Cochrane · systematic review · CD013677
Posterior musculofascial reconstruction in robotic‐assisted laparoscopic prostatectomy for the treatment of clinically localized prostate cancer
Rosenberg, JE, Jung, JH, Lee, H, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
UrologyAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 4 · 57.1%Moderate 2 · 28.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Posterior reconstruction compared to no posterior reconstruction for the treatment of prostate cancer
Population: men (ages > 18 years) with clinically localized prostate cancer
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Urinary continence within 1 week after catheter removal MCID: 5% absolute difference Posterior reconstruction vs no posterior reconstruction | RR 1.25 [0.9, 1.73] | 5 studies · 498 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Urinary continence 3 months after surgery MCID: 5% absolute difference Posterior reconstruction vs no posterior reconstruction | RR 0.98 [0.84, 1.14] | 6 studies · 842 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Serious adverse events Posterior reconstruction vs no posterior reconstruction | RR 0.75 [0.29, 1.92] | 5 studies · 835 participants | Moderate Downgraded: risk of bias |
Urinary continence 6 months after surgery MCID: 5% absolute difference Posterior reconstruction vs no posterior reconstruction | RR 1.01 [0.97, 1.05] | 5 studies · 741 participants | Moderate Downgraded: risk of bias |
Urinary continence 12 months after surgery MCID: 5% absolute difference Posterior reconstruction vs no posterior reconstruction | RR 1.02 [0.98, 1.07] | 3 studies · 602 participants | Low Downgraded: risk of bias, imprecision |
Potency recovery 12 months after surgery MCID: 5% absolute difference Posterior reconstruction vs no posterior reconstruction | RR 1.02 [0.82, 1.26] | 2 studies · 308 participants | Very low Downgraded: risk of bias, imprecision |
Positive surgical margins MCID: 5% absolute difference Posterior reconstruction vs no posterior reconstruction | RR 1.24 [0.65, 2.33] | 3 studies · 517 participants | Low Downgraded: risk of bias, imprecision, inconsistency |