ReviewInvestigative and clinical urology2020
Lessons learned from 12,000 robotic radical prostatectomies: Is the journey as important as the outcome?
Review in Investigative and clinical urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled 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.
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.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- NeuroSAFE-guided robot-assisted radical prostatectomy versus standard RARP: systematic review and meta-analysis of comparative studies.Journal of robotic surgery · 2026Pooled it
- Surgical treatment options and outcomes for concomitant treatment of post-prostatectomy erectile dysfunction and male stress urinary incontinence: a systematic review of the literature.International journal of impotence research · 2026Pooled it
- Patient-reported early continence recovery after robot-assisted radical prostatectomy in elderly men.Journal of robotic surgery · 2026Article
- The evolving landscape of robot-assisted radical prostatectomy: A comprehensive review of surgical techniques.Investigative and clinical urology · 2026Review
- Treatment of male stress urinary incontinence at time of inflatable penile prosthesis placement a review of contemporary literature.Translational andrology and urology · 2024Review
- Effects of nerve-sparing procedures on surgical margins after robot-assisted radical prostatectomy.Journal of the Chinese Medical Association : JCMA · 2022Article
- Modified apical dissection improves early continence in robot-assisted laparoscopic radical prostatectomy: Comparative study between modified apical dissection and anterior suspension stitch.Investigative and clinical urology · 2022Article
- Initial experience of single-port robot-assisted radical prostatectomy: A single surgeon's experience with technique description.Prostate international · 2022Article
- Prostate cancer treatment and the relationship of androgen deprivation therapy to cognitive function.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2022Review
- Have urinary function outcomes after radical prostatectomy improved over the past decade?Cancer · 2022Article
- Toggling Technique Allows Retrograde Early Release to Facilitate Neurovascular Bundle Sparing During Robot-Assisted Radical Prostatectomy: A Propensity Score-Matching Study.Journal of Korean medical science · 2022Article
- Prediction of a positive surgical margin and biochemical recurrence after robot-assisted radical prostatectomy.Scientific reports · 2021Article
- A review of technical progression in the robot-assisted radical prostatectomy.Translational andrology and urology · 2021Review
- Management of Medium and Long Term Complications Following Prostate Cancer Treatment Resulting in Urinary Diversion - A Narrative Review.Frontiers in surgery · 2021Review
- Outcomes of Minimally Invasive Radical Prostatectomy-a Contemporary Review.Indian journal of surgical oncology · 2020Review
- Minimally invasive lymphocele drainage using the Da Vinci® single port platform: step-by- step technique.International braz j urol : official journal of the Brazilian Society of UrologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Robotic radical prostatectomy (RARP) is a standardized treatment for localized prostate cancer, which provides better functional outcomes and similar oncological outcomes compared to open approaches. Here, we share our experience of 12,000 RARPs by describing the outcomes of the procedure in terms of positive surgical margin (PSM), continence, and potency as well as by presenting our detailed surgical technique with recent modifications. On cancer control, the PSM rates were 5.8% and 26.1% in T2 and T3, respectively. On the premise of not compromising oncologic outcomes, a tailored approach to individual patients is essential. Even if an extracapsular extension is suspected, neurovascular bundle (NVB) tailoring can be applied using an anatomical landmark to preserve maximal nerve tissue with a negative margin. We developed a nomogram as a useful tool for deciding the degree of tailoring. For improvements of functional outcomes, we used athermal retrograde early release with a toggling technique, wherein the nerve dissection from the bottom helps with blood loss and allows for smooth NVB releasing. Additionally, we recently performed a new minimal apical dissection/lateral prostatic fascia preservation technique. As a result, our 1-week continence rate was 37% and the 6-week rate was 77.6%. In addition, the potency rates in our study were 69%, 82%, and 92% at 3 months, 6 months, and 1 year, respectively (preoperative Sexual Health Inventory for Men scores >21 & bilateral full nerve spared).
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Registered trials
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.