Evidence map›Paper›PMID 40510063›Full record

ReviewCureus2025

Critical Appraisal of Evidence on Platelet-Rich Plasma and Stem Cell Therapy for Stress Urinary Incontinence: A Narrative Review.

Muhammed Ishfaq, Praveen Gopi, Ahmad Omar, Michael S Floyd, Ekene Victor Ezenwa, Srinath Ravichandran, Kaylie E Hughes

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Muhammed IshfaqDepartment of Endourology and Reconstructive Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Liverpool, GBR.
Praveen GopiDepartment of Endourology and Reconstructive Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Liverpool, GBR.
Ahmad OmarDepartment of Endourology and Reconstructive Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Liverpool, GBR.
Michael S FloydDepartment of Endourology and Reconstructive Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Liverpool, GBR.
Ekene Victor EzenwaDepartment of Endourology and Reconstructive Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Liverpool, GBR.
Srinath RavichandranDepartment of Endourology and Reconstructive Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Liverpool, GBR.
Kaylie E HughesDepartment of Endourology and Reconstructive Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Liverpool, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stress urinary incontinence (SUI) is a common condition, affecting 20% of individuals. It is defined by the involuntary loss of urine during activities that increase intra-abdominal pressure, such as coughing or physical exertion. SUI may result from urethral hypermobility or intrinsic sphincter deficiency. Conventional treatments, including pelvic floor exercises, sling surgeries, and bulking agents, have varying success rates and complications. Emerging regenerative therapies such as platelet-rich plasma (PRP) and stem cell therapy (SCT) hold promise for improving urethral support and rhabdosphincter function. This review critically examines recent evidence on the efficacy and safety of PRP and SCT for treating SUI. A thorough search of databases was conducted, focusing on clinical studies published on adult SUI patients treated with PRP and SCT interventions. Nine clinical trials met the inclusion criteria. All studies were conducted between 2011 and 2024. The keywords used were "Stress Urinary Incontinence", "Regenerative Medicine", Cell- and Tissue-Based Therapy", "Stem Cell Transplantation", and "Stem Cell". These studies investigated the use of PRP and mesenchymal stem cells, but inconsistencies in treatment protocols raise concerns about the reliability and generalizability of their findings. Additionally, there was a lack of detailed assessment tools to evaluate sphincter regeneration post-treatment and no standardized methods for PRP preparation. This review describes the current status of stem cell research on SUI and suggests future directions to facilitate clinical applications. Future trials should follow a standardized protocol that includes detailed methods for stem cell or PRP preparation, dosage determination, application techniques, and necessary pre-procedural assessments. Objective outcome measures must incorporate improvements in urodynamic parameters, MRI evidence of sphincter regeneration, and comprehensive long-term follow-up evaluations. This approach ensures consistency and reliability in assessing treatment efficacy.

Indexed as

platelet-rich plasma (prp)regenerative medicinerhabdosphincterstem cell therapystress urinary incontinence

Identifiers

PMID40510063
PMCPMC12159960

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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.