{"id":"https://openalex.org/W4284960434","doi":"https://doi.org/10.1089/vid.2022.0025","title":"Saline-Assisted Fascial Engorgement Nerve Preservation Guided by Microultrasound During Robot-Assisted Radical Prostatectomy","display_name":"Saline-Assisted Fascial Engorgement Nerve Preservation Guided by Microultrasound During Robot-Assisted Radical Prostatectomy","publication_year":2022,"publication_date":"2022-07-08","ids":{"openalex":"https://openalex.org/W4284960434","doi":"https://doi.org/10.1089/vid.2022.0025"},"language":"en","primary_location":{"id":"doi:10.1089/vid.2022.0025","doi":"https://doi.org/10.1089/vid.2022.0025","is_oa":false,"landing_page_url":"https://doi.org/10.1089/vid.2022.0025","pdf_url":null,"source":{"id":"https://openalex.org/S4210194829","display_name":"Videourology","issn_l":"2151-1136","issn":["2151-1136"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Videourology\u2122","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028649111","display_name":"Adriana M. Pedraza","orcid":"https://orcid.org/0000-0003-3275-7019","observed_orcids":["https://orcid.org/0000-0003-3275-7019"]},"institutions":[{"id":"https://openalex.org/I98704320","display_name":"Icahn School of Medicine at Mount Sinai","ror":"https://ror.org/04a9tmd77","country_code":"US","type":"education","lineage":["https://openalex.org/I1320796813","https://openalex.org/I98704320"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Adriana M. Pedraza Bermeo","raw_affiliation_strings":["Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA","institution_ids":["https://openalex.org/I98704320"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041731471","display_name":"Vinayak Gorakhnath Wagaskar","orcid":"https://orcid.org/0000-0001-8027-6661","observed_orcids":["https://orcid.org/0000-0001-8027-6661"]},"institutions":[{"id":"https://openalex.org/I98704320","display_name":"Icahn School of Medicine at Mount Sinai","ror":"https://ror.org/04a9tmd77","country_code":"US","type":"education","lineage":["https://openalex.org/I1320796813","https://openalex.org/I98704320"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vinayak G. Wagaskar","raw_affiliation_strings":["Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA","institution_ids":["https://openalex.org/I98704320"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015997545","display_name":"Kacie Schlussel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I98704320","display_name":"Icahn School of Medicine at Mount Sinai","ror":"https://ror.org/04a9tmd77","country_code":"US","type":"education","lineage":["https://openalex.org/I1320796813","https://openalex.org/I98704320"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kacie Schlussel","raw_affiliation_strings":["Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA","institution_ids":["https://openalex.org/I98704320"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088138529","display_name":"Roy Berryhill","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I98704320","display_name":"Icahn School of Medicine at Mount Sinai","ror":"https://ror.org/04a9tmd77","country_code":"US","type":"education","lineage":["https://openalex.org/I1320796813","https://openalex.org/I98704320"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Roy Berryhill","raw_affiliation_strings":["Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA","institution_ids":["https://openalex.org/I98704320"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079353223","display_name":"Ian Haas","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I98704320","display_name":"Icahn School of Medicine at Mount Sinai","ror":"https://ror.org/04a9tmd77","country_code":"US","type":"education","lineage":["https://openalex.org/I1320796813","https://openalex.org/I98704320"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ian Haas","raw_affiliation_strings":["Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA","institution_ids":["https://openalex.org/I98704320"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047073379","display_name":"Krunal Balvantbhai Pandav","orcid":"https://orcid.org/0000-0002-5451-7115","observed_orcids":["https://orcid.org/0000-0002-5451-7115"]},"institutions":[{"id":"https://openalex.org/I98704320","display_name":"Icahn School of Medicine at Mount Sinai","ror":"https://ror.org/04a9tmd77","country_code":"US","type":"education","lineage":["https://openalex.org/I1320796813","https://openalex.org/I98704320"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Krunal Pandav","raw_affiliation_strings":["Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA","institution_ids":["https://openalex.org/I98704320"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068285584","display_name":"Ashutosh Kumar Tewari","orcid":"https://orcid.org/0000-0002-3146-4524","observed_orcids":["https://orcid.org/0000-0002-3146-4524"]},"institutions":[{"id":"https://openalex.org/I98704320","display_name":"Icahn School of Medicine at Mount Sinai","ror":"https://ror.org/04a9tmd77","country_code":"US","type":"education","lineage":["https://openalex.org/I1320796813","https://openalex.org/I98704320"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ashutosh K. Tewari","raw_affiliation_strings":["Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA","institution_ids":["https://openalex.org/I98704320"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5028649111"],"corresponding_institution_ids":["https://openalex.org/I98704320"],"apc_list":null,"apc_paid":null,"fwci":0.1624,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.46086275,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"36","issue":"6","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10124","display_name":"Prostate Cancer Diagnosis and Treatment","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10124","display_name":"Prostate Cancer Diagnosis and Treatment","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10279","display_name":"Urinary Bladder and Prostate Research","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13242","display_name":"Male Reproductive Health Studies","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nerve-sparing-prostatectomy","display_name":"nerve-sparing radical prostatectomy","score":0.972000002861023},{"id":"https://openalex.org/keywords/robot-assisted-radical-prostatectomy","display_name":"robot-assisted radical prostatectomy","score":0.9819999933242798},{"id":"https://openalex.org/keywords/extracapsular-extension","display_name":"extracapsular extension","score":0.8809999823570251},{"id":"https://openalex.org/keywords/erectile-function","display_name":"erectile function","score":0.6140000224113464},{"id":"https://openalex.org/keywords/denonvilliers-fascia","display_name":"Denonvilliers' fascia","score":0.8140000104904175},{"id":"https://openalex.org/keywords/prostatic-capsule","display_name":"prostatic capsule","score":0.7390000224113464},{"id":"https://openalex.org/keywords/positive-surgical-margins","display_name":"positive surgical margins","score":0.6940000057220459},{"id":"https://openalex.org/keywords/intracavernosal-injection","display_name":"intracavernous injection","score":0.7620000243186951},{"id":"https://openalex.org/keywords/phosphodiesterase-5-inhibitors","display_name":"phosphodiesterase-5 inhibitors","score":0.7289999723434448},{"id":"https://openalex.org/keywords/urinary-continence","display_name":"urinary continence","score":0.8980000019073486},{"id":"https://openalex.org/keywords/prostate-cancer-surgery","display_name":"prostate cancer surgery","score":0.718999981880188}],"concepts":[{"id":"https://openalex.org/C2779466945","wikidata":"https://www.wikidata.org/wiki/Q1765251","display_name":"Prostatectomy","level":4,"score":0.5905864238739014},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5805599093437195},{"id":"https://openalex.org/C2777397205","wikidata":"https://www.wikidata.org/wiki/Q275792","display_name":"Saline","level":2,"score":0.5264720916748047},{"id":"https://openalex.org/C126894567","wikidata":"https://www.wikidata.org/wiki/Q105650","display_name":"Urology","level":1,"score":0.5233365893363953},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.2154221534729004},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1496082842350006},{"id":"https://openalex.org/C2776235491","wikidata":"https://www.wikidata.org/wiki/Q9625","display_name":"Prostate","level":3,"score":0.09244269132614136},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1089/vid.2022.0025","doi":"https://doi.org/10.1089/vid.2022.0025","is_oa":false,"landing_page_url":"https://doi.org/10.1089/vid.2022.0025","pdf_url":null,"source":{"id":"https://openalex.org/S4210194829","display_name":"Videourology","issn_l":"2151-1136","issn":["2151-1136"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Videourology\u2122","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":4,"referenced_works":["https://openalex.org/W1541733924","https://openalex.org/W2898522880","https://openalex.org/W2906611927","https://openalex.org/W3126797528"],"related_works":["https://openalex.org/W4389482831","https://openalex.org/W7201972343","https://openalex.org/W2085072435","https://openalex.org/W4399117135","https://openalex.org/W2154175918","https://openalex.org/W4415544199","https://openalex.org/W4404144610","https://openalex.org/W4391446091","https://openalex.org/W2783130166","https://openalex.org/W4246501360"],"abstract_inverted_index":{"Introduction:":[0],"Nerve":[1],"sparing":[2],"determines":[3],"functional":[4],"outcomes":[5],"after":[6,133,212,256],"radical":[7,85],"prostatectomy.":[8],"Given":[9],"the":[10,26,114,134,138,144,155,158,178,181,188,192,225,261,274,306],"impact":[11],"on":[12],"positive":[13],"surgical":[14,179,298],"margin":[15],"(PSM)":[16],"rates,":[17],"neural":[18],"tissue":[19],"preservation":[20,311],"should":[21],"be":[22],"carefully":[23],"balanced":[24],"against":[25],"risk":[27,102,333],"of":[28,71,103,137,143,162,191,305,355,358,367,375],"extracapsular":[29],"extension":[30],"(ECE).":[31],"1":[32],",":[33],"2":[34],"To":[35,176],"achieve":[36],"this":[37,372],"goal":[38],"and":[39,62,90,97,107,113,121,149,152,209,239,255,319,346],"improve":[40],"erectile":[41],"function":[42],"(EF)":[43],"outcomes,":[44],"we":[45],"have":[46,344],"proposed":[47],"an":[48],"innovative":[49],"nerve-sparing":[50,126],"technique":[51,127,183,227,321],"denominated":[52],"saline-assisted":[53],"fascial":[54],"engorgement":[55],"(SAFE)":[56],"guided":[57,312],"by":[58,93,203,313],"microultrasound":[59],"(MUS).":[60],"Materials":[61],"Methods:":[63],"This":[64],"pilot":[65],"study":[66],"included":[67],"36":[68],"consecutive":[69],"cases":[70],"potent":[72],"men":[73,78,117],"(sexual":[74],"health":[75],"inventory":[76],"for":[77,334,350],"[SHIM]":[79],"\u2265":[80],"17)":[81],"who":[82,98,223],"underwent":[83,118,224],"robot-assisted":[84],"prostatectomy":[86],"between":[87,105,146],"October":[88],"2021":[89],"January":[91],"2022":[92],"a":[94,100,169,196,316],"high-volume":[95],"surgeon,":[96],"had":[99,296],"unilateral":[101],"ECE":[104,335],"21%":[106],"73%.":[108],"3":[109,210,240,280],"The":[110,124],"first":[111],"19":[112],"next":[115],"17":[116],"standard":[119],"dissection":[120],"SAFE,":[122],"respectively.":[123],"SAFE":[125,182,226,262,309],"was":[128,166,184,201,216,285],"performed":[129],"in":[130,260,273,287,300,329,353,369],"real":[131],"time":[132],"early":[135],"release":[136],"neurovascular":[139],"bundle.":[140],"After":[141],"identification":[142],"plane":[145],"Denonvilliers'":[147],"fascia":[148],"prostatic":[150,193],"capsule,":[151],"starting":[153],"from":[154],"apex":[156],"toward":[157],"base,":[159],"20":[160],"mL":[161],"normal":[163],"saline":[164],"solution":[165],"injected":[167],"with":[168,195,371],"22-gauge":[170],"\u00d7":[171],"177.8":[172],"mm":[173],"spinal":[174],"needle.":[175],"create":[177],"planes,":[180],"tailored":[185],"according":[186],"to":[187,322],"visualized":[189],"integrity":[190],"capsule":[194],"transrectal":[197],"MUS.":[198],"4":[199],"EF":[200],"assessed":[202],"SHIM":[204,230,327],"score":[205],"preoperatively,":[206],"6":[207,233],"weeks,":[208],"months":[211,241,281],"surgery.":[213,257],"Continence":[214],"rate":[215],"defined":[217],"as":[218],"completely":[219],"pad-free.":[220],"Results:":[221],"Men":[222],"achieved":[228],"higher":[229],"scores":[231,328],"at":[232,279,331],"weeks":[234],"(":[235,242,290],"p":[236,243,291],"=":[237,244,292],"0.037)":[238],"0.016)":[245],"follow-up.":[246,282],"As":[247],"per":[248],"protocol,":[249],"all":[250],"patients":[251,259,272,295,330],"received":[252,345],"PDE5i":[253],"before":[254],"Potent":[258],"group":[263,276],"did":[264],"not":[265],"require":[266],"intracavernosal":[267],"injections":[268],"(ICIs),":[269],"whereas":[270],"two":[271],"control":[275],"needed":[277],"ICI":[278],"No":[283],"difference":[284],"found":[286],"urinary":[288],"continence":[289],"0.75).":[293],"All":[294],"negative":[297],"margins":[299],"final":[301],"pathology":[302],"analysis":[303],"irrespective":[304],"group.":[307],"Conclusion:":[308],"nerve":[310],"MUS":[314],"is":[315,364],"practical,":[317],"harmless,":[318],"easy":[320],"perform.":[323],"It":[324],"improves":[325],"postoperative":[326],"high":[332],"without":[336],"increasing":[337],"PSM":[338],"rates.":[339],"Patient":[340],"Consent":[341],"Statement:":[342],"Authors":[343],"archived":[347],"patient":[348],"consent":[349],"video":[351,356],"recording/publication":[352],"advance":[354],"recording":[357],"procedure.The":[359],"authors":[360],"declare":[361],"that":[362],"there":[363],"no":[365],"conflict":[366],"interest":[368],"connection":[370],"video.":[373],"Runtime":[374],"video:":[376],"7":[377],"mins":[378],"8":[379],"secs":[380]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2023,"cited_by_count":1}],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2022-07-10T00:00:00"}