Alexander Beulens

175 Linking surgical skills to postoperative outcomes: a Delphi study on the robot assisted radical prostatectomy cations. The panel reached consensus of ‘disagreement’ on two out of 11 statements (Table 2). No statements received a unanimous score. No consensus was reached on two remaining statements. The panel agreed that the following steps of the surgery might be associated with complications: “Bladder neck dissection”, “Ligation of prostate pedicles”, “Nerve preservation”, “Management of prostate apex/urethra”, “Vesico-urethral anastomosis”, “Lymph node dissection”, and “Wound closure and specimen removal”. Steps of the surgery associated with postoperative erectile dysfunction The Delphi Survey panel reached a consensus of ‘agreement’ on four out of 11 statements regarding the steps of the surgery that might be associated with postoperative erectile dysfunction (Table 2). The experts unanimously agreed that “Nerve preservation” and “Management of prostate apex/ urethra” might be associated with the incidence of postoperative erectile dysfunction. A consensus of ‘disagreement’ was reached on five out of 11 statements, four of which received a unanimous ‘disagreement’ score. No consensus was reached on the two remaining statements. Steps of the surgery associated with postoperative urinary incontinence During the Delphi Survey, the panel reached a consensus of ‘agreement’ on two out of 11 statements (Table 2) regarding steps of the surgery that might be related to postoperative urinary incontinence. The panel reached a consensus of ‘disagreement’ on five out of 11 of these statements. No consensus was reached on the four remaining statements. A unanimous consensus of ‘agreement’ was reached on one of these steps, and a unanimous consensus of disagreement was reached on three of these steps. The panel agreed that the following steps of the surgery might be associated with postoperative urinary incontinence: “Pelvic floor muscle exposure/opening of the endopelvic fascia”, and “Vesico-urethral anastomosis”. Factors that play a role in the origins of postoperative complications Both the Delphi Survey and the consensus meeting reached a consensus of ‘agreement’ that all (four out of four) the proposed factors (Table 2) could play a role in the origins of postoperative complications. The experts unanimously agreed on the relevance of the following factors: “Teamwork”, “Communication between the surgeon

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