Evidence map›Paper›PMID 40622400›Full record

ArticleWorld journal of urology2025

Comparison of open perineal and robot-assisted reconstruction in vesicourethral anastomotic stenosis.

Metin Savun, Yunus Çolakoğlu, Harun Özdemir, Emin Taha Keskin, Ramazan Uğur, Mehmet Şahin, Enes Yavuz, Abdulmuttalip Şimşek

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

8 authors.

Metin SavunDepartment of Urology, Başakşehir Çam and Sakura City Hospital, University of Health Sciences, 34480, Istanbul, Turkey. metinsavun@hotmail.com.ORCID http://orcid.org/0000-0003-4434-9661
Yunus ÇolakoğluDepartment of Urology, Bahcelievler Memorial Hospital, 34180, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-6432-765X
Harun ÖzdemirDepartment of Urology, Başakşehir Çam and Sakura City Hospital, University of Health Sciences, 34480, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-3071-910X
Emin Taha KeskinDepartment of Urology, Başakşehir Çam and Sakura City Hospital, University of Health Sciences, 34480, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-1222-6424
Ramazan UğurDepartment of Urology, Başakşehir Çam and Sakura City Hospital, University of Health Sciences, 34480, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-0593-8589
Mehmet ŞahinDepartment of Urology, Başakşehir Çam and Sakura City Hospital, University of Health Sciences, 34480, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-6712-7207
Enes YavuzDepartment of Urology, Başakşehir Çam and Sakura City Hospital, University of Health Sciences, 34480, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-8494-6375
Abdulmuttalip ŞimşekDepartment of Urology, Bahcelievler Memorial Hospital, 34180, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-8003-4654

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate and compare the patency outcomes and complication rates associated with open perineal versus robot-assisted vesicourethral anastomosis reconstruction techniques.

methodsA retrospective review was conducted of patients who underwent vesicourethral anastomosis reconstruction between July 2017 and January 2024. Data collected included demographic characteristics, prior endoscopic treatment, history of radiotherapy, incontinence status, operative details, and postoperative outcomes. Patency was defined as successful passage of a 16 French cystoscope or a maximum urinary flow rate exceeding 15 mL/s. The incidence of de novo incontinence and complications was also evaluated.

resultsThis study included 28 patients (open perineal vesicourethral anastomosis reconstruction, n = 18; robot-assisted vesicourethral anastomosis reconstruction, n = 10). The median age was 67 years in both groups (p = 0.524). The median operation time was comparable (120 vs. 150 min, p = 0.175); however, the robot-assisted group experienced significantly reduced blood loss and shorter hospital stay (100 vs. 200 mL, p = 0.001; and 3 vs. 4 days, p = 0.001, respectively). Patency rates were similar between groups (77.8% vs. 80.0%, p = 0.944). The rate of de novo incontinence was significantly lower in the robot-assisted group (16.6% vs. 100%, p = 0.031). Patients with a history of pelvic radiotherapy and preoperative incontinence had higher rates of patency failure (p = 0.007 and p = 0.041, respectively). Postoperative complications were comparable between the groups (p = 0.724); however, patients with patency failure experienced higher complication rates than those without (p = 0.001).

conclusionOpen and robot-assisted vesicourethral anastomosis reconstruction techniques achieved similar patency rates. Nevertheless, the robot-assisted approach offers several advantages, including reduced blood loss, shorter hospitalization, and lower rates of de novo incontinence. A history of pelvic radiotherapy, preoperative incontinence, and postoperative complications were associated with patency failure.

Indexed as

Plastic Surgery ProceduresRobotic Surgical ProceduresUrethraUrethral StrictureUrinary BladderUrologic Surgical ProceduresAgedAnastomosis, SurgicalConstriction, PathologicFemaleHumansMaleMiddle AgedPerineumPostoperative ComplicationsRetrospective StudiesAnastomotic stricturePosterior urethral stenosisRadical prostatectomyReconstructive surgical proceduresRobotic surgical procedures

Identifiers

PMID40622400

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.