256 Chapter 10 method and early continence after RARP.19 Additional studies using different assessment methods could give more insight into the use of these templated assessment methods in order to find the possible origins of adverse postoperative outcomes. Review of surgical videos has been used by surgeons to learn from past performance and by expert surgeons as part of their cyclical quality improvement analysis in order to reduce complications and improve postoperative outcomes.17,24 Although the effects of these structured surgical video reviews seem promising, it remains unclear if experts are able to predict the postoperative potency status of a patient, as well as identify factors involved in the postoperative potency status of a patient based on the surgical video analysis. Stern et al. performed a study asking the surgeon at the end of the RARP to predict long-term postoperative continence of the patients.25 The results showed the surgeon was unable to predict postoperative continence. Since the prediction by the surgeon was done directly postoperative and not based on the revision of the surgical video, the verdict of the surgeon could have been influenced by other factors, for example, distracting factors in the operating room, rather than solely the factors analysed during the surgery. The following research questions will be investigated to gain more insight into the ability of surgeons to predict postoperative outcomes and to investigate which factors could be related to specific postoperative outcomes: 1. Are expert surgeons able to predict postoperative potency by performing surgical video analysis of the preservation of the neurovascular bundles (NVBs), apical dissection, and vesicourethral anastomosis phase of the RARP? 2. Can aspects of surgical skills as measured by either the (Global Evaluative Assessment of Robotic Skills (GEARS) , Prostatectomy Assessment and Competence (PACE) and PRostatectomy video Observation to Evaluate and Score Technical skill (PROTEST) method be related to outcomes regarding erectile function? These questions will be answered by performing an exploratory study.
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