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ArticleInternational urology and nephrology2025

Outcomes and efficacy of robotic-assisted radical prostatectomy using the CMR Versius platform: a prospective study on 118 patients with 1-year follow-up.

Mahmoud Abdelhakim, Samer Morsy, Mohamed Abdelghany, Abdelhamid Fouad, Mohamed Abdelwahab

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Article in International urology and nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Mahmoud AbdelhakimDepartment of Urology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Samer MorsyDepartment of Urology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Mohamed AbdelghanyDepartment of Urology, Faculty of Medicine, Cairo University, Cairo, Egypt. Dr.Abdelghany@kasralainy.edu.eg.
Abdelhamid FouadDepartment of Medical Oncology, National Cancer Institute, Cairo University, Cairo, Egypt.
Mohamed AbdelwahabDepartment of Urology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the outcomes and efficacy of robot-assisted radical prostatectomy (RARP) using the Versius robotic surgical system, aiming to provide comprehensive data on perioperative outcomes, postoperative recovery, and complications. PATIENT AND

methodsAll cases of RARP using the CMR Versius platform performed at Cairo University Hospital over a two-year period were enrolled in this study. All patients had pathologically confirmed prostate cancer in both localized and locally advanced stages. Data were prospectively collected including preoperative parameters as patients' demographics, serum PSA, and Gleason score after trans-rectal ultrasound guided biopsy. Intraoperative parameters and complications were assessed. Postoperatively, we monitored the oncological and functional outcomes such as continence and sexual functions for at least 12 months. Follow up of PSA was done at 6 weeks, 3 and 6 months, postoperatively.

resultsOne-hundred-and-eighteen patients continued the follow-up till 12 months. The median patient age was 64.26 ± 7.13 years. The median PSA value at diagnosis was 9 (4.16-64) ng/ml and the median prostate size was 50 (20-167) grams. The mean docking time, console time, and the total operative time were 13.17 ± 1.157, 194.75 ± 24.3 and 225.76 ± 25 min, respectively and the median blood loss was 307.46 ± 61.44 ml. The mean hospital stay and the mean catheter time were 2.16 ± 0.867 and 7.26 ± 1.441 days, respectively. Forty-nine patients underwent nerve-sparing RARP (bilateral in 41 patients and unilateral in 8 patients). Post-operative continence and potency showed progressive improvement over time during follow-up. Twelve months postoperatively, 90.7% of patients were totally continent and 49% of those patients who underwent nerve-sparing RARP (24/49) were potent.

conclusionWith a positive safety profile and a successful oncological outcome, the use of the CMR system for robot-assisted radical prostatectomy presents a safe and promising method in the surgical management of prostate cancer.

Indexed as

ProstatectomyProstatic NeoplasmsRobotic Surgical ProceduresAgedFollow-Up StudiesHumansMaleMiddle AgedOperative TimePostoperative ComplicationsProspective StudiesProstate-Specific AntigenTime FactorsTreatment OutcomeProstate-Specific AntigenCMRProstate cancerRARP

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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.