Evidence map›Paper›PMID 34015959›Full record

ReviewJournal of endourology2021

Robot-Assisted Radical Prostatectomy Maneuvers to Attenuate Erectile Dysfunction: Technical Description and Video Compilation.

Spyridon P Basourakos, Keith Kowalczyk, Marcio Covas Moschovas, Vanessa Dudley, Andrew J Hung, Jonathan E Shoag, Vipul Patel, Jim C Hu

Open access · greenAbstract readReview
In one paragraph

Review in Journal of endourology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Review
  5. Article
  6. Article
  7. Article
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  12. Article
  13. Review
  14. Technical and anatomical challenges to approach robotic-assisted radical prostatectomy in patients with Urolift®.International braz j urol : official journal of the Brazilian Society of Urology
    Article
  15. Contemporary techniques of da Vinci SP radical prostatectomy: multicentric collaboration and expert opinion.International braz j urol : official journal of the Brazilian Society of Urology
    Article
  16. Implementation and outcomes of Hugo(TM) RAS System in robotic-assisted radical prostatectomy.International braz j urol : official journal of the Brazilian Society of Urology
    Article
  17. Article
  18. Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 cases.International braz j urol : official journal of the Brazilian Society of Urology
    Review
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

8 authors at 4 institutions in 1 country.

Spyridon P BasourakosDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, New York, USA.ORCID 0000-0002-7458-4593
Keith KowalczykDepartment of Urology, MedStar Georgetown University Hospital, Lombardi Cancer Center, Washington, District of Columbia, USA.
Marcio Covas MoschovasAdventHealth Global Robotics Institute, Celebration, Florida, USA.
Vanessa DudleyDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, New York, USA.
Andrew J HungCenter for Robotic Simulation & Education, Catherine & Joseph Aresty Department of Urology, University of Southern California Institute of Urology, Los Angeles, California, USA.
Jonathan E ShoagDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, New York, USA.
Vipul PatelAdventHealth Global Robotics Institute, Celebration, Florida, USA.
Jim C HuDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, New York, USA.
NewYork–Presbyterian Hospital · USAdventHealth Celebration · USGeorgetown University · USUniversity of Southern California · US

Funding

Evaluation of Transperineal Biopsy under Local Anesthesia, a Novel approach to Decrease Post-Biopsy Infections and Improve Cancer DetectionR01CA241758 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI ALLAF, MOHAMAD, HU, JIM · 2020 to 2024
$3.1M
NCI NIH HHS R01 CA241758
6 · The paper itself

Abstract

Erectile dysfunction (ED) remains a significant problem in up to 63% of men after robot-assisted radical prostatectomy (RARP). After the discovery of the neurovascular bundle (NVB), additional anatomic description and variation in nerve-sparing (NS) techniques have been described to improve post-RARP ED. However, it remains questionable whether ED rates have improved over time, and this is concerning as competing treatments are introduced that have better ED outcomes. In this review, we describe RARP NS technical modifications that improve erectile function recovery. We focused on reports that included detailed anatomical descriptions as well as video illustrations to disseminate technique. We found that the alternative RARP NS surgical techniques provide better outcomes compared with standard NS RARP. The use of validated quality of life questionnaires is necessary for the appropriate comparison of outcomes. However, the retrospective character and inherent weaknesses of the included studies do not allow one to conclude which is the best NS approach. Overall, there is significant variation in RARP NS techniques and outcomes, and the ideal technical maneuvers to optimize outcomes remains subject to debate. However, there is a consensus on the importance of anatomically dissecting the NVB, minimizing traction and thermal injury as well as preserving the periprostatic fascia. Well-designed randomized controlled trials with videos describing details of different surgical techniques for generalizability are needed to consistently and objectively evaluate sexual function outcomes after RARP to optimize postoperative potency.

Indexed as

Erectile DysfunctionProstatic NeoplasmsRoboticsRobotic Surgical ProceduresHumansMaleProstatectomyQuality of LifeRetrospective StudiesTreatment Outcomeerectile dysfunctionnerve-sparingprostate cancerprostatectomy

Identifiers

PMID34015959
PMCPMC8820193
OpenAlexW3163522086

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.