Evidence map›Paper›PMID 40955513›Full record

ArticleBJU international2025

Peri-operative outcomes of open, laparoscopic and robotic simple prostatectomy.

Nikolaos Pyrgidis, Philipp Weinhold, Gerald Bastian Schulz, Michael Atzler, Leo Federico Stadelmeier, Iason Papadopoulos, Christian Stief, Julian Marcon, Patrick Keller

Abstract readComparative Study
In one paragraph

Article in BJU international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Article
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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

9 authors.

Nikolaos PyrgidisDepartment of Urology, University Hospital, LMU Munich, Munich, Germany.
Philipp WeinholdDepartment of Urology, University Hospital, LMU Munich, Munich, Germany.
Gerald Bastian SchulzDepartment of Urology, University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-0340-0304
Michael AtzlerDepartment of Urology, University Hospital, LMU Munich, Munich, Germany.
Leo Federico StadelmeierDepartment of Urology, University Hospital, LMU Munich, Munich, Germany.
Iason PapadopoulosDepartment of Urology, University Hospital, LMU Munich, Munich, Germany.
Christian StiefDepartment of Urology, University Hospital, LMU Munich, Munich, Germany.
Julian MarconDepartment of Urology, University Hospital, LMU Munich, Munich, Germany.
Patrick KellerDepartment of Urology, University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare peri-operative outcomes and trends in open (OSP), laparoscopic (LSP) and robot-assisted simple prostatectomy (RASP). MATERIALS AND

methodsWe used German Nationwide Inpatient Data (GRAND), provided by the Research Data Centre of the Federal Bureau of Statistics, and performed multiple patient-level analyses.

resultsBetween 2013 and 2023, 46 234 simple prostatectomies were performed in Germany for benign prostatic hyperplasia without concomitant bladder stones. Of these, 44 194 (96%) were performed with an open, 724 (1%) with a laparoscopic, and 1335 (3%) with a robotic approach. Among patients undergoing OSP, 11 755 (27%) cases were performed with a transcapsular and 32 439 (73%) with a transvesical approach. We compared transcapsular OSP vs RASP and LSP. The adoption of RASP increased exponentially during the period studied, while the use of OSP gradually declined, and that of LSP remained stable. In multivariable regression analyses, in-hospital transfusions were lower for LSP (6.5%; odds ratio [OR] 0.46, 95% confidence interval [CI] 0.34-0.62, P < 0.001) and RASP (7.3%; OR 0.58, 95% CI 0.47-0.72, P < 0.001) compared to OSP (13%). In-hospital urinary retention was significantly less frequent after LSP (4.6%; OR 0.46, 95% CI 0.32-0.65, P < 0.001) and RASP (6.4%; OR 0.68, 95% CI 0.54-0.85, P < 0.001) compared to OSP (9.3%). The median (interquartile range) hospital stay was 9 (8-12) days for OSP, 7 (6-9) days for RASP (P < 0.001) and 4 (4-7) days for LSP (P < 0.001). Transcapsular OSP was associated with a lower risk of intensive care unit admission (P < 0.001) and shorter hospital stay (P < 0.001) compared to transvesical OSP.

conclusionOur results showed that RASP is rapidly growing and offers better peri-operative outcomes compared to OSP.

Indexed as

LaparoscopyProstatectomyProstatic HyperplasiaRobotic Surgical ProceduresAgedGermanyHumansLength of StayMaleMiddle AgedPostoperative ComplicationsTreatment Outcomebenign prostatic hyperplasiaminimal‐invasive surgeryperioperative outcomesprostate enucleationsimple prostatectomy

Identifiers

PMID40955513
PMCPMC12606519

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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.