Evidence map›Paper›PMID 41109561›Full record

ArticleUrology2026

Early Real-World Experience With Optilume Drug-coated Balloon for Anterior Urethral Strictures and Posterior Urethral Stenoses.

Hiren V Patel, Bradley A Erickson, Behzad Abbasi, Nejd F Alsikafi, Joshua A Broghammer, Kshitij Pandit, Jill C Buckley, Sean P Elliott, Seyedeh Sima Daryabari, Jeremy B Myers and 6 more

Abstract read
In one paragraph

Article in Urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Paclitaxel Drug-Coated Balloon (OptilumeMedicina (Kaunas, Lithuania) · 2026
    Review
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

16 authors.

Hiren V PatelDepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, OH. Electronic address: hiren.patel@osumc.edu.
Bradley A EricksonDepartment of Urology, University of Iowa, Iowa City, IA.
Behzad AbbasiDepartment of Urology, University of California San Francisco, San Francisco, CA.
Nejd F AlsikafiUropartners, Gurnee, IL.
Joshua A BroghammerDepartment of Urology, University of Kansas, Kansas City, KS.
Kshitij PanditDepartment of Urology, University of San Diego Health System, San Diego, CA.
Jill C BuckleyDepartment of Urology, University of San Diego Health System, San Diego, CA.
Sean P ElliottDepartment of Urology, University of Minnesota, Minneapolis, MN.
Seyedeh Sima DaryabariDivision of Urology, University of Utah, Salt Lake City, UT.
Jeremy B MyersDivision of Urology, University of Utah, Salt Lake City, UT.
Thomas G SmithDepartment of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Grady LindekugelSpokane Urology, Spokane, WA.
Bryan B VoelzkeSpokane Urology, Spokane, WA.
Alex J VanniDepartment of Urology, Lahey Hospital and Medical Center, Burlington, MA.
Lee C ZhaoDepartment of Urology, New York University Langone Medical Center, New York City, NY.
Benjamin N BreyerDepartment of Urology, University of California San Francisco, San Francisco, CA.

Funding

Understanding the Role of Local and Systemic Inflammation in Male Urethral Stricture DiseaseR21DK115945 · NIDDK · UNIVERSITY OF IOWA · PI ERICKSON, BRADLEY A · 2018 to 2019
$363k
NIDDK NIH HHS R21 DK115945
6 · The paper itself

Abstract

objectiveTo determine the early experience with paclitaxel-drug coated balloon (DCB) for both anterior urethral stricture disease (aUSD) and posterior urethral stenoses (PUS).

methodsA retrospective review of patients undergoing Optilume DCB in the Trauma and Urologic Reconstructive Network of Surgeons (TURNS) database was performed. Both functional (improved subjective voiding without a secondary procedure) and anatomic (open lumen on cystoscopy) success rates were determined. Kaplan Meier estimates were used to determine the risk of failure by LSE classification and LSE Stage.

resultsA total of 319 patients were treated with the DCB, of which 260 were for aUSD and 59 were for PUS. Median age was 64 years (Interquartile range [IQR] 48-73). Recurrence was noted in 119 patients (37.3%) at a median follow-up of 5.7 months (IQR 3-12). For aUSD, the 1-year functional recurrence-free survival was 78.4% (95% CI 71.8-85.4) and anatomical recurrence-free survival was 66.4% (95% CI 59.5-74.2). For PUS, the 1-year functional recurrence-free survival was 75.8% (95% CI 61.4-93.7) and anatomical recurrence-free survival was 59.4% (95% CI 44.1-80). Recurrences of any kind were significantly more likely in patients with strictures after hypospadias repair (HR 5.21, 95% CI 1.06-25.6, P = .042), and use of 24 Fr, 3 cm DCB (HR 3.64, 95% 1.10-12.09, P = .035). These were also significant predictors of anatomical recurrences.

conclusionMulti-institutional utilization of the DCB for aUSD and PUS demonstrates a low effectiveness among high-risk strictures. Recurrence after DCB varies based on stricture characteristics and subtype, which are important for preoperative counseling and postoperative surveillance.

Indexed as

PaclitaxelUrethral StrictureAgedCoated Materials, BiocompatibleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeUrethraCoated Materials, BiocompatiblePaclitaxel

Identifiers

PMID41109561
PMCPMC13354521

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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.