Evidence map›Paper›PMID 41230167›Full record

ReviewTranslational andrology and urology2025

Robot-assisted reconstruction of posterior urethral stenosis: surgical techniques, graft use, and clinical outcomes.

Sasha J Vereecken, Karen M Doersch, Brian J Flynn

Abstract readReview
In one paragraph

Review in Translational andrology and urology, 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. 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

3 authors.

Sasha J VereeckenDivision of Urology, Department of Surgery, Anschutz Medical Center, University of Colorado, Aurora, CO, USA.ORCID https://orcid.org/0000-0003-1283-5307
Karen M DoerschDivision of Urology, Department of Surgery, Anschutz Medical Center, University of Colorado, Aurora, CO, USA.ORCID https://orcid.org/0000-0001-8374-9639
Brian J FlynnDivision of Urology, Department of Surgery, Anschutz Medical Center, University of Colorado, Aurora, CO, USA.ORCID https://orcid.org/0000-0001-7915-2186

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robot-assisted posterior bladder neck (BN) reconstruction is a key technique in complex urological surgery. The posterior BN presents unique challenges due to its narrow anatomical access and lack of surrounding spongiosum. Grafts enhance structural integrity in posterior BN reconstruction, particularly in cases of significant tissue loss, stenosis, or scarring. These challenges require precise graft placement and tissue handling, which we have outlined the best techniques within the existing literature in this review. This article provides a detailed review of robot-assisted posterior BN reconstruction, focusing on graft types, surgical techniques, and outcomes to optimize reconstruction and patient recovery. A literature search was conducted on January 30th, 2025, utilizing PubMed, Medline, Web of Science, and Embase databases. The search focused on terms related to urethral reconstruction, posterior urethral stenosis (PUS), graft types, and grafting techniques in adult populations. Articles were screened for relevance at the title, abstract, and full-text levels, with reference lists of included manuscripts also reviewed. Independent reviewers conducted the selection process. Management of PUS varies based on stenosis length, location, and severity. Robotic-assisted techniques, such as vesicourethral anastomotic reconstruction (VUAR), demonstrate high success rates for complex cases. Grafts provide durable options for substitution urethroplasty, with graft selection tailored to patient-specific factors. Buccal mucosal grafts (BMGs) remain the first choice for many urologists. Robotic systems offer enhanced precision, reduced morbidity, and shorter recovery times, making them a valuable tool in reconstructive urology. Robotic-assisted posterior urethral reconstruction offers a highly effective solution for managing PUS and restoring urinary function. Advancements in surgical techniques and tissue engineering will continue to optimize outcomes and expand treatment options. Future research should focus on long-term studies, patient-centered innovations, and standardized protocols to enhance the quality of care in reconstructive urology.

Indexed as

bladder neck contracture (BN contracture)buccal mucosal graft (BMG)Posterior urethral stenosis (PUS)reconstructive urologyvesicourethral anastomotic stenosis (VUAS)

Identifiers

PMID41230167
PMCPMC12603829

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.