Evidence map›Paper›PMID 40244519›Full record

ArticleInternational urology and nephrology2025

Does Optilume drug-coated balloon dilation compromise female sphincter function?

Lukas Andrius Jelisejevas, Gennadi Tulchiner, Patricia Kink, Peter Rehder

Abstract read
In one paragraph

Article in International urology and nephrology, 2025. 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
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.

  1. Case - Novel approach to complex female urethral stricture using paclitaxel-coated balloon dilation.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
    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

4 authors.

Lukas Andrius Jelisejevas *Department of Urology, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. lukas.jelisejevas@i-med.ac.at.ORCID http://orcid.org/0009-0004-3606-2841
Gennadi TulchinerDepartment of Urology, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Patricia KinkDepartment of Urology, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Peter Rehder *Department of Urology, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFemale urethral strictures (FUS) are rare, yet when present very bothersome. Repeated dilation often results in recurrence, requiring surgical urethral reconstruction in the long term. We assessed the outcomes of female patients with urethral stricture disease undergoing Optilume drug-coated-balloon (DCB) dilation.

methodsBetween August 2021 and May 2024, 14 female patients with FUS underwent DCB dilation. Two transgender male-to-female patients were excluded. The diagnosis was confirmed by inability to pass a 14Fr catheter, translabial ultrasound or voiding cystourethrogram (VCUG). Exclusion criteria were urinary tract infection, neurological disease and previous urethroplasty. Written consent was obtained prior to intervention and included the option of urethroplasty. After hydrophilic urethral dilation, urethrocystoscopy was performed. DCB (5 cm) dilation was done to 30Fr at 10 bar for 10 min. General or local anaesthesia was used depending on patient's preference. Transurethral catheter was placed for 2-5 days. Endpoints were urinary continence, anatomical success (≥ 14Fr by cystoscopy/calibration) and freedom from repeat intervention at 6 months.

resultsThe mean age was 52.3 years (range: 31-81), the mean number of prior interventions was 4.3 (range: 0-40). The mean follow-up was 12 months (range: 6-41). At the time of analysis, 11 out of 12 subjects (91.7%) were free from recurrence and repeat intervention. All patients remained continent after the intervention, with two reporting complete resolution of preexisting incontinence. Limitations of the study include the small sample size, short follow-up and single centre nature.

conclusionsOptilume DCB dilation demonstrates short-term efficacy, is well tolerated, safe, and notably preserves sphincter function.

Indexed as

DilatationUrethraUrethral StrictureAdultAgedAged, 80 and overFemaleHumansMiddle AgedRetrospective StudiesTreatment OutcomeDirect vision internal urethrotomyDrug-coated balloon dilationFemale urethral stricturePaclitaxelUrethral reconstructionUrethroplasty

Identifiers

PMID40244519
PMCPMC12464016

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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.