Evidence map›Paper›PMID 40439715›Full record

ArticleWorld journal of urology2025

Transcutaneous electrical nerve stimulation (TENS) therapy in rehabilitating erectile dysfunction after bilateral nerve sparing robotic assisted radical prostatectomy.

Ferhat Yakup Suçeken, Şeref Coşer, Duygu Kurtuluş, Murat Akgül, Kamil Kül, Mehmet Sevim, Mithat Ekşi, Eyüp Veli Küçük, Bekir Aras

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Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
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  3. Article
  4. Review
  5. 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

9 authors.

Ferhat Yakup SuçekenUmraniye Training & Research Hospital, Department of Urology, Health Sciences University, İstanbul, Turkey. ykpsckn@gmail.com.ORCID https://orcid.org/0000-0001-7605-4353
Şeref CoşerDepartment of Urology, Kutahya Health Science University, Kutahya, Turkey.ORCID https://orcid.org/0000-0002-8856-8084
Duygu KurtuluşUmraniye Training & Research Hospital, Department of Physical Therapy and Rehabilitation, Health Sciences University, İstanbul, Turkey.ORCID https://orcid.org/0000-0002-9763-5912
Murat AkgülUmraniye Training & Research Hospital, Department of Urology, Health Sciences University, İstanbul, Turkey.ORCID https://orcid.org/0000-0001-6187-1940
Kamil KülUmraniye Training & Research Hospital, Department of Urology, Health Sciences University, İstanbul, Turkey.ORCID https://orcid.org/0009-0008-6975-2629
Mehmet SevimDepartment of Urology, Konya City Hospital, Konya, Turkey.ORCID https://orcid.org/0000-0002-7571-7669
Mithat EkşiDepartment of Urology, Health Sciences University, Bakirkoy Sadi Konuk Training & Research Hospital, İstanbul, Turkey.ORCID https://orcid.org/0000-0003-1490-3756
Eyüp Veli KüçükUmraniye Training & Research Hospital, Department of Urology, Health Sciences University, İstanbul, Turkey.ORCID https://orcid.org/0000-0003-1744-8242
Bekir ArasDepartment of Urology, Kutahya Health Science University, Kutahya, Turkey.ORCID https://orcid.org/0000-0002-7020-8830

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimErectile dysfunction (ED) represents one of the most clinically significant and detrimental quality-of-life complications in prostate cancer (PCa) patients following treatment. Different modalities are applied to improve and rehabilitate functional results, especially erectile function after radical prostatectomy (RP). We aimed to evaluate the effect of transcutaneous electrical nerve stimulation (TENS) on postoperative erectile function in patients who underwent bilateral nerve sparing robot-assisted radical prostatectomy (RARP).

methodsThe data of patients who underwent RARP for PCa were retrospectively examined. Patients were divided into two groups: those who underwent TENS to improve ED status after RARP (TENS(+)) and those who did not (TENS(-)). The patients' demographic data, surgical data, pre-op/post-op 3rd month International Prostate Symptom Score (IPSS), and pre-op/post-op 6th and 12th month International Index of Erectile Function (IIEF-5) data were evaluated.

resultsOf the 80 patients included in the study, 40 were allocated to the TENS(+) group and 40 to the TENS(-) group. The demographic and operative characteristics of the groups were similar. Preoperative and postoperative IPSS were statistically similar in both groups (p = 0.07 and p = 0.12, respectively). While, the mean preoperative IIEF-5 scores were similar for two groups, they were found to be statistically higher in the TENS(+) group in post-operative 6th months (p < 0.001). However, the improvement in IIEF score in the TENS(-) group was more pronounced during the second six months post-operatively, and no statistically significant difference was observed between the two groups at the 12th postoperative month (p = 0.12).

conclusionTENS therapy administered following RARP may be efficacious in penile rehabilitation 6 months post-surgery. TENS may be an alternative therapy for patients seeking early erectile recovery after RARP.

Indexed as

Erectile DysfunctionPostoperative ComplicationsProstatectomyProstatic NeoplasmsRobotic Surgical ProceduresTranscutaneous Electric Nerve StimulationAgedHumansMaleMiddle AgedRetrospective StudiesErectile dysfunctionRobotic assisted radical prostatectomyTranscutaneous electrical nerve stimulation

Identifiers

PMID40439715

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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.