Evidence map›Paper›PMID 42391488›Full record

ReviewInternational braz j urol : official journal of the Brazilian Society of Urology

Beyond Oral Therapies: A Practical Approach to Overcoming Barriers to Intracavernosal Injection Therapy in Clinical Practice.

Lucas Vasconcelos Sanvido, Nilson Marquardt, Thiago Afonso Teixeira, Felipe Carneiro, Bruno Chiesa Gouveia Nascimento, Jorge Hallak

Abstract readReview
In one paragraph

Review in International braz j urol : official journal of the Brazilian Society of Urology. 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

6 authors.

Lucas Vasconcelos SanvidoDepartamento de Cirurgia, Divisão de Urologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo - HC-FMUSP, São Paulo, SP, Brasil.
Nilson MarquardtDepartamento de Cirurgia, Divisão de Urologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo - HC-FMUSP, São Paulo, SP, Brasil.
Thiago Afonso TeixeiraDivisão de Urologia, Departamento de Cirurgia, Hospital Universitário, Faculdade de Medicina, Universidade Federal do Amapá UNIFAP, Macapá, AP, Brasil.
Felipe CarneiroDepartamento de Cirurgia, Divisão de Urologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo - HC-FMUSP, São Paulo, SP, Brasil.
Bruno Chiesa Gouveia NascimentoDepartamento de Cirurgia, Divisão de Urologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo - HC-FMUSP, São Paulo, SP, Brasil.
Jorge HallakDepartamento de Cirurgia, Divisão de Urologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo - HC-FMUSP, São Paulo, SP, Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this manuscript is to present intracavernous therapy to readers, serving as a model and guide for physicians on how to introduce and manage it in their patients. Furthermore, we propose a strategy designed to ensure maximum safety with minor complications and provide an effective implementation of intracavernosal injection (ICI) therapy for the management of erectile dysfunction (ED). While phosphodiesterase type 5 inhibitors (PDE5i) are recognized as first-line therapy, approximately one-third of patients do not achieve satisfactory clinical outcomes, highlighting the importance of ICI as a highly effective second-line option. This comprehensive review details patient selection, drug formulation, structured patient education, stepwise dose titration, management of adverse events, and longitudinal follow-up. This approach is intended to minimize treatment-related complications, enhance patient confidence and adherence, and optimize long-term therapeutic outcomes. By suggesting a standardized clinical application of ICI therapy, this review aims to address key barriers that currently restrict its broader adoption in routine clinical practice.

Indexed as

Erectile DysfunctionPapaverinePhosphodiesterase 5 InhibitorsVasodilator AgentsHumansInjectionsMalePatient SelectionTreatment OutcomePapaverinePhosphodiesterase 5 InhibitorsVasodilator AgentsErectile Dysfunctiontherapy [Subheading]Treatment Adherence and Compliance

Identifiers

PMID42391488
PMCPMC13682747

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.