Urethral preservation by direct anastomosis to bilateral gracilis myocutaneous flaps after distal urethrectomy for extramammary Paget disease: A case report.

Toshiki Matsushima, Kensuke Mitsunari, Yuichiro Nakamura, Masami Ashizuka, Yutaka Kuwazuka, Ryoichi Imamura

Abstract readCase Reports

In one paragraph

Article in Urology case reports, 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

6 authors.

Toshiki MatsushimaDepartment of Urology and Renal Transplantation, Nagasaki University Hospital, Nagasaki, Japan.

Kensuke MitsunariDepartment of Urology and Renal Transplantation, Nagasaki University Hospital, Nagasaki, Japan.

Yuichiro NakamuraDepartment of Urology and Renal Transplantation, Nagasaki University Hospital, Nagasaki, Japan.

Masami AshizukaDepartment of Dermatology and Allergology, Nagasaki University Hospital, Nagasaki, Japan.

Yutaka KuwazukaDepartment of Dermatology and Allergology, Nagasaki University Hospital, Nagasaki, Japan.

Ryoichi ImamuraDepartment of Urology and Renal Transplantation, Nagasaki University Hospital, Nagasaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 47-year-old woman with a 6-year history of vulvar pruritus was diagnosed with vulvar extramammary Paget's disease extending to the urethra, vaginal introitus, and anal canal. Cystoscopy showed irregular mucosa limited to several millimeters from the external urethral meatus. The tumor and distal urethra were resected en bloc with a negative frozen section margin, preserving the urethral sphincter. Reconstruction used bilateral pedicled gracilis myocutaneous flaps, with the residual urethral mucosa directly anastomosed to the flap. Postoperatively, spontaneous voiding was maintained without residual urine or incontinence. At 3 years and 5 months, continence persisted without urethral stenosis or local recurrence.

Indexed as

Case reportDistal urethrectomyExtramammary Paget diseaseGracilis myocutaneous flapUrethral reconstruction

Identifiers

PMID42830838

DOI10.1016/j.eucr.2026.103623

PMCPMC13634102

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.