Evidence map›Paper›PMID 37620812›Full record

ArticleBMC urology2023

Erectile function after different techniques of bulbar urethroplasty: does urethral transection make a difference?

Osama Shalkamy, Mohamed Elsalhy, Saleh Mohammed Alghamdi, Mohammed Beaiti, Ibrahim Abdel-Al, Mahmoud Faisal, Tamer A Abouelgreed, Yasser Badran, Abdrabu Abdrabu, Mahdi Al-Ayafi and 5 more

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In one paragraph

Article in BMC urology, 2023. 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

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

2 citing papers in PubMed.

  1. Trial
  2. 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

15 authors.

Osama ShalkamyDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. Dr_shalkamy@azhar.edu.eg.ORCID http://orcid.org/0000-0003-1038-6464
Mohamed ElsalhyDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Saleh Mohammed AlghamdiDepartment of Urology, Armed Forces Hospital Southern Region, Khamis Mushait, Saudi Arabia.
Mohammed BeaitiDepartment of Urology, Armed Forces Hospital Southern Region, Khamis Mushait, Saudi Arabia.
Ibrahim Abdel-AlDepartment of Urology, Faculty of Medicine, Assiut Branch, Al-Azhar University, Assiut, Egypt.
Mahmoud FaisalDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Tamer A AbouelgreedDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Yasser BadranDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Abdrabu AbdrabuDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mahdi Al-AyafiDepartment of Urology, Armed Forces Hospital Southern Region, Khamis Mushait, Saudi Arabia.
Mohanad Jebril BosilyDepartment of Urology, Armed Forces Hospital Southern Region, Khamis Mushait, Saudi Arabia.
Salah E SheblDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ibrahim NematallahDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed ShafieaDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Adel ElatreisyDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to compare the impact of urethral transection after different techniques of bulbar urethroplasty on erectile function outcome. MATERIALS AND

methodsWe retrospectively reviewed the records for 245 patients who underwent different urethroplasty techniques for bulbar urethral stricture between February 2013 and January 2021. The comparison between the transecting and non-transecting cohorts included patients' demographics, clinicopathological features of the urethral stricture, post-urethroplasty erectile function, and success of urethroplasty. Outcomes were erectile function status verified by IIEF5-15 score at preoperative, three months, and 12 months post-surgery. We defined Post-urethroplasty ED as a decrease of 5 points or more.

resultsThe urethroplasty success rate of the entire cohort was 86.9% after a mean follow-up of 45.59 ± 21 months. Out of 245 patients, 18 (7.3%) experienced 90-day complications. Transecting bulbar urethroplasty techniques were performed in 74 patients (30.2%), while non-transecting techniques were performed in 171 patients (69.8%). there were no differences between the cohorts regarding urethroplasty success (87.8% Vs. 86.5%, Mantel-Cox test p = 0.93) or postoperative complications (8.1% Vs. 7%, p = 0.73). Transient ED was evident in the transecting cohort as reported in 8.1% compared to 2.9% for the non-transecting (p = 0.07).Still, but de novo permanent ED was comparable (4.1% Vs. 2.9%, p = 0.65), for transecting and non-transecting, respectively.

conclusionsUnfortunately, some patients who undergo transecting techniques of bulbar urethroplasty experience transient erectile dysfunction that can improve within the first post- urethroplasty year; however, de novo permanent erectile dysfunction is uncommon after different techniques of bulbar urethroplasty and is not predisposed by urethral transection.

Indexed as

Erectile DysfunctionUrethral StrictureHumansMalePostoperative ComplicationsRetrospective StudiesUrethraErectile dysfunctionPostoperative complicationsStricture urethraUrethroplasty

Identifiers

PMID37620812
PMCPMC10463440

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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.