Evidence map›Paper›PMID 38909142›Full record

ArticleWorld journal of urology2024

Does previous transurethral resection of the prostate affect the outcomes in robotic assisted radical prostatectomy?

Abdel Rahman Jaber, Marcio Covas Moschovas, Jonathan Noel, Daniel Stirt, Travis Rogers, Shady Saikali, Ahmed Gamal, Marco Sandri, Gabriele Sorce, Alexandre Mottrie and 1 more

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Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. Article
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

11 authors.

Abdel Rahman JaberAdventHealth Global Robotics Institute, 380 Celebration Place, Orlando, FL, 34747, USA. Asjaber@hotmail.com.
Marcio Covas MoschovasAdventHealth Global Robotics Institute, 380 Celebration Place, Orlando, FL, 34747, USA.
Jonathan NoelAdventHealth Global Robotics Institute, 380 Celebration Place, Orlando, FL, 34747, USA.
Daniel StirtUniversity of Central Florida (UCF), Orlando, USA.
Travis RogersAdventHealth Global Robotics Institute, 380 Celebration Place, Orlando, FL, 34747, USA.
Shady SaikaliAdventHealth Global Robotics Institute, 380 Celebration Place, Orlando, FL, 34747, USA.
Ahmed GamalAdventHealth Global Robotics Institute, 380 Celebration Place, Orlando, FL, 34747, USA.
Marco SandriBig and Open Data Innovation Laboratory (BODaI-Lab) and Data Methods and Systems Statistical, Brescia, Italy.
Gabriele SorceDepartment of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium.
Alexandre MottrieDepartment of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium.
Vipul PatelAdventHealth Global Robotics Institute, 380 Celebration Place, Orlando, FL, 34747, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTransurethral resection of the prostate (TURP) is one of the surgical options for treating enlarged prostates with lower urinary symptoms (LUTS). In this older group of patients, concomitant prostate cancer is not uncommon. However, the fibrosis and distortion of the prostate anatomy by prior TURP can potentially hinder surgical efficacy at robotic-assisted radical prostatectomy (RARP). We aim to evaluate functional, and oncologic outcomes of RARP in patients with and without previous TURP.

methods231 men with previous TURP underwent RARP (TURP group). These men were propensity score matched using clinicopathological characteristics to men without previous TURP who underwent RARP (Control group). Perioperative and postoperative variables were analysed for significant differences in outcomes between groups. Variables analysed included estimated blood loss (EBL), operative time, catheter time, hospitalization time, postoperative complications, positive surgical margins (PSM) rates, cancer status, biochemical recurrence (BCR), potency, and continence rates.

resultsPatients in the TURP group showed no statistically significant differences in operative safety measures including median EBL, operative time, catheter time, hospitalization time or postoperative complications. No significant difference between the groups in terms of potency rates and continence rates. Furthermore, there were no statistically significant differences in oncological outcomes, including PSM rates (15% vs 18%, P = 0.3) and BCR.

conclusionIn RARP after TURP there is often noticeable distortion of the surgical anatomy. For an experienced team the procedure is safe and provides similar oncologic control and functional outcomes to RARP in patients without previous TURP.

Indexed as

ProstatectomyProstatic NeoplasmsRobotic Surgical ProceduresTransurethral Resection of ProstateAgedHumansMaleMiddle AgedPostoperative ComplicationsProstatic HyperplasiaRetrospective StudiesTreatment OutcomeProstate cancerRadical prostatectomyRobotic-assistedTransurethral resection of the prostate

Identifiers

PMID38909142

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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.