Evidence map›Paper›PMID 36585497›Full record

ArticleWorld journal of urology2023

Anterior fibromuscular stroma-preserved endoscopic enucleation of the prostate: a precision anatomical approach.

Yu-Hsiang Lin, Shin-Yuan Chang, Shu-Han Tsao, Chen-Pang Hou, Chien-Lun Chen, Wen-Chou Lin, Ke-Hung Tsui, Horng-Heng Juang

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In one paragraph

Article in World journal of urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

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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

8 authors at 5 institutions in 1 country.

Yu-Hsiang LinDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan. laserep@cgu.edu.tw.ORCID http://orcid.org/0000-0001-9923-5747
Shin-Yuan ChangDepartment of Nuclear Medicine and Molecular Imaging Center, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Shu-Han TsaoDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Chen-Pang HouDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Chien-Lun ChenDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Wen-Chou LinDepartment of Urology, MacKay Memorial Hospital, Taipei 112, Taiwan.
Ke-Hung TsuiDepartment of Urology, Shuang Ho Hospital, Taipei Medical University, Taipei 112, Taiwan. t2130@s.tmu.edu.tw.
Horng-Heng JuangDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan. hhj143@mail.cgu.edu.tw.
Chang Gung University · TWChang Gung Memorial Hospital · TWChang Gung University of Science and Technology · TWMackay Memorial Hospital · TWTaipei Medical University-Shuang Ho Hospital · TW

Funding

Chang Gung Memorial Hospital CMRPD1I0113Chang Gung Memorial Hospital, Linkou BMRP278
6 · The paper itself

Abstract

backgroundBenign prostate obstruction (BOO) is becoming increasingly important in this aging society. Some urge/stress urinary incontinence (UUI/SUI) still occurs after endoscopic enucleation of the prostate (EEP). It remains unclear how post-EEP incontinence can be avoided. Currently, early apical release to ameliorate the traction of the external sphincter is the best technique for incontinence prevention.

objectiveTo describe our surgical technique of anterior fibromuscular stroma (AFS)-preserved EEP for BOO. DESIGN, SETTING, AND

participantsThe medical records of 60 consecutive patients who underwent AFS-preserved EEP for BOO in our center from September 2019 to December 2019 were retrospectively reviewed. SURGICAL PROCEDURE: AFS-preserved EEP starts at the 12 o'clock position of the urethra, and the junction between the AFS and transitional zone (T-zone) was identified. The AFS and T-zone were separated first to protect the AFS in the initial operative procedure. Then, following the usual enucleation procedure, AFS-preserved EEP could be achieved. MEASUREMENTS: Postoperative prostate-specific antigen (PSA), testosterone, urethral stricture, and voiding status, such as incontinence, uroflow, and postvoiding residual urine were assessed. RESULTS AND LIMITATIONS: The data show that AFS-preserved EEP could achieve similar surgical outcomes as other early apical release approaches.

conclusionsThe preserved AFS provides a nice landmark at the 12 o'clock position during EEP.

Indexed as

Laser TherapyProstatic HyperplasiaTransurethral Resection of ProstateUrinary IncontinenceEndoscopyHumansMaleProstateProstatectomyRetrospective StudiesTreatment OutcomeAnterior fibromuscular stroma AFSBenign prostatic obstructionEnucleationSimple prostatectomyTransurethral resection of prostateUrinary incontinence

Identifiers

PMID36585497
OpenAlexW4313308265

What OpenQuestion holds

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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.