Evidence map›Paper›PMID 36614853›Full record

ArticleJournal of clinical medicine2022

Repair of Traumatic Urethral Strictures: La Paz University Hospital Experience.

Cristina Ballesteros Ruiz, Carlos Toribio-Vázquez, Esaú Fernández-Pascual, Emilio Ríos, Andrea Rodríguez Serrano, J M Alonso Dorrego, Manuel Girón de Francisco, J A Moreno, Paloma Cárcamo Valor, Luis Martínez-Piñeiro

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

  1. Article
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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

10 authors.

Cristina Ballesteros RuizUrology Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.
Carlos Toribio-VázquezUrology Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.
Esaú Fernández-PascualUrology Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.ORCID 0000-0002-2602-2617
Emilio RíosUrology Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.
Andrea Rodríguez SerranoUrology Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.
J M Alonso DorregoUrology Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.
Manuel Girón de FranciscoUrology Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.
J A MorenoUrology Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.
Paloma Cárcamo ValorUrology Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.
Luis Martínez-PiñeiroUrology Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe management of traumatic urethral strictures remains a challenge for urologists. Alteration of the pelvic anatomy and the significant fibrosis generated by the trauma make surgical repair complex. In most cases, the existing defect between the urethral ends is small, and the ideal treatment is end-to-end perineal urethroplasty. Cases of extensive strictures that are left with long gap defects may require the use of different sequential maneuvers to achieve a tension-free anastomosis.

objectiveTo describe the experience at our center with urethral strictures induced by closed perineal trauma. MATERIALS AND

methodsA retrospective analysis of 116 patients who underwent urethroplasty for urethral stricture after blunt perineal trauma at our center between 1965 and 2020 was conducted. Demographic data, date, mechanism of action of the trauma, emergency management, previous urethral interventions, surgical technique carried out in our center, complications, presence of erectile dysfunction, and urinary incontinence were collected.

results82 patients (70.7%) presented with pelvic fractures. The most frequent etiology of trauma was traffic accidents (68%), followed by crushing injuries (24%). Suprapubic cystostomy was placed in 50.2% of patients, and urethral realignment was performed in 25.3%. The mean stricture length was 2.2 cm, affecting mostly the membranous urethra (67%). During surgery, it was necessary to perform crural separation in 61.5% and partial pubectomy in 18.8% of the cases. Erectile dysfunction developed after trauma in 40.5% of cases, while new erectile dysfunction was noted in 4.3% of patients after surgery. Surgery was successful in 91.3% of cases, with a median follow-up of 16 (6-47) months.

conclusionDelayed anastomotic urethroplasty offers a high success rate in traumatic urethral strictures.

Indexed as

blunt perineal traumapelvic fractureurethral stricturesurethroplasty

Identifiers

PMID36614853
PMCPMC9821198

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