Evidence map›Paper›PMID 41049811›Full record

ReviewAsian journal of urology2025

Erectile function after laparoscopic versus robotic-assisted radical prostatectomy: A systematic review and meta-analysis.

Ana J Pina, Vitor C Melo, Vinícius W Carlos, Luca S Tristão, Clara L Santos, Wanderley M Bernardo, Aguinaldo C Nardi

Abstract readReview
In one paragraph

Review in Asian journal of urology, 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. Review
  2. Article
  3. Observational
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

7 authors.

Ana J PinaFaculdade de Medicina de Bauru da Universidade de São Paulo (FMBRU), Bauru, SP, Brazil.
Vitor C MeloFaculdade de Medicina de Bauru da Universidade de São Paulo (FMBRU), Bauru, SP, Brazil.
Vinícius W CarlosFaculdade de Medicina de Bauru da Universidade de São Paulo (FMBRU), Bauru, SP, Brazil.
Luca S TristãoFaculdade de Ciências Médicas de Santos do Centro Universitário Lusíada (FCMS-UNILUS), Santos, SP, Brazil.
Clara L SantosFaculdade de Ciências Médicas de Santos do Centro Universitário Lusíada (FCMS-UNILUS), Santos, SP, Brazil.
Wanderley M BernardoFaculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
Aguinaldo C NardiFaculdade de Medicina de Bauru da Universidade de São Paulo (FMBRU), Bauru, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Prostate cancer is a common malignancy in men over 50 years old, and radical prostatectomy, particularly via laparoscopic and robotic-assisted techniques, significantly impacts quality of life, especially in terms of erectile dysfunction. This systematic review and meta-analysis aimed to evaluate the preservation of erectile function following robotic-assisted and laparoscopic radical prostatectomy, with a separate analysis of randomized clinical trials and non-randomized studies. Methods: This review was carried out using randomized and non-randomized studies involving adult patients diagnosed with localized prostate cancer undergoing radical prostatectomy, according to Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines and registered in PROSPERO. Applicable literature from PubMed, Cochrane, Embase, and the Latin American and Caribbean Health Sciences Literature database was analysed. The bias in randomized clinical trials was assessed using the Cochrane Risk of Bias 2.0 tool, and observational studies were evaluated via the Newcastle-Ottawa Scale. The statistical analysis was performed using Review Manager version 5.4. Results: Our analysis included 13 studies involving 6281 patients. Comparative meta-analysis of non-randomized studies demonstrated that robotic techniques were significantly more effective in preserving erectile function at 3 months (risk difference [RD] 0.05, 95% confidence interval [CI] 0.00-0.11; Conclusion: Robotic-assisted surgery showed greater preservation of erectile function 3 months, 6 months, and 12 months after radical prostatectomy. However, additional studies with meticulous methodological criteria are necessary for future analysis.

Indexed as

Erectile dysfunctionLaparoscopic surgical procedureMinimally invasive surgical procedureProstatic neoplasmRobotic-assisted surgical procedure

Identifiers

PMID41049811
PMCPMC12490684

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.