Evidence map›Paper›PMID 42360505›Full record

ArticleWorld journal of urology2026

Photographic assessment of urostomy characteristics after ileal conduit diversion: a feasibility study.

Joëlle M Posthumus, M W van de Kamp, L Fransen, B W G van Rhijn, K Hendricksen, H G van der Poel, E Wit, J B Ringia, P A de Bie Leuveling Tjeenk, L S Mertens

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Article in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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.

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4 · The record

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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

10 authors.

Joëlle M PosthumusDepartment of Urology, Antoni Van Leeuwenhoek, Amsterdam, The Netherlands. joelle.posthumus@gmail.com.
M W van de KampDepartment of Urology, Antoni Van Leeuwenhoek, Amsterdam, The Netherlands.
L FransenDepartment of Urology, Antoni Van Leeuwenhoek, Amsterdam, The Netherlands.
B W G van RhijnDepartment of Urology, Antoni Van Leeuwenhoek, Amsterdam, The Netherlands.
K HendricksenDepartment of Urology, Antoni Van Leeuwenhoek, Amsterdam, The Netherlands.
H G van der PoelDepartment of Urology, Antoni Van Leeuwenhoek, Amsterdam, The Netherlands.
E WitDepartment of Urology, Antoni Van Leeuwenhoek, Amsterdam, The Netherlands.
J B RingiaDepartment of Urology, Antoni Van Leeuwenhoek, Amsterdam, The Netherlands.
P A de Bie Leuveling TjeenkDepartment of Urology, Antoni Van Leeuwenhoek, Amsterdam, The Netherlands.
L S MertensDepartment of Urology, Antoni Van Leeuwenhoek, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA well-functioning urostomy is essential for quality of life after radical cystectomy with ileal conduit diversion. However, objective external characteristics of a well-functioning urostomy remain poorly defined. This feasibility study investigated whether postoperative photographs can be standardized and used to assess relevant urostomy characteristics.

methodsThis single-centre study included 49 patients who underwent radical cystectomy with ileal conduit between June 2022 and December 2022. Immediate postoperative photographs were analysed. Urostomy characteristics, i.e. location, morphology, colour and height were evaluated by two experts using predefined criteria. Photographic standardization was reviewed by a medical photographer.

resultsOf 49 patients, a total of 89 photographs were available; 49 overview (55%), 31 close-up (35%), and 42 side-view (47%). Urostomy location, colour, and morphology were assessable in 82-88% of cases. Mesentery location was assessable in only 48% and lacked reproducibility. Height and size could not be measured due to absence of a scale. Inter-observer agreement between the two experts and the wound, ostomy and continence nurse (WOC nurse) was 100% on whether a characteristic could be assessed in a photograph, with no discrepancies in scoring. The medical photographer identified substantial variability in lighting, angle, and composition and provided recommendations for standardization.

conclusionPhotographic documentation of urostomies is feasible and allows for reliable assessment of several characteristics. Standardization is essential for reproducibility. Future studies should correlate standardized photographic characteristics with functional outcomes to define determinants of a well-functioning urostomy.

Indexed as

CystectomyOstomyPhotographyUrinary DiversionAgedFeasibility StudiesFemaleHumansMaleMiddle AgedIleal conduitPhotographic characteristicsRadical cystectomyUrostomy

Identifiers

PMID42360505
PMCPMC13309382

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