Evidence map›Paper›PMID 37715788›Full record

ArticleWorld journal of urology2023

Standardized technique for ejaculation preservation during prostatic endoscopic ablative surgery.

Souhil Lebdai, Méric Ben Boujema, Antoine Benard, Nicolas Barry Delongchamps, Amine Benchikh, Franck Bruyere, Emmanuel Della Negra, Aurélien Descazeaud, Steeve Doizi, Marc Fourmarier and 8 more

Abstract read
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In one paragraph

Article in World journal of urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Trial
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

18 authors.

Souhil LebdaiUrology Department, University Hospital of Angers, CHU Angers, 4 Rue Larrey, 49933, Angers Cedex 9, France. souhil.lebdai@gmail.com.ORCID http://orcid.org/0000-0003-4839-3299
Méric Ben BoujemaMethodology Department, University Hospital of Bordeaux, Bordeaux, France.
Antoine BenardMethodology Department, University Hospital of Bordeaux, Bordeaux, France.
Nicolas Barry DelongchampsUrology Department, Cochin Hospital, APHP, Paris Cité University, Paris, France.
Amine BenchikhUrology Department, Clinique Des Franciscaines, Versailles, France.
Franck BruyereUrology Department, University Hospital of Tours, Tours, France.
Emmanuel Della NegraUrology Department, Hôpital Privé Des Côtes D'Armor, Plérin, France.
Aurélien DescazeaudUrology Department, University Hospital of Limoges, Limoges, France.
Steeve DoiziUrology Department, Hôpital Tenon, APHP, Paris, France.
Marc FourmarierUrology Department, CH Pays d'Aix, Aix en Provence, France.
Richard MalletUrology Department, Hôpital Prive Francheville, Périgueux, France.
Vincent MisraiUrology Department, Clinique Pasteur, Toulouse, France.
Tiphaine PelegrinUrology Department, Hôpital Henri Mondor, APHP, Paris, France.
Yohan RouscoffUrology Department, Polyclinique Saint Georges, Nice, France.
Alain RuffionUrology Department, University Hospital of Lyon, Lyon, France.
Arnaud VillersUrology Department, University Hospital of Lille, Lille, France.
Florence SaillourMethodology Department, University Hospital of Bordeaux, Bordeaux, France.
Grégoire RobertUrology Department, University Hospital of Bordeaux, Bordeaux, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEjaculatory dysfunction is the most common side effect of benign prostatic hyperplasia surgery. Modified techniques have emerged with the aim of preserving antegrade ejaculation without compromising obstruction relief. None are standardized or validated. The PARTURP study is a randomized study investigating partial versus complete prostate resection. We conducted an investigator consensus meeting to define the ideal surgical technique to achieve both correct obstruction relief with ejaculation preservation.

methodsAn expert consensus meeting involving all investigators of the PARTURP study took place to define a common technique using the nominal group methodology. The objectives were to define the areas to be resected and the areas to be preserved; to define the criteria for proper obstruction relief; to define the criteria for proper ejaculation preservation.

resultsAll investigators (n = 15) attended the consensus meeting, and agreement between all the participants was obtained. The anatomical landmarks to be preserved are located around the verumontanum and along the posterior part of the prostatic urethra. These structures must be preserved up to 2 cm from the verumontanum. The participants agreed on the need to preserve the urethral mucosa in all the areas to be preserved and to reach the enucleation plane in the areas of resection.

conclusionsAnatomical landmarks for ejaculation-sparing surgery have been defined by the investigators of the PARTURP randomized study. These landmarks will be used during the study, and the clinical outcomes of this ejaculation-sparing technique will be compared with complete resection with up to 3 years follow-up.

Indexed as

ProstateProstatic HyperplasiaEjaculationEndoscopyHumansMaleProstatectomyBenign prostatic hyperplasiaConsensusEjaculation preservationEjaculatory dysfunctionEndoscopic surgeryRecommendations

Identifiers

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Registered trials

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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 OpenQuestion graph.