Evidence map›Paper›PMID 32402143›Full record

ArticleBJU international2020

Transvesical robot-assisted radical prostatectomy: initial experience and surgical outcomes.

Xiaochen Zhou, Bin Fu, Cheng Zhang, Weipeng Liu, Ju Guo, Luyao Chen, Enjun Lei, Xu Zhang, Gongxian Wang

Open access · hybridAbstract read
In one paragraph

Article in BJU international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 12% of its field
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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  10. Design and navigation method of a soft robot for single-port transvesical radical prostatectomy.International journal of computer assisted radiology and surgery · 2024
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  16. Post-Radical Prostatectomy Erectile Dysfunction Assessed Using the IIEF-5 Questionnaire - A Systematic Literature Review.International journal of sexual health : official journal of the World Association for Sexual Health · 2022
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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

9 authors at 2 institutions in 1 country.

Xiaochen ZhouDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Bin FuDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Cheng ZhangDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Weipeng LiuDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Ju GuoDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Luyao ChenDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Enjun LeiDepartment of Anesthesiology, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Xu ZhangDepartment of Urology, Chinese PLA General Hospital, Beijing, China.
Gongxian WangDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, China.ORCID 0000-0002-8399-931X
Nanchang University · CNChinese PLA General Hospital · CN

Funding

Key Research and Development Program of Jiangxi Province 20161ACG70013Key Research and Development Program of Jiangxi Province 20171ACB20029National Natural Science Foundation of China NSFC 81602256National Natural Science Foundation of China NSFC 81760457
6 · The paper itself

Abstract

objectivesTo describe in detail the techniques for transvesical robot-assisted radical prostatectomy (RARP) using the da Vinci Si/Xi system (Intuitive Surgical, Sunnyvale, CA, USA) and to evaluate functional and oncological outcomes in 35 patients with prostate cancer. PATIENTS AND

methodsThirty-five patients with localized prostate cancer were enrolled for transvesical RARP. The patients' preoperative data (mean ± sd age 63.4 ± 8.1 years, body mass index 28.6 ± 5.3 kg/m

resultsThe mean operating time was 150 ± 35 min. Estimated blood loss was 100 ± 45 mL. Urinary infection was noted in one patient and managed with levofloxacin. Another patient complained of nocturia on postoperative day 14, which was relieved with solifenacin succinate. Urethral catheters were removed on postoperative day 7. Thirty-two patients achieved immediate urinary continence, with three patients returning to full continence on postoperative day 14. Postoperative pathology confirmed 24 pT2a cases, nine pT2b cases and two pT2c cases (median [IQR] Gleason score 6 [6-7]). Positive surgical margins were found in four patients (11.4%). No urethral stricture or urinary leakage was noted on urethrocystography taken 3 months after surgery. Urodynamic studies were performed preoperatively and 6 months after surgery: median (IQR) maximum urinary flow 12.2 (10.2-14.9) vs 13.7 (10.1-15.0) mL/s; bladder capacity 385.3 (351.3-410.2) vs 370.2 (330.1-395.4) mL; and voiding phase detrusor contractility 38.5 (27.8-42.3) vs 35.6 (28.3-41.3) mmH

conclusionsThe transvesical approach is a valid alternative to RARP in selected patients, providing promising postoperative urinary continence. Long-term functional and oncological results require further investigation.

Indexed as

Robotic Surgical ProceduresAgedHumansMaleMiddle AgedProstatectomyProstatic NeoplasmsTreatment OutcomeUrinary Bladderprostate cancerrobot assisted radical prostatectomyrobotic surgerytransvesical approachurinary continence

Identifiers

PMID32402143
PMCPMC7497005
OpenAlexW3024050786

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.