Evidence map›Paper›PMID 38196247›Full record

ArticleInternational journal of urology : official journal of the Japanese Urological Association2024

Early recovery of urinary continence after robot-assisted radical prostatectomy is associated with membranous urethra and neurovascular bundle preservation.

Satoshi Ando, Toru Sugihara, Shiro Hinotsu, Hiroto Kishino, Daichi Hirata, Risako Watanabe, Atsushi Yanase, Hirotaka Yokoyama, Hayato Hoshina, Kaori Endo and 3 more

Abstract read
In one paragraph

Article in International journal of urology : official journal of the Japanese Urological Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

13 authors.

Satoshi AndoDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.ORCID 0000-0001-9964-1219
Toru SugiharaDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Shiro HinotsuBiostatistics and Data Management, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Hiroto KishinoDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Daichi HirataDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Risako WatanabeDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Atsushi YanaseDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Hirotaka YokoyamaDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Hayato HoshinaDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.ORCID 0009-0009-5067-0241
Kaori EndoDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Jun KameiDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Eiichiro TakaokaDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Tetsuya FujimuraDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.ORCID 0000-0002-3421-8273

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe investigated the correlation between surgical outcomes and postoperative urinary continence recovery in robot-assisted radical prostatectomy (RARP).

methodsPatients who underwent RARP in our institution (n = 195) were included in this study. Preserved urethral length (PUL) was assessed during the procedure. Other outcomes of the surgical procedure were collected from operative records. Kaplan-Meier analysis with log-rank test was used to compare urinary continence recovery rate with the PUL, sparing of the neurovascular bundle (NVB), and other surgical procedures. Univariate and multivariate analyses were performed using Cox proportional hazards model, and p-values of <0.05 were considered significant.

resultsPatients with a PUL ≥26 mm had 10.0%, 24.7%, 36.6%, and 89.0% continence recovery rates at 30, 60, 90, and 365 days after surgery, respectively, while patients with a PUL <26 mm had 0%, 17.8%, 26.1%, and 80.9% recovery rates, respectively. Kaplan-Meier curves showed significantly better postoperative urinary continence recovery at 30 days after RARP in patients with a PUL ≥26 mm than those with a PUL <26 mm (p = 0.0028) and in patients with NVB preservation than those with no NVB preservation (p = 0.014). Urinary continence recovery within 30, 60, and 90 days after surgery was 90.6% for patients with a PUL of ≥26 mm and NVB preservation, while only 82.3% for patients with a PUL of <26 mm or no NVB preservation.

conclusionOur results suggest that a PUL ≥26 mm and NVB preservation after RARP correlate with a significantly higher postoperative rate of recovery of urinary continence.

Indexed as

ProstatectomyProstatic NeoplasmsRecovery of FunctionRobotic Surgical ProceduresUrethraUrinary IncontinenceAgedHumansKaplan-Meier EstimateMaleMiddle AgedOrgan Sparing TreatmentsPostoperative ComplicationsProstateRetrospective StudiesTreatment Outcomeprostate neoplasmrobotic surgical proceduresurinary incontinence

Identifiers

PMID38196247
PMCPMC11524102

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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.