CoSMAP Trial: SP-EA vs MP-TA Robot-Assisted Radical Prostatectomy
CoSMAP
Comparison of Perioperative and Postoperative Outcomes of Single-port (SP) Extraperitoneal Approach and Multi-port (MP) Transperitoneal Approach in Robot-assisted Radical Prostatectomy:A Propensity Score-matched Retrospective Cohort Study
2 other identifiers
observational
625
1 country
8
Brief Summary
This multicenter retrospective observational study aims to compare perioperative and postoperative outcomes between the da Vinci SP extraperitoneal approach (SP-EA) and the robotic multi-port transperitoneal approach (MP-TA) in robot-assisted radical prostatectomy for localized prostate cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2026
Shorter than P25 for all trials
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 26, 2026
CompletedFirst Submitted
Initial submission to the registry
June 3, 2026
CompletedFirst Posted
Study publicly available on registry
June 24, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 31, 2027
June 24, 2026
June 1, 2026
6 months
June 3, 2026
June 22, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Incidence of postoperative complications and Clavien-Dindo Grade 3a or higher postoperative complications
Postoperative complications occurring after robot assisted radical prostatectomy, including complications classified as Clavien-Dindo Grade 3a or higher.
Within 6 and 12 months after surgery
Urinary continence rate
Achievement of urinary continence after robot assisted radical prostatectomy.
Within 6 and 12 months after surgery
Secondary Outcomes (16)
Total operative time
During surgery
Console time
During surgery
Estimated blood loss
During surgery
Intraoperative transfusion rate
During surgery
Nerve sparing rate
During surgery
- +11 more secondary outcomes
Study Arms (2)
SP-EA group
Patients who underwent robot assisted radical prostatectomy using the da Vinci SP extraperitoneal approach.
MP-TA group
Patients who underwent robot assisted radical prostatectomy using the robotic multi port transperitoneal approach.
Eligibility Criteria
Patients with localized prostate cancer who underwent robot assisted radical prostatectomy using either the da Vinci SP extraperitoneal approach or the robotic multi port transperitoneal approach at participating institutions in Japan.
You may qualify if:
- Patients with localized prostate cancer (clinical stage T1-T3a, N0, M0) eligible for radical prostatectomy
- Patients who underwent RARP via SP-EA or MP-TA on or after January 1, 2023
- Patients with available postoperative follow-up data for ≥6 months (≥166 days) \*note 1)
You may not qualify if:
- Patients who have expressed an intention to refuse the use of their data for this study
- Patients who underwent RARP with pelvic lymph node dissection (PLND)
- Patients with a history of radiotherapy for prostate cancer
- Any other patients whom the principal investigator or a co-investigator deem inappropriate, such as those with missing outcome data.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (8)
Ichinomiyanishi Hospital
Ichinomiya, Aichi-ken, 494-0001, Japan
Fujita Health University Hospital
Toyoake, Aichi-ken, 470-1192, Japan
Saiseikai Yokohamashi Tobu Hospital
Yokohama, Kanagawa, 230-0012, Japan
Kyoto City Hospital
Kyoto, Kyoto, 604-8845, Japan
Mie University Hospital
Tsu, Mie-ken, 514-8507, Japan
Ageo Central General Hospital
Ageo, Saitama, 362-8588, Japan
National Cancer Center Hospital
Tokyo, Tokyo, 104-0045, Japan
Tokyo Medical Center
Tokyo, Tokyo, 152-8902, Japan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Masashi Takenaka
Fujita Health University
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 3, 2026
First Posted
June 24, 2026
Study Start
March 26, 2026
Primary Completion (Estimated)
September 30, 2026
Study Completion (Estimated)
March 31, 2027
Last Updated
June 24, 2026
Record last verified: 2026-06
Data Sharing
- IPD Sharing
- Will not share