pediatric Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Ashraf T HafezDepartment of Pediatric Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Mohamed S DawabaDepartment of Pediatric Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Tamer E HelmyDepartment of Pediatric Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Mansoura University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effect of bladder neck morphology and its incision (BNI) in patients with posterior urethral valve (PUV) on early reintervention rate. PATIENTS AND

methodsInfants undergoing PUV ablation (PVA) before 24 months of age and had at least 18 months of follow-up, were categorized into three groups according to the bladder neck appearance on baseline radiological and endoscopic examination: group 1; normal bladder neck underwent PVA, group 2; high bladder neck underwent PVA plus BNI, group 3; high bladder neck underwent PVA only. Early reintervention was defined as the need for check cystoscopy because of persistent renal function deterioration, worsening hydronephrosis and/or unsatisfactory VCUG improvement during the 1st six months post primary PVA.

resultsBetween 2000 and 2017, a total of 114 patients underwent PVA and met the study criteria with a median follow-up of 58 (18-230) months. For group 1, 16 (22.9%) patients needed readmission. Check cystoscopy was free and no further intervention was performed in 5(7.5%) and re-ablation was performed in 11(15.7%) patients. For group 2, 3(14.3%) patients needed reintervention. Re-ablation and re-ablation plus BNI were performed in 1(4.8%) and 2(9.5%), respectively. For group 3, cystoscopy was free in 1(4.3%), re-ablation and re-ablation plus BNI were performed 2(8.7%) and 1(4.3%), respectively. There were no significant differences in the re-admission and re-intervention rates among the three study groups (p=0.65 and p=0.50, respectively).

conclusionIn morphologically high bladder neck associated PUV, concomitant BNI with PVA doesn't reduce early re-intervention rate.

Indexed as

UrethraUrinary BladderCystoscopyCystotomyFollow-Up StudiesHumansInfantMaleRetrospective StudiesAblation TechniquesUrinary Bladder Neck ObstructionUrinary Bladder, Neurogenic

Identifiers

PMID35168311
PMCPMC9060171
OpenAlexW4213148666

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.