Evidence map›Paper›PMID 42026397›Full record

Observational studyInternational urology and nephrology2026

Magnetic resonance urethrography-derived geometric parameters and their association with surgical complexity in pelvic fracture urethral injury repair.

Ishory Bhusal, Siddharth Jain, Mehul Gupta, Stuti Chandola, Sanjay Sharma, Amlesh Seth, Rishi Nayyar, Manoj Kumar, Sanjay Kumar

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Ishory BhusalDepartment of Urology, All India Institute of Medical Sciences, New Delhi, India.
Siddharth JainDepartment of Urology, All India Institute of Medical Sciences, New Delhi, India. drsiddharthjainurology@aiims.edu.
Mehul GuptaDepartment of Urology, All India Institute of Medical Sciences, New Delhi, India.
Stuti ChandolaDepartment of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India.
Sanjay SharmaDepartment of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India.
Amlesh SethDepartment of Urology, All India Institute of Medical Sciences, New Delhi, India.
Rishi NayyarDepartment of Urology, All India Institute of Medical Sciences, New Delhi, India.
Manoj KumarDepartment of Urology, All India Institute of Medical Sciences, New Delhi, India.
Sanjay KumarDepartment of Urology, All India Institute of Medical Sciences, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurate preoperative planning is vital for successful surgical repair of pelvic fracture urethral injuries (PFUI). Magnetic resonance urethrography (MRU) offers a more detailed anatomical assessment of the posterior urethra than conventional urethrography. This study evaluates the role of MRU in PFUI repairs.

methodsThis was a prospective, single-center observational study conducted at a tertiary academic institution between August 2022 and December 2024, aimed at correlating the surgical complexity of PFUI repairs with preoperative geometric parameters derived from MRU and conventional urethrography. Male patients aged ≥ 18 years diagnosed with PFUI were included.

resultsTwenty male patients were studied, with a median age of 26 years (IQR: 20.5-36). The bulbomembranous urethra was the most frequent site of disruption (80%). Mean urethral gap measured 2.68 cm (SD 1.13) on MRU and 3.09 cm (SD 1.19) on conventional urethrography. Thirteen patients (65%) underwent non-pubectomy urethroplasty (NPU), and 7 underwent urethroplasty with pubectomy (PU). Within the NPU group, urethral mobilization sufficed in five, while eight required additional corporal separation. On MRU, mean distraction defect was significantly greater in the PU group (3.55 vs 2.22 cm in the NPU group, p < 0.01). Both MRU and conventional urethrography performed well on concordance analysis against the true gap length, with concordance correlation coefficients of 0.969 and 0.894 respectively.

conclusionMagnetic resonance urethrography (MRU) provides a more comprehensive and precise preoperative evaluation of PFUI compared to conventional urethrography, offering better visualization of the prostatic urethra, accurate gap measurement along with assessment of periurethral anatomic relationships.

Indexed as

Fractures, BoneMagnetic Resonance ImagingPelvic BonesUrethraAdultHumansMaleProspective StudiesUrologic Surgical Procedures, MaleYoung AdultDistraction defectMagnetic resonance urethrographyPelvic fracture urethral injuriesPreoperative assessment

Identifiers

PMID42026397

What OpenQuestion holds

Textmetadata
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.