The utility of pelvic lymph node dissection in PSMA-PET negative intermediate and high-risk prostate cancer patients undergoing radical prostatectomy

Key Points

• To evaluate the impact of pelvic lymph node dissection on outcomes in prostate cancer patients.
• Short-term follow-up study design
• Patients with intermediate and high-risk prostate cancer
• Assessment of complications and oncological benefits
• PLND increased high-grade postoperative complications
• No clear early benefit regarding biochemical recurrence-free survival
• No significant impact on PSA persistence or recurrence location