Pavlovich Christian P, Rocco Bernardo, Druskin Sasha C, Davis John W
Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ospedale Policlinico e Nuovo Ospedale Civile, S. Agostino Estense, University of Modena and Reggio Emilia, Modena, Italy.
BJU Int. 2017 Aug;120(2):185-196. doi: 10.1111/bju.13852. Epub 2017 Apr 17.
In an editorial board-moderated debate format, two experts in prostate cancer surgery are challenged with presenting the key strategies in radical prostatectomy that improve urinary functional outcomes. Dr Bernardo Rocco was tasked with arguing the facts that support the anatomical preservation and reconstruction steps that improve urinary continence. Drs Christian Pavlovich and Sasha Druskin were tasked with arguing the facts supporting neurovascular bundle and high anterior release surgical planes that improve urinary continence. Associate Editor John Davis moderates the debate, and outlines the current status of validated patient questionnaires that can be used to evaluate urinary continence, and recent work that allows measuring what constitutes a 'clinically significant' difference that either or both of these surgical techniques could influence. A review of raw data from a publication from Dr Pavlovich's team demonstrates how clinically relevant differences in patient-reported outcomes can be correlated to technique. A visual atlas is presented from both presenting teams, and Dr Davis demonstrates further reproducibility of technique. A linked video on this concept is available as a supplementary file.
在编辑委员会主持的辩论形式中，两位前列腺癌手术专家面临着阐述根治性前列腺切除术中改善尿功能结果的关键策略的挑战。贝尔纳多·罗科博士的任务是论证支持改善尿失禁的解剖结构保留和重建步骤的事实。克里斯蒂安·帕夫洛维奇博士和萨沙·德鲁斯金博士的任务是论证支持改善尿失禁的神经血管束和高位前路游离手术平面的事实。副主编约翰·戴维斯主持辩论，并概述了可用于评估尿失禁的经过验证的患者问卷的现状，以及最近关于测量这两种手术技术中的一种或两种可能影响的“临床显著”差异的研究。对帕夫洛维奇博士团队发表的一份出版物的原始数据进行回顾，展示了患者报告结果中的临床相关差异如何与技术相关联。两个展示团队都展示了视觉图谱，戴维斯博士展示了技术的进一步可重复性。关于这个概念的相关视频作为补充文件提供。
