Evidence map›Paper›PMID 35503704›Full record

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

Presenting signs and symptoms of artificial urinary sphincter cuff erosion.

Linley Diao, Samantha W Nealon, Gianpaolo P Carpinito, Shervin Badkhshan, Avery R Wolfe, Benjamin M Dropkin, Sarah C Sanders, Steven J Hudak, Allen F Morey

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
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.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-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

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Impact of artificial urinary sphincter erosion in the reimplantation of the device.International braz j urol : official journal of the Brazilian Society of Urology
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Linley DiaoDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Samantha W NealonDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Gianpaolo P CarpinitoDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Shervin BadkhshanDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Avery R WolfeDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Benjamin M DropkinDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Sarah C SandersDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Steven J HudakDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Allen F MoreyDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
The University of Texas at Austin · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo characterize the most common presentation and clinical risk factors for artificial urinary sphincter (AUS) cuff erosion to distinguish the relative frequency of symptoms that should trigger further evaluation in these patients. MATERIALS AND

methodsWe retrospectively reviewed our tertiary center database to identify men who presented with AUS cuff erosion between 2007 - 2020. A similar cohort of men who underwent AUS placement without erosion were randomly selected from the same database for symptom comparison. Risk factors for cuff erosion - pelvic radiation, androgen deprivation therapy (ADT), high-grade prostate cancer (Gleason score ≥ 8) - were recorded for each patient. Presenting signs and symptoms of cuff erosion were grouped into three categories: obstructive symptoms, worsening incontinence, and localized scrotal inflammation (SI).

resultsOf 893 men who underwent AUS placement during the study interval, 61 (6.8%) sustained cuff erosion. Most erosion patients (40/61, 66%) presented with scrotal inflammatory changes including tenderness, erythema, and swelling. Fewer men reported obstructive symptoms (26/61, 43%) and worsening incontinence (21/61, 34%). Men with SI or obstructive symptoms presented significantly earlier than those with worsening incontinence (SI 14 ± 18 vs. obstructive symptoms 15 ± 16 vs. incontinence 37 ± 48 months after AUS insertion, p<0.01). Relative to the non-erosion control group (n=61), men who suffered erosion had a higher prevalence of pelvic radiation (71 vs. 49%, p=0.02).

conclusionAUS cuff erosion most commonly presents as SI symptoms. Obstructive voiding symptoms and worsening incontinence are also common. Any of these symptoms should prompt further investigation of cuff erosion.

Indexed as

Prostatic NeoplasmsUrinary Incontinence, StressUrinary Sphincter, ArtificialAndrogen AntagonistsHumansMaleRetrospective StudiesAndrogen AntagonistsMaleUrinary IncontinenceUrinary Sphincter, Artificial

Identifiers

PMID35503704
PMCPMC9306375
OpenAlexW4225410856

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.