ArticleJournal of robotic surgery2023
Full functional-length urethral sphincter- and neurovascular bundle preservation improves long-term continence rates after robotic-assisted radical prostatectomy.
Article in Journal of robotic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Artificial intelligence assisted 3D in the robotic urooncology? A systematic review and narrative synthesis of current applications, challenges and future directions.The Canadian journal of urology · 2026Pooled it
- Association between maximal urethral length preservation and postoperative continence after robot-assisted radical prostatectomy: a meta-analysis and systematic review.Asian journal of andrology · 2025Pooled it
- Global research trends and hotspots of urinary incontinence after robot-assisted radical prostatectomy: a bibliometric and visual analysis.Journal of robotic surgery · 2026Article
- Refining the Predictive Accuracy of Membranous Urethral Length for Post-Prostatectomy Incontinence: A Standardized Approach in the Korean Population.Journal of clinical medicine · 2026Article
- Delphi consensus on ex vivo fluorescence confocal microscopy in robot-assisted radical prostatectomy.BJU international · 2026Article
- Transrectal ultrasound-cystogram versus X-ray-cystogram versus no cystogram: high volume retrospective study.Prostate international · 2026Article
- Demonstration of anatomical and technical details of robotic laparoscopic radical prostatectomy as described in the current literature.Frontiers in surgery · 2026Article
- [Surgical techniques to improve continence after robot-assisted laparoscopic radical prostatectomy based on video-anatomy-a review].Urologie (Heidelberg, Germany) · 2025Review
- Surgical techniques for enhancing postoperative urinary continence in robot-assisted radical prostatectomy: a comprehensive review.International journal of surgery (London, England) · 2025Review
- Technical Modifications Employed in RARP to Improve Early Continence Recovery: A Literature Review.Life (Basel, Switzerland) · 2025Review
- Recent Advances in Radical Prostatectomy: A Narrative Review of Surgical Innovations and Outcomes.Cancers · 2025Review
- Impact of the time interval between biopsy and radical prostatectomy on functional outcomes.World journal of urology · 2024Article
- [Effect of Precise Dissection and Reconstruction of the Prostate Apex and Bladder Neck in Radical Prostatectomy on Urinary Control Improvement].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024Article
- The Association between Patient Characteristics and Biochemical Recurrence after Radical Prostatectomy.Medicina (Kaunas, Lithuania) · 2024Article
- Internal urethral sphincter reconstruction with anterior bladder neck tube for robotic and laparoscopic radical prostatectomy: improving early return of continence.Translational andrology and urology · 2024Article
- Precise Prediction of Long-Term Urinary Incontinence after Robot-Assisted Laparoscopic Radical Prostatectomy by Readily Accessible "Everyday" Diagnostics during Post-Surgical Hospitalization.Clinics and practice · 2024Article
- Cardiovascular Disease and Chronic Pulmonary Disease Increase the Risk of Short-Term Major Postoperative Complications after Robotic-Assisted Radical Prostatectomy.Medicina (Kaunas, Lithuania) · 2024Article
- Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy.Medicina (Kaunas, Lithuania) · 2023Article
- Surgical techniques to preserve continence after robot-assisted radical prostatectomy.Frontiers in surgery · 2023Review
- Differences in long-term continence rates between prostate cancer patients with extraprostatic vs. organ-confined disease undergoing robotic-assisted radical prostatectomy: An observational studys.Clinics (Sao Paulo, Brazil) · 2023Observational
Corrections and comments
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Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of the study was to test the impact of implementing standard full functional-length urethral sphincter (FFLU) and neurovascular bundle preservation (NVBP) with intraoperative frozen section technique (IFT) on long-term urinary continence in patients undergoing robotic-assisted radical prostatectomy (RARP). We relied on an institutional tertiary-care database to identify patients who underwent RARP between 01/2014 and 09/2019. Until 10/2017, FFLU was not performed and decision for NVBP was taken without IFT. From 11/2017, FFLU and IFT-guided NVBP was routinely performed in all patients undergoing RARP. Long-term continence (≥ 12 months) was defined as the usage of no or one safety- pad. Uni- and multivariable logistic regression models tested the correlation between surgical approach (standard vs FFLU + NVBP) and long-term continence. Covariates consisted of age, body mass index, prostate volume and extraprostatic extension of tumor. The study cohort consisted of 142 patients, with equally sized groups for standard vs FFLU + NVBP RARP (68 vs 74 patients). Routine FFLU + NVBP implementation resulted in a long-term continence rate of 91%, compared to 63% in standard RARP (p < 0.001). Following FFLU + NVBP RARP, 5% needed 1-2, 4% 3-5 pads/24 h and no patient (0%) suffered severe long-term incontinence (> 5 pads/24 h). No significant differences in patient or tumor characteristics were recorded between both groups. In multivariable logistic regression models, FFLU + NVBP was a robust predictor for continence (Odds ratio [OR]: 7.62; 95% CI 2.51-27.36; p < 0.001). Implementation of FFLU and NVBP in patients undergoing RARP results in improved long-term continence rates of 91%.
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