Evidence map›Paper›PMID 42318411›Full record

SynthesisFrontiers in medicine2026

Autologous regenerative cell therapy for female stress urinary incontinence: a systematic review and meta-analysis of clinical outcomes.

Jiemei Chen, Yaofeng Zhi, Wanmin Liu, Yingchi Fan, Yuehuan Lin, Qian Zhong, Xin Zhang, Xiaohong Ruan

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 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

8 authors.

Jiemei ChenJiangmen Key Laboratory of Precision and Clinical Translation Medicine, Clinical Experimental Center, Jiangmen Engineering Technology Research Center of Clinical Biobank and Translational Research, Jiangmen Central Hospital, Jiangmen, China.
Yaofeng ZhiJiangmen Key Laboratory of Precision and Clinical Translation Medicine, Clinical Experimental Center, Jiangmen Engineering Technology Research Center of Clinical Biobank and Translational Research, Jiangmen Central Hospital, Jiangmen, China.
Wanmin LiuDepartment of Gynecology, Jiangmen Central Hospital, Jiangmen, China.
Yingchi FanDepartment of Gynecology, Jiangmen Central Hospital, Jiangmen, China.
Yuehuan LinDepartment of Gynecology, Jiangmen Central Hospital, Jiangmen, China.
Qian ZhongDepartment of Gynecology, Jiangmen Central Hospital, Jiangmen, China.
Xin ZhangJiangmen Key Laboratory of Precision and Clinical Translation Medicine, Clinical Experimental Center, Jiangmen Engineering Technology Research Center of Clinical Biobank and Translational Research, Jiangmen Central Hospital, Jiangmen, China.
Xiaohong RuanDepartment of Gynecology, Jiangmen Central Hospital, Jiangmen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To systematically evaluate the clinical outcomes of autologous regenerative cell therapy for female stress urinary incontinence (SUI). Methods: A systematic search was conducted in PubMed, Web of Science, EMBASE, Cochrane Library, and CINAHL databases. Data analysis was performed using RevMan and Stata. The primary outcomes were cure and improvement rate. Secondary outcomes included pad test, leakage frequency, questionnaire scores, quality of life, urodynamic parameters, loss to follow-up rate, and adverse events. Subgroup analyses and sensitivity analyses were conducted based on heterogeneity. Publication bias was assessed using funnel plots, begg test, and egger test. Results: A total of 19 studies encompassing 591 patients were included. The meta-analysis showed that regenerative cell therapy was associated with a pooled cure rate of 41% and a pooled improvement rate of 55% (17 studies). Regenerative cell therapy significantly reduced pad test, decreased leakage frequency, and improved incontinence-specific questionnaires and quality of life. In terms of urodynamic parameters, post-void residual volume was significantly improved, while no significant improvements were observed in maximum urethral closure pressure or maximum flow rate. The loss to follow-up rate and adverse events were no more than 8%. Significant heterogeneity was observed across all outcome measures. Subgroup analysis showed no significant differences and sensitivity analyses confirmed the robustness of the results. Funnel plots suggested potential publication bias, but begg test and egger test were not statistically significant. Conclusion: Autologous regenerative cell therapy for female SUI achieved a 41% cure rate and 55% improvement rate, improved symptoms and quality of life, and demonstrated favorable short-term safety. However, these findings should be interpreted with caution due to short follow-up, lack of magnetic resonance imaging evidence for regeneration, significant heterogeneity, and low-to-moderate study quality. Future large-sample randomized controlled trials with standardized study protocols are needed to further validate these findings. Systematic review registration: The registration URL is as follows: https://www.crd.york.ac.uk/PROSPERO, PROSPERO (CRD420261345945).

Indexed as

cell therapyfemaleregenerative cellstem cellstress urinary incontinence

Identifiers

PMID42318411
PMCPMC13271920

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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.