Evidence map›Paper›PMID 41704686›Full record

ArticleFrontiers in medicine2026

Topical hyaluronic acid and oxygen for urinary incontinence: a double-center retrospective study.

Paolo Manna, Basilio Pecorino, Fabiola Perrone, Marika Di Blasi, Paolo Scollo, Giuseppe Scibilia, Fulvio Zullo

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. 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

7 authors.

Paolo MannaDepartment of Clinical and Experimental Medicine, Obstetrics and Gynecology Unit, "Magna Graecia" University, Catanzaro, Italy.
Basilio PecorinoObstetrics and Gynecology Umberto I Hospital, Kore University of Enna, Enna, Italy.
Fabiola PerroneDepartment of Clinical and Experimental Medicine, Obstetrics and Gynecology Unit, "Magna Graecia" University, Catanzaro, Italy.
Marika Di BlasiDepartment of Clinical and Experimental Medicine, Obstetrics and Gynecology Unit, "Magna Graecia" University, Catanzaro, Italy.
Paolo ScolloObstetrics and Gynecology Cannizzaro Hospital, Kore University of Enna, Catania, Italy.
Giuseppe ScibiliaObstetrics and Gynecology Giovanni Paolo II Hospital, Kore University of Enna, Ragusa, Italy.
Fulvio ZulloDepartment of Clinical and Experimental Medicine, Obstetrics and Gynecology Unit, "Magna Graecia" University, Catanzaro, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to evaluate the effects of low-molecular-weight hyaluronic acid (LMWHA) solution and high-concentration oxygen (HCO) through a specific medical device (Caress Flow©), compared to topical administration of hyaluronic acid (HA) alone, on symptoms of mild and moderate stress and mixed urinary incontinence in women with genitourinary syndrome of menopause (GSM). Methods: A total of 68 postmenopausal women were registered (from October 2021 to September 2023). Patients were divided into two groups: one group received therapy with LMWHA solution and HCO combined, and the second group received HA therapy alone. The primary outcome was the Patient Global Impression of Improvement (PGI-I). Secondary outcomes included the International Consultation on Incontinence Questionnaire-short form (ICIQ-SF) questionnaire and the International Quality of Life (IQoL) questionnaire. Results: Of the 68 women, 35 (51%) and 33 (49%) were treated with LMWHA solution and HCO combined and HA alone for 10 weeks, respectively. A total of 28 (80%) vs. 7 (21%) women reported an improvement (PGI-I score ≤3) of the symptoms in the LMWHA solution and HCO combined group vs. the HA alone group. According to the ICIQ-SF, a statistically significant difference was observed between the two groups after treatment (median, 7 [5-11] vs. 10 [8-11]; Conclusion: LMWHA solution and HCO combined might improve mild and moderate stress and mixed urinary incontinence in women with GSM and appear superior to HA therapy alone. However, these results need to be confirmed in further studies with a controlled design and a larger population.

Indexed as

genitourinary syndromehyaluronic acid and high concentration oxygenmenopausemixed urinary incontinencestress incontinence

Identifiers

PMID41704686
PMCPMC12907375

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.