Evidence map›Paper›PMID 38942391›Full record

Trial reportUrology2024

A Single Injection of Platelet-rich Plasma Injection for the Treatment of Stress Urinary Incontinence in Females: A Randomized Placebo-controlled Trial.

Leah Ashton, Hannah Nakatsuka, Colin M Johnson, Kimberly Kenne, Karl J Kreder, Ryan Kruse, Linder Wendt, Elizabeth B Takacs, Annah J Vollstedt

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Leah AshtonMedical University of South Carolina, Charleston, SC.
Hannah NakatsukaUniversity of Iowa Hospitals & Clinics, Iowa City, IA. Electronic address: hannah-nakatsuka@uiowa.edu.
Colin M JohnsonUniversity of Iowa Hospitals & Clinics, Iowa City, IA. Electronic address: colin-johnson@uiowa.edu.
Kimberly KenneUniversity of Iowa Hospitals & Clinics, Iowa City, IA. Electronic address: kimberly-kenne@uiowa.edu.
Karl J KrederUniversity of Iowa Hospitals & Clinics, Iowa City, IA. Electronic address: karl-kreder@uiowa.edu.
Ryan KruseUniversity of Iowa Hospitals & Clinics, Iowa City, IA. Electronic address: ryan-kruse@uiowa.edu.
Linder WendtInstitute for Clinical and Translational Science, University of Iowa, Iowa City, IA. Electronic address: linder-windt@uiowa.edu.
Elizabeth B TakacsUniversity of Iowa Hospitals & Clinics, Iowa City, IA.
Annah J VollstedtUniversity of Iowa Hospitals & Clinics, Iowa City, IA. Electronic address: annah-vollstedt@uiowa.edu.

Funding

University of Iowa Institute for Clinical and Translational ScienceUM1TR004403 · NCATS · UNIVERSITY OF IOWA · PI Marlan R Hansen, Patricia Winokur · 2023 to 2026
$16.1M
NCATS NIH HHS UM1 TR004403
6 · The paper itself

Abstract

objectiveTo determine the efficacy of a single injection of platelet-rich plasma (PRP) into the anterior vaginal wall at the mid-urethra compared to placebo, as there is emerging evidence that PRP may help treat female stress urinary incontinence (SUI).

methodsThis was a single-blind, randomized, placebo-controlled clinical trial at a single institution. Females with bothersome, demonstrable stress-predominant urinary incontinence were enrolled. Participants were randomized to either injection of 5 mL autologous PRP or saline at the anterior vaginal wall at the mid-urethra. The primary outcome was composite treatment success at 6 months, defined as a negative cough stress test and an answer of "much better" or "very much better" on the Patient's Global Impression of Improvement.

resultsFifty patients were enrolled in the study and randomized to the PRP group (n = 25) or the saline placebo group (n = 25). There was no statistically significant difference in the primary outcome between the 2 groups. Adverse events were minor, and the rate of adverse events was similar between both groups.

conclusionIn this randomized placebo-controlled study, we were unable to demonstrate a difference in SUI treatment success between PRP and saline injections. At this time, there is insufficient evidence to offer a one-time PRP injection into the anterior vaginal wall for treatment of female SUI.

Indexed as

InjectionsPlatelet-Rich PlasmaUrinary Incontinence, StressAdultAgedFemaleHumansMiddle AgedSingle-Blind MethodTreatment OutcomeVagina

Identifiers

PMID38942391
PMCPMC12826440

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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.