Evidence map›Paper›PMID 41022035›Full record

ArticleThe Journal of urology2026

Multicenter Analysis of Long-Term Outcomes of Artificial Urinary Sphincter Surgery After Urethroplasty.

Meghan F Davis, Dmitriy Nikolavsky, Andre G Cavalcanti, Brian J Flynn, Reynaldo G Gomez, Jeff Loh-Doyle, Stuart D Boyd, Akio Horiguchi, Matthias D Hofer, Margit Fisch and 17 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors.

Meghan F DavisMedStar Health, Washington, District of Columbia.
Dmitriy NikolavskyDepartment of Urology, Upstate University Hospital, Syracuse, New York.
Andre G CavalcantiDepartment of General and Specialized Surgery, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.
Brian J FlynnDivision of Urology, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado.
Reynaldo G GomezUrology Service, Hospital del Trabajador, Santiago, Chile.
Jeff Loh-DoyleUSC Institute of Urology, USC/Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, California.
Stuart D BoydUSC Institute of Urology, USC/Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, California.
Akio HoriguchiDepartment of Urology, National Defense Medical College Hospital, Saitama, Japan.
Matthias D HoferUrology San Antonio, San Antonio, Texas.
Margit FischDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Roland DahlemDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Francisco E MartinsDepartment of Urology, University of Lisbon, School of Medicine, Santa Maria Hospital, Lisbon, Portugal.
Felix Campos-JuanateyUrology Department, Marques de Valdecilla University Hospital, Santander, Spain.
Paul J RusilkoUPMC Department of Urology, Pittsburgh, Pennsylvania.
Henriette Veiby HolmDivision of Surgery and Specialized Medicine, Department of Urology - Section of Reconstructive Urology and Neurourology, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Jay SimhanDepartment of Urology, Fox Chase - Temple Urologic Institute, Philadelphia, Pennsylvania.
Javier C AnguloDepartment of Medicine, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Madrid, Spain.
Tim A LudwigDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jose O BernalDepartment of Urology, Clinica Indisa and Sotero del Rio Hospital, Santiago, Chile.
Margaret HigginsDivision of Urology, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado.
Sasha VereeckenDivision of Urology, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado.
Josh SterlingDepartment of Urology, Upstate University Hospital, Syracuse, New York.
Erin K HaysMedStar Health, Washington, District of Columbia.
Peter G KolyvasGeorgetown University School of Medicine, Washington, District of Columbia.
Alexander StanisicNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Juan F DoradoPeRTICA Statistical Solutions, Madrid, Spain.
Krishnan VenkatesanMedStar Health, Washington, District of Columbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe artificial urinary sphincter (AUS) is the gold standard for male stress urinary incontinence. There is limited and conflicting evidence examining outcomes in AUS insertion after urethroplasty, particularly whether and how urethroplasty techniques affect them. We evaluated complications of AUS insertion after urethroplasty in a multi-institutional cohort. We hypothesize that complications occur at higher rates and vary between transecting and nontransecting urethroplasty. MATERIALS AND

methodsWe retrospectively reviewed patients who underwent AUS after urethroplasty at 15 institutions. Demographic and clinical variables were analyzed. Urethroplasties were categorized as transecting or nontransecting. Long-term complications included AUS infection, erosion, and mechanical failure.

resultsOne hundred seventy-eight cases were identified performed by 17 surgeons (range 4-40) from 15 institutions with a median follow-up of 33.5 (IQR 46) months. AUS complications requiring explantation, including infection, erosion, and mechanical failure after transecting urethroplasty, occurred in 56.2% compared with 23.5% after nontransecting urethroplasty (

conclusionsRisk of experiencing AUS complications is higher in patients with transecting urethroplasty compared with the nontransecting group. Nontransecting urethroplasty may be advisable if a subsequent need for AUS is anticipated.

Indexed as

UrethraUrinary Incontinence, StressUrinary Sphincter, ArtificialUrologic Surgical Procedures, MaleAgedFollow-Up StudiesHumansMaleMiddle AgedPostoperative ComplicationsProsthesis ImplantationRetrospective StudiesTime FactorsTreatment Outcomeartificial urinary sphincterstress urinary incontinenceurethral sphincterurethral stricture

Identifiers

PMID41022035
PMCPMC12794709

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.