Evidence map›Paper›PMID 38630428›Full record

Trial reportInternational urology and nephrology2024

Effect of theophylline on stent-related symptoms in patients undergoing Double-J ureteral stent insertion: a randomized controlled trial.

Alireza Pakdel, Abdolreza Mohammadi, Hossein Chivaee, Amirreza Shamshirgaran, Hossein Amirzargar, Reza Mohammadi Farsani, Fardin Asgari, Alireza Khajavi, Seyed Mohammad Kazem Aghamir

Abstract readRandomized Controlled Trial
PubMed Publisher
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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 2 institutions in 1 country.

Alireza Pakdel *Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Abdolreza Mohammadi *Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Hossein ChivaeeUrology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Amirreza ShamshirgaranUrology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Hossein AmirzargarSection of Tissue Engineering and Stem Cells Therapy, Pediatric Urology and Regenerative Medicine Research Center, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Reza Mohammadi FarsaniUrology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Fardin AsgariUrology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Alireza KhajaviUrology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Mohammad Kazem AghamirUrology Research Center, Tehran University of Medical Sciences, Tehran, Iran. mkaghamir@tums.ac.ir.ORCID http://orcid.org/0000-0003-1611-0362
Tehran University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effect of oral theophylline on stent-related syndrome (SRS) after Double-J insertion.

backgroundDouble-J stent is widely using in many urological procedures. Infection, hematuria, and discomfort are some of common complication after stenting. Theophylline is a dimethylated xanthine that inhibits phosphodiesterase and blocks adenosine receptors. To relaxing effect of theophylline on smooth muscles and its effects on the urinary system, it seems it could reduce complications after inserting Double-J stent especially ureteral stent syndrome.

methodIn this double-blind placebo-controlled randomized clinical trial, 67 patients were enrolled. Mean (SD) age of control and theophylline group was 51.8 (12.5) and 43.9 (10.4) years old, respectively. Patients were randomized into two groups of control and theophylline. All patients were stenting with silicon Double J. Theophylline group received 100 mg of theophylline, twice daily for 30 days, while control group received placebo. Stent symptoms were assessed by questionnaire and urine culture was performed before stent removal at removal day. Statistical analysis was performed using Chi-squared test and t test with P < 0.05 considered significant. Logistic regression models were fitted, crudely and adjusted for age and sex.

resultOf 67 eligible patients, 60 completed the study. Theophylline significantly decreased percentages of gross hematuria (P < 0.001), dysuria (P < 0.001), and urinary frequency (P < 0.001). Microscopic hematuria (P = 0.042) and chills (P = 0.042) also decreased after theophylline.

conclusionTheophylline could be an effective and safe choice for reducing SRS among patients undergoing Double-J stent insertion.

Indexed as

StentsTheophyllineAdultDouble-Blind MethodFemaleHematuriaHumansMaleMiddle AgedPostoperative ComplicationsSyndromeUreterTheophyllineStent-related symptomsTheophyllineTransurethral lithotripsyUreteral stent

Identifiers

PMID38630428
OpenAlexW4394873363

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Registered trials

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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.