Evidence map›Paper›PMID 42803865›Full record

ArticleJournal of robotic surgery2026

Phase-specific workflow maturation during early institutional implementation of Aquablation for benign prostatic hyperplasia: a retrospective single-center study.

Hsu-Cheng Ko, Yi-Sheng Lin, Yen-Chuan Ou, Min-Che Tung, Yi-Yu Chen, Shih-Huan Lin, Chao-Yu Hsu, Hung-Jen Shih

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Article in Journal of robotic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Hsu-Cheng KoDivision of Urology, Department of Surgery, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan.
Yi-Sheng LinDivision of Urology, Department of Surgery, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan.
Yen-Chuan OuDivision of Urology, Department of Surgery, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan.
Min-Che TungDivision of Urology, Department of Surgery, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan.
Yi-Yu ChenDepartment of Medical Research, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan.
Shih-Huan LinDivision of Education and Research, Department of Medical Statistics, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan. leon790221@gmail.com.
Chao-Yu HsuDivision of Urology, Department of Surgery, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan. t4361@ms3.sltung.com.tw.
Hung-Jen ShihDivision of Urology, Department of Surgery, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan. jasta1206@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Phase-specific workflow maturation during institutional Aquablation implementation remains incompletely characterized. We retrospectively analyzed the first 50 consecutive procedures for benign prostatic hyperplasia at a Taiwanese tertiary center. Institutional chronological case number was modeled continuously with preoperative prostate-volume adjustment and heteroskedasticity-robust inference. Outcomes were total operative time and planning, waterjet, and adjunct phases. Three-knot restricted cubic splines examined nonlinearity; sensitivity analyses restricted the cohort to the dominant surgeon and adjusted for anatomical case mix. Mean total time was 64.8 ± 23.6 min; planning, waterjet, and adjunct times were 22.4 ± 7.4, 5.8 ± 2.4, and 36.6 ± 15.8 min. Adjusted linear case-number coefficients were - 0.513, - 0.336, - 0.047, and - 0.130 min/case, respectively. The total-time 95% confidence interval was - 0.759 to - 0.267; the adjunct interval was - 0.311 to 0.050 (p = 0.152). Inverse total, planning, and waterjet associations persisted in sensitivity analyses. Adjunct spline associations were significant overall (p = 0.028) and for nonlinearity (p = 0.009). Six patients (12%) had postoperative complications; four underwent reintervention under general anesthesia and two received transfusions, with overlapping events. Postoperative functional and imaging findings were exploratory available-case outcomes. Institutional workflow maturation was clearest in planning and the composite waterjet phase. Adjunct finishing remained the largest component and showed an exploratory nonlinear chronological association.

Indexed as

AquablationProstatic HyperplasiaWorkflowAgedHumansMaleMiddle AgedOperative TimeRetrospective StudiesTaiwanAquablationBenign prostatic hyperplasiaInstitutional workflowOperative timeRobotic surgery

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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.