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5.

Conclusions

Vessel-sparing radiotherapy for men with localized prostate

cancer resulted inexcellent long-termpreservationof erectile

function and tumor control. Only 12% of the cohort at 5 yr had

profound erectile dysfunction unresponsive to the use of

sexual aids, and 87% of baseline potent men were able to

achieve erections firm enough for intercourse 2 yr after

treatment. The utilization of vessel-sparing radiotherapy is

feasible and safe and appears to be more effective than

historical controls or model-predicted rates of potency

preservation, and thuswarrants amulticenter validation trial.

Author contributions:

Daniel E. Spratt had full access to all the data in the

study and takes responsibility for the integrity of the data and the

accuracy of the data analysis.

Study concept and design:

Spratt, Lawrence, McLaughlin, Winfield,

Schipper, Narayana, Evans.

Acquisition of data:

Spratt, Lee, Dessa, Narayana, Evans, Liss, McLaughlin,

Winfield.

Analysis and interpretation of data:

Spratt, Lee, Dessa, Schipper,

McLaughlin, Narayana, Evans, Liss, Lawrence, Winfield.

Drafting of the manuscript:

Spratt, Lee, Dessa, Narayana, Evans, Liss,

Lawrence, Schipper, Winfield, McLaughlin.

Critical revision of the manuscript for important intellectual content:

All

authors.

Statistical analysis:

Schipper, Spratt.

Obtaining funding:

None.

Administrative, technical, or material support

: Spratt, Lawrence, McLaugh-

lin.

Supervision:

Spratt, Lawrence, McLaughlin, Schipper.

Other:

None.

Financial disclosures:

Daniel E. Spratt certifies that all conflicts of interest,

including specific financial interests and relationships and affiliations

relevant to the subjectmatter ormaterials discussed in themanuscript (eg,

employment/affiliation, grants or funding, consultancies, honoraria, stock

ownership or options, expert testimony, royalties, or patents filed,

received, or pending), are the following: Daniel E. Spratt is funded by

the Prostate Cancer Foundation and has served on an advisory board for

Dendreon. The remaining authors have nothing to disclose.

Funding/Support and role of the sponsor:

None.

Acknowledgments:

Daniel E. Spratt would like to thank the Prostate

Cancer Foundation for their continual support.

Appendix A. Supplementary data

Supplementary data associated with this article can be

found, in the online version, at

http://dx.doi.org/10.1016/j. eururo.2017.02.007

.

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