Evidence map›Paper›PMID 37702895›Full record

Trial reportInternational urology and nephrology2024

Does local injection of long acting corticosteroid improve postoperative outcome of hypospadias repair? A randomized controlled trial.

Ahmed Abozamel, Ahmed Rammah, Mohammed Abdelwahed, Amr Mostafa, Ahmed Yehia AbdelAziz

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International urology and nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 76% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

5 authors at 1 institution in 1 country.

Ahmed AbozamelUrology department, Faculty of Medicine, Cairo University, Giza, 11562, Egypt.
Ahmed RammahUrology department, Faculty of Medicine, Cairo University, Giza, 11562, Egypt.
Mohammed AbdelwahedUrology department, Faculty of Medicine, Cairo University, Giza, 11562, Egypt.
Amr MostafaUrology department, Faculty of Medicine, Cairo University, Giza, 11562, Egypt.
Ahmed Yehia AbdelAzizUrology department, Faculty of Medicine, Cairo University, Giza, 11562, Egypt. drayehia81@gmail.com.
Cairo University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the safety and efficacy of local corticosteroid injection during hypospadias repair.

methodsBetween May 2021 and March 2023 children less than 10 years who were admitted for hypospadias repair were divided by random allocation into two groups. We injected local corticosteroid 2 ml proximal to coronal sulcus in group A while in group B we didn't. All types of hypospadias were included in the study. We excluded patients older than 10 years and those with pre-existing complicated hypospadias (multiple fistulae and multiple surgeries), or bleeding diatheses. Pre-operative, intraoperative and postoperative variables were compared between the two groups.

resultsA total of 120 patients (60 in each group) were enrolled in the study. The mean ages and preoperative variables were not significantly different. The site of hypospadias and the type of surgery were comparable in both groups. (Table) There were no significant differences between both groups regarding average blood loss and operative time in each type of surgical repair. There was a significant higher incidence of intraoperative and postoperative penile oedema in group B (P-value < 0.001) while the incidence of skin discolouration was higher in group A. Postoperative complications, described as Clavian classification, were significantly higher in group B. The incidences of superficial skin infection, meatal stenosis, urethral fistula, and recurrence with the need for redo repair were significantly higher in group B (P-value: 0.002, 0.018, 0.032, and 0.001, respectively).

conclusionLocal corticosteroid injection during hypospadias repair minimize the penile oedema and decrease the incidence of postoperative functional and cosmetic complications.

Indexed as

HypospadiasPenile DiseasesUrethral StrictureChildEdemaHumansInfantMalePostoperative ComplicationsRetrospective StudiesTreatment OutcomeUrethraUrologic Surgical Procedures, MaleEdemaFistulaHypospdiasSteroid

Identifiers

PMID37702895
PMCPMC10776459
OpenAlexW4386703962

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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.