作者
Adriana M Pedraza, Sneha Parekh, Himanshu Joshi, Ralph Grauer, Vinayak Wagaskar, Laura Zuluaga, Raghav Gupta, Flora Barthe, Jordan Nasri, Krunal Pandav, Dhruti Patel, Michael A Gorin, Mani Menon, Ashutosh K Tewari
发表日期
2023/2/1
期刊
European Urology Open Science
卷号
48
页码范围
72-81
出版商
Elsevier
简介
Background
Prediction of extracapsular extension (ECE) is essential to achieve a balance between oncologic resection and neural tissue preservation. Microultrasound (MUS) is an attractive alternative to multiparametric magnetic resonance imaging (mpMRI) in the staging scenario.
Objective
To create a side-specific nomogram integrating clinicopathologic parameters and MUS findings to predict ipsilateral ECE and guide nerve sparing.
Design, setting, and participants
Prospective data were collected from consecutive patients who underwent robotic-assisted radical prostatectomy from June 2021 to May 2022 and had preoperative MUS and mpMRI. A total of 391 patients and 612 lobes were included in the analysis.
Outcome measurements and statistical analysis
ECE on surgical pathology was the primary outcome. Multivariate regression analyses were carried out to identify predictors for ECE. The resultant …
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AM Pedraza, S Parekh, H Joshi, R Grauer, V Wagaskar… - European Urology Open Science, 2023