Evidence map›Paper›PMID 41111668›Full record

ArticleCureus2025

Managing Bladder-Neck Stenosis With "Cystoscopy and Proceed" Method: Our Experience.

Kush Shah, Arya M Kulkarni, Shifa B Karatela, Shikha Patel, Dhruv Patel, Nitya Pathak, Vikky Ajwani, Trisha Ajwani

Abstract read
In one paragraph

Article 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.

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. 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.

Kush ShahMedicine, Medical College Baroda and Sir Sayajirao General Hospital, Vadodara, IND.
Arya M KulkarniMedicine, Gujarat Medical Education & Research Society Medical College and Hospital, Vadnagar, IND.
Shifa B KaratelaMedicine, Medical College Baroda and Sir Sayajirao General Hospital, Vadodara, IND.
Shikha PatelMedicine, Medical College Baroda and Sir Sayajirao General Hospital, Vadodara, IND.
Dhruv PatelInternal Medicine, Medical College Baroda and Sir Sayajirao General Hospital, Vadodara, IND.
Nitya PathakInternal Medicine, Gujarat Medical Education & Research Society Medical College and Hospital, Vadodara, IND.
Vikky AjwaniUrology, The Cure Urology Hospital, Vadodara, IND.
Trisha AjwaniMedicine, Medical College Baroda and Sir Sayajirao General Hospital, Vadodara, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBladder-neck stenosis (BNS) is characterized by obstruction of urine flow due to improper relaxation of the bladder neck. Accurate diagnosis through cystoscopy and treatment via bladder-neck incision (BNI) can restore urinary flow and reduce the risk of related complications. Our experience suggests that cystoscopy for diagnosis is underused due to various patient and physician-related factors.

objectiveThe primary objective of this study was to evaluate the effectiveness of the "cystoscopy and proceed" method in managing BNS, measured by improvement in uroflowmetry (Qmax). Secondary objectives included assessing recurrence rates, urinary symptom burden using International Prostate Symptom Score (IPSS), patient-reported quality of life Short Form-36 (SF-36), and procedural complications at 10-18 months of follow-up.

methodsWe conducted a retrospective observational study at a private urology center involving 10 patients with cystoscopically confirmed BNS. Data collection included preoperative and postoperative records and follow-up between 10 and 18 months after surgery to assess long-term outcomes in urinary symptoms and satisfaction using IPSS and SF-36, respectively. Statistical analysis was done using Student's t-test and Pearson's correlation.

resultsThe mean age of participants was 64 years. All 10 patients experienced improvements in uroflowmetry, with an average Qmax increase of 14.33 (738.1%), reflecting a 7.4-fold improvement after BNI. A paired t-test revealed a significant difference between preoperative and postoperative Qmax p < 0.001. At 10-18 months follow-up, six patients had satisfaction scores above 80%, and eight scored 70% or higher.

conclusionCystoscopy and BNI effectively manage BNS, leading to significant improvements in patient outcomes and satisfaction.

Indexed as

bladder neck obstructioncystoscopypatient centered outcomepatient satisfactiontrans urethral resection of prostate (turp)

Identifiers

PMID41111668
PMCPMC12531405

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