Evidence map›Paper›PMID 40960532›Full record

ArticleWorld journal of urology2025

Clinical outcomes and health-related quality of life assessment following minimally invasive reconstructive surgery for benign ureteral strictures.

Quan Zhang, Hanqing Wang, Xuemeng Zhang, Zhenhua Gao, Hao Li, Baiyu Zhang

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Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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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.

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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Quan Zhang *Department of Urology, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China.
Hanqing Wang *Department of Urology, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China.
Xuemeng ZhangDepartment of Urology, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China.
Zhenhua GaoDepartment of Urology, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China. sonic929@163.com.
Hao LiDepartment of Urology, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China. lihao834@sina.com.
Baiyu ZhangDepartment of Urology, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China. zhangbaiyu@ydyy.cn.

Funding

Project of Yunnan Applied Basic Research Project-Kunming Medical University Union Foundation 202301AY070001-198Youth Project of Yunnan Provincial Basic Research Program 202301AU070170Yunnan Province Clinical Research Center for Chronic Kidney Disease 202102AA100060
6 · The paper itself

Abstract

backgroundTo evaluate the clinical efficacy of minimally invasive ureteral reconstruction for benign strictures and analyze its impact on health-related quality of life (HRQoL) and psychological status.

methodsThis retrospective study included 29 patients undergoing robotic/laparoscopic ureteral reconstruction at our institution. Surgical outcomes were assessed through imaging, laboratory parameters, and patient-reported outcomes assessed via the validated SF-36 quality-of-life instrument and Hospital Anxiety and Depression Scale (HADS) psychological distress screening tool.

resultsWith a median follow-up of 12 months, the surgical success rate was 96.6%. The perioperative complication rate was 6.90% (2 cases of transient high fever), with no severe adverse events observed. Preoperative SF-36 scores in physical functioning (PF) and bodily pain (BP) domains were significantly lower than those of the general population (p < 0.001). Postoperatively, except for vitality(VT) and mental health (MH) domains which surpassed population norms, scores in other dimensions showed no significant differences compared to the general population (p > 0.05). Notably, all SF-36 domains demonstrated significant improvement from baseline (p < 0.05). Additionally, both anxiety and depression scores assessed by HADS decreased markedly after surgery (p < 0.05).

conclusionMinimally invasive ureteral repair and reconstruction effectively relieves obstruction, improves renal function, and significantly enhances health-related quality of life and psychological well-being, representing a safe therapeutic option for benign ureteral strictures. Surgical intervention reduces the need for long-term stent or nephrostomy placement, thereby alleviating physical and psychological burdens. Further studies with expanded cohorts and extended follow-up durations are warranted to validate long-term outcomes.

Indexed as

LaparoscopyPlastic Surgery ProceduresQuality of LifeRobotic Surgical ProceduresUreterUreteral ObstructionAdultAgedConstriction, PathologicFemaleHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresRetrospective StudiesTreatment OutcomeMinimally invasive surgeryQuality of lifeUreteral stricture reconstruction

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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 Socratic graph.