{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:18:52Z","timestamp":1772165932634,"version":"3.50.1"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T00:00:00Z","timestamp":1642032000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T00:00:00Z","timestamp":1642032000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"college of medicine, university of nigeria, Enugu campus"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Urol"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Malament stitch is one of the effective techniques employed to minimize bleeding in simple open prostatectomy but concerns about possibility of increased risk of bladder neck stenosis has limited its routine use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>We studied patients who had open prostatectomy with Malament stitch to determine the incidence of bladder neck stenosis amongst them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>This was a prospective study of 72patients who had simple open prostatectomy in which malament stitch was applied from 2010 to 2020. A proforma was designed to collect data. Pretreatment variables were transrectal ultrasound (TRUS) volume of prostate, pretreatment IPSS value, postvoidal residual urine volume before surgery, weight of enucleated prostate adenoma, time to removal of Malament stitch. Outcome measures were done with post treatment IPSS and PVR at 6\u00a0weeks, 3\u00a0months and 6\u00a0months. Cystoscopy was done at 3\u00a0months or 6\u00a0months for patients with rising outcome measures to determine presence of bladder neck stenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age of patients in this study was 68.3\u00a0years (SD\u2009=\u20097.1, range 52\u201382). The mean of the pretreatment score for IPSS was 30.7 (SD\u2009=\u20093.9, range 18\u201334) and 5.9 (SD\u2009=\u20090.2) for QOLS. The mean weight of prostate estimated with ultrasound was 169.5\u00a0g and mean weight of enucleated adenoma of the prostate was 132.5\u00a0g. The mean time of removal of Malament stitch was 23.1\u00a0h. Only 3 (4.2%) patients required cystoscopy because of increasing IPSS and PVR at 3\u00a0months postprostatectomy. 2 (2.8%) patients out of 72patients were confirmed to have bladder neck stenosis at cystoscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Malament stitch did not lead to significant incidence of bladder neck stenosis in this study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12894-021-00944-y","type":"journal-article","created":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T13:02:55Z","timestamp":1642078975000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Malament stitch and increased risk of bladder neck stenosis: any association following open prostatectomy in Enugu Southeast Nigeria"],"prefix":"10.1186","volume":"22","author":[{"given":"Okwudili Calistus","family":"Amu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel Azubuike","family":"Affusim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ugochukwu Uzodimma","family":"Nnadozie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Okezie","family":"Mbadiwe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,1,13]]},"reference":[{"key":"944_CR1","first-page":"265","volume-title":"Proceedings of the 4th international consultation of benign prostatic hyperplasia (BPH)","author":"MJ Barry","year":"1998","unstructured":"Barry MJ, Adolfsson J, Batista JE. Measuring the symptoms and health impact of benign prostatic hyperplasia and its treatments. In: Denis L, Griffiths K, Khoury S, editors. Proceedings of the 4th international consultation of benign prostatic hyperplasia (BPH). Paris: SCI; 1998. p. 265\u2013321."},{"key":"944_CR2","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1046\/j.1464-410x.1999.00908.x","volume":"83","author":"S Madersbacher","year":"1999","unstructured":"Madersbacher S, Marberger M. Is transurethral resection of the prostate still justified? BJU Int. 1999;83:227.","journal-title":"BJU Int"},{"key":"944_CR3","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1016\/j.urology.2005.06.006","volume":"66","author":"EA Elzayat","year":"2005","unstructured":"Elzayat EA, Habib EI, Elhilali MM. 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