The Nerve-Sparing Quality (NSQ) Score: A Novel Intraoperative Scoring System for Assessing Nerve-Sparing Quality During Robot-Assisted Radical Prostatectomy—A Concept and Feasibility Study

: We propose a novel structured intraoperative scoring system for evaluating nerve-sparing quality during RARP. The scale is simple, procedure-specific, and feasible for structured postoperative or video-based assessment. Preliminary results demonstrate fair-to-moderate inter-rater reliability with very high near-agreement, supporting the feasibility of this tool for clinical use. The proposed scoring system may facilitate standardized training, objective performance assessment, and future studies correlating intraoperative NS quality with functional outcomes.