Evidence map›Paper›PMID 39937772›Full record

ArticlePloS one2025

Construction of a nomogram to predict urethral stricture after transurethral resection of the prostate: A retrospective cohort study.

Wan Mokhzani Wan Mokhter, Xiaoping Duan, Jin Yang, Mohamed Ashraf Mohamed Daud

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Wan Mokhzani Wan MokhterSchool of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.ORCID https://orcid.org/0000-0002-5622-0307
Xiaoping DuanSchool of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.
Jin YangDepartment of Urology, Affiliated Hospital of Chengdu University, Chengdu University, Chengdu, China.
Mohamed Ashraf Mohamed DaudDepartment of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the risk factors for urethral stricture (US) in patients with benign prostatic hyperplasia (BPH) after transurethral resection of the prostate (TURP) and to construct a nomogram model with predictive features.

methodsClinical data of 400 patients with BPH who underwent TURP between June 2020 and June 2023 at Chengdu University Hospital were retrospectively collected. The data were divided into US group and no US group. Univariate and multivariate logistic regression analyses were performed sequentially to identify independent risk factors associated with US. Based on the results of the multivariate analysis, a nomogram model predicting the risk of US was constructed. We assessed the discriminatory power and calibration of the models using the C index, ROC curves, and calibration plots. In addition, we performed a decision curve analysis to validate the clinical utility of the model.

resultsData from a total of 400 patients were included in this study, and 35 (8.75%) were diagnosed with US. The results of univariate and multivariate analyses indicated that the following five factors age, prostate size, Preoperative indwelling catheter, Preoperative urethral dilation, Postoperative indwelling catheter time were independent influences on the risk of US. Nomogram model of US was constructed using these independent influences. The area under the curve (AUC) of the subject's operating characteristic was 0.916 (95% CI: 0.868-0.959), and after internal validation, the corrected C-index remained at 0.916. This further validates the accuracy and reliability of the predictive model. Calibration plots and decision curve analyses demonstrated the good clinical value of the column-line diagram model.

conclusionsThe nomogram model we constructed can have some guidance in clinical work.

Indexed as

NomogramsPostoperative ComplicationsProstatic HyperplasiaTransurethral Resection of ProstateUrethral StrictureAgedAged, 80 and overHumansMaleMiddle AgedProstateRetrospective StudiesRisk FactorsROC Curve

Identifiers

PMID39937772
PMCPMC11819526

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