{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T01:05:12Z","timestamp":1759971912128,"version":"build-2065373602"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,5,6]],"date-time":"2023-05-06T00:00:00Z","timestamp":1683331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Incontinence and urgency are common after prostatectomy. The University of Virginia prostatectomy functional outcomes program (PFOP) was developed to comprehensively assess and optimise continence outcomes following robotic\u2010assisted laparoscopic prostatectomy (RALP). Patients are prospectively evaluated by a Female Pelvic Medicine and Reconstructive Surgery specialist. This study assessed for predictors of 3\u2010 and 6\u2010month stress urinary incontinence (SUI) and urgency symptom outcomes following RALP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a post hoc review of patients from our PFOP receiving a minimum of 6\u2010month follow\u2010up. Urinary symptoms are prospectively assessed using the validated International Consultation on Incontinence Questionnaire\u2010Male Lower Urinary Tract Symptoms (ICIQ\u2010MLUTS) questionnaire and daily pad use (pads per day [PPD]). Primary study outcomes included ICIQ\u2010MLUTS SUI and urgency domain scores and PPD. Multivariable linear regression was performed to identify variables associated with outcomes at 3 and 6\u00a0months postoperatively. Variables included patient, oncologic and surgical factors. Each variable was run in a separate model with pelvic floor muscle therapy and surgeon to reduce confounding and prevent overfitting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty men were included. In assessment of ICIQ\u2010MLUTS SUI domain score, at 3\u00a0months, body mass index (BMI) was associated with worse scores, and at 6\u00a0months, BMI, hypertension and estimated blood loss (EBL) were associated with worse scores, whereas bilateral nerve\u2010sparing technique was associated with better scores. For ICIQ\u2010MLUTS Urgency domain score, at 3\u00a0months, preoperative use of benign prostatic hyperplasia (BPH) medication was associated with better scores. No covariates predicted 6\u2010month ICIQ\u2010MLUTS Urgency domain scores. For PPD use, at both 3 and 6\u00a0months, BMI was a positive predictor, while preoperative use of BPH medication was a negative predictor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Increased BMI, EBL and hypertension are associated with worsened SUI outcomes following RALP, whereas bilateral nerve\u2010sparing technique and preoperative BPH medication are associated with improved SUI outcomes. These data may inform patient counselling and help identify patients who may benefit from closer surveillance and earlier anti\u2010incontinence intervention.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bco2.248","type":"journal-article","created":{"date-parts":[[2023,5,6]],"date-time":"2023-05-06T03:50:05Z","timestamp":1683345005000},"page":"722-728","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Predictors of urinary outcomes following robotic\u2010assisted laparoscopic prostatectomy"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5803-9587","authenticated-orcid":false,"given":"Dylan","family":"Hutchison","sequence":"first","affiliation":[{"name":"Department of Urology University of Virginia  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Zillioux","sequence":"additional","affiliation":[{"name":"Department of Urology University of Virginia  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marwan","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Urology University of Virginia  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques","family":"Farhi","sequence":"additional","affiliation":[{"name":"Department of Urology University of Virginia  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"DeNovio","sequence":"additional","affiliation":[{"name":"School of Medicine University of Virginia  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Barquin","sequence":"additional","affiliation":[{"name":"School of Medicine University of Virginia  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David E.","family":"Rapp","sequence":"additional","affiliation":[{"name":"Department of Urology University of Virginia  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.3.354"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.03.020"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-019-02343-7"},{"issue":"2","key":"e_1_2_9_5_1","first-page":"9268","article-title":"The transobturator suburethral sling: a safe and effective option for all degrees of post prostatectomy urinary incontinence","volume":"25","author":"Sullivan JF","year":"2018","journal-title":"Can J 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