Evidence map›Paper›PMID 41826795›Full record

ArticleBJU international2026

Long-term patient-reported outcomes of open urorectal fistula repair after prostate cancer treatment.

Max C Wagner, Jakob Klemm, Navid Roessler, Robert J Schulz, Dejan K Filipas, Margit Fisch, Roland Dahlem, Malte W Vetterlein

Abstract read
In one paragraph

Article in BJU international, 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. 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.

Max C WagnerDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jakob KlemmDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-7032-579X
Navid RoesslerDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0009-0008-2792-9828
Robert J SchulzDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0009-0008-7731-0978
Dejan K FilipasDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-3671-3948
Margit FischDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Roland DahlemDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-9738-7675
Malte W VetterleinDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-5987-3883

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate long-term outcomes of open urorectal fistula (URF) repair, including URF recurrence, need for re-intervention, and patient-reported outcomes. PATIENTS AND

methodsThis retrospective study included men undergoing open URF repair between 2014 and 2024. Data collected encompassed comorbidities, prostate cancer treatment history, prior URF interventions, and intraoperative details. Endpoints were: (i) URF recurrence-free survival, (ii) re-intervention-free survival (no further disease-related procedures), and (iii) validated patient-reported outcome measures (PROMs). Kaplan-Meier estimators were used for survival analyses; PROMs were scored according to standard protocols.

resultsA total of 29 patients underwent open URF repair. The median (interquartile range [IQR]) age was 68 (61-71) years, body mass index was 26 (23-28) kg/m

conclusionOpen URF repair achieves durable URF closure with favourable long-term outcomes, even in complex cases. Patient satisfaction is high, while moderate urinary incontinence persists in some, likely reflecting underlying disease. Voiding and faecal continence remain largely preserved.

Indexed as

Patient Reported Outcome MeasuresProstatectomyProstatic NeoplasmsRectal FistulaUrinary FistulaAgedHumansMaleMiddle AgedPostoperative ComplicationsReoperationRetrospective StudiesTreatment Outcomepatient‐reported outcome measurespostoperative complicationsprostatectomysurgical flapsurorectal fistula

Identifiers

PMID41826795
PMCPMC13168923

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Registered trials

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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.