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      European Society for Sexual Medicine Consensus Statement on the Use of the Cavernous Nerve Injury Rodent Model to Study Postradical Prostatectomy Erectile Dysfunction

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          Abstract

          Introduction

          Rodent animal models are currently the most used in vivo model in translational studies looking into the pathophysiology of erectile dysfunction after nerve-sparing radical prostatectomy.

          Aim

          This European Society for Sexual Medicine (ESSM) statement aims to guide scientists toward utilization of the rodent model in an appropriate, timely, and proficient fashion.

          Methods

          MEDLINE and EMBASE databases were searched for basic science studies, using a rodent animal model, looking into the consequence of pelvic nerve injury on erectile function.

          Main outcome measures

          The authors present a consensus on how to best perform experiments with this rodent model, the details of the technique, and highlight possible pitfalls.

          Results

          Owing to the specific issue—basic science—Oxford 2011 Levels of Evidence criteria cannot be applied. However, ESSM statements on this topic will be provided in which we summarize the ESSM position on various aspects of the model such as the use of the Animal Research Reporting In Vivo Experiments guideline and the of common range parameter for nerve stimulation. We also highlighted the translational limits of the model.

          Conclusion

          The following statements were formulated as a suggestive guidance for scientists using the cavernous nerve injury model. With this, we hope to standardize and further improve the quality of research in this field. It must be noted that this model has its limitations.

          Weyne E, Ilg MM, Cakir OO, et al. European Society for Sexual Medicine Consensus Statement on the Use of the Cavernous Nerve Injury Rodent Model to Study Postradical Prostatectomy Erectile Dysfunction. Sex Med 2020;8:327–337.

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          Most cited references105

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          A call for transparent reporting to optimize the predictive value of preclinical research.

          The US National Institute of Neurological Disorders and Stroke convened major stakeholders in June 2012 to discuss how to improve the methodological reporting of animal studies in grant applications and publications. The main workshop recommendation is that at a minimum studies should report on sample-size estimation, whether and how animals were randomized, whether investigators were blind to the treatment, and the handling of data. We recognize that achieving a meaningful improvement in the quality of reporting will require a concerted effort by investigators, reviewers, funding agencies and journal editors. Requiring better reporting of animal studies will raise awareness of the importance of rigorous study design to accelerate scientific progress.
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            The Laboratory Rat: Relating Its Age With Human's

            By late 18th or early 19th century, albino rats became the most commonly used experimental animals in numerous biomedical researches, as they have been recognized as the preeminent model mammalian system. But, the precise correlation between age of laboratory rats and human is still a subject of debate. A number of studies have tried to detect these correlations in various ways, But, have not successfully provided any proper association. Thus, the current review attempts to compare rat and human age at different phases of their life. The overall findings indicate that rats grow rapidly during their childhood and become sexually mature at about the sixth week, but attain social maturity 5-6 months later. In adulthood, every day of the animal is approximately equivalent to 34.8 human days (i.e., one rat month is comparable to three human years). Numerous researchers performed experimental investigations in albino rats and estimated, in general, while considering their entire life span, that a human month resembles every-day life of a laboratory rat. These differences signify the variations in their anatomy, physiology and developmental processes, which must be taken into consideration while analyzing the results or selecting the dose of any research in rats when age is a crucial factor.
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              Urinary Incontinence and Erectile Dysfunction After Robotic Versus Open Radical Prostatectomy: A Prospective, Controlled, Nonrandomised Trial.

              Robot-assisted laparoscopic radical prostatectomy (RALP) has become widely used without high-grade evidence of superiority regarding long-term clinical outcomes compared with open retropubic radical prostatectomy (RRP), the gold standard.
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                Author and article information

                Contributors
                Journal
                Sex Med
                Sex Med
                Sexual Medicine
                Elsevier
                2050-1161
                13 July 2020
                September 2020
                13 July 2020
                : 8
                : 3
                : 327-337
                Affiliations
                [1 ]Laboratory for Experimental Urology, Organ Systems, Department of Development and Regeneration, University of Leuven, Leuven, Belgium
                [2 ]Faculty of Health, Education, Medicine and Social Care, Medical Technology Research Centre, Anglia Ruskin University, Chelmsford, UK
                [3 ]Department of Urology, University College London Hospitals NHS Trust, London, UK
                [4 ]Division of Surgery and Interventional Science, UCL, London, UK
                [5 ]NIHR Biomedical Research Centre University College London Hospitals, London, UK
                [6 ]Pelvipharm, Montigny-le-Bretonneux, France UMR1179, Université Versailles Saint Quentin en Yvelines, Montigny-le-Bretonneux, France
                [7 ]Servicio de Histología-Investigación, Unidad de Investigación Traslacional en Cardiología (UFV-IRYCIS), Hospital Universitario Ramón y Cajal, Madrid, Spain
                [8 ]Endocrinology Unit, Medical Department, Azienda USL, Maggiore-Bellaria Hospital, Bologna, Italy
                [9 ]Division of Urology, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
                [10 ]Flare-Health, Amstelveen, The Netherlands
                [11 ]Unit of Urology, Division of Experimental Oncology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Milan, Italy
                [12 ]Departement of Urology, Vita-Salute San Raffaele University, Milan, Italy
                Author notes
                [] Corresponding Author: Fabio Castiglione, MD, PhD, Departement of Urology, University College London Hospital, 16-18 Westmoreland St, Marylebone, London W1G 8PH. Tel: +447460050365 dr.castiglione.fabio@ 123456gmail.com
                Article
                S2050-1161(20)30083-0
                10.1016/j.esxm.2020.06.007
                7471127
                32674971
                f2899300-25da-40f4-9a2f-76dd63ade6cb
                © 2020 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 16 March 2020
                : 14 June 2020
                Categories
                Review

                animal model,erectile dysfunction,radical prostatectomy,cavernous nerve

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