{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T22:21:06Z","timestamp":1755037266519,"version":"3.41.2"},"reference-count":36,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,12,28]],"date-time":"2024-12-28T00:00:00Z","timestamp":1735344000000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Reports"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Despite constant improvements, incontinence is one of the most relevant and quality\u2010of\u2010life\u2010reducing side effects of radical prostatectomy (RP) and, in addition to patient\u2010specific factors such as age, the experience of the surgeon\/center and the surgical technique used play an important role.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To present current real\u2010world data on short\u2010term incontinence after RP from one of the largest German rehabilitation centers in 2022 and to compare it to the results from the same institution in 2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Retrospective, unicentric, univariate analysis of data from 1394 men after RP in 2022 on admission and discharge from the rehabilitation clinic. Incontinence defined as \u2265\u20091\u2009pad\/day was evaluated by quantitative measuring all day incontinence under a defined graduation and compared to the results of 2016. Totally, 1393 men were available for analysis in 2022 compared to 1390 in 2016. Median age for both cohorts was 66\u2009years with minor differences in preoperative PSA levels. Despite different surgical approaches, no significant change in short\u2010term incontinence rates in 2016 and 2022 were noted at discharge (76.9% vs. 77.9%, <jats:italic>p<\/jats:italic>\u2009=\u20090.56). A notable increase in patients with ISUP grade Group 2 and a shift towards robotic surgery were observed in 2022 (45.5%\u201371%). While nerve sparing led to a significant improvement in continence (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), lymphadenectomy and T\u2010stage were not related to any significant increase in short\u2010term incontinence rates. Comparing age groups within the cohort, patients &gt;\u200969\u2009years exhibited the highest risk of short\u2010term incontinence and least likelihood of regaining continence during rehabilitation (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Men treated at a certified prostate cancer center had significantly (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) lower short\u2010term incontinence rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study shows little improvement in short\u2010term postoperative incontinence rates after RP in Germany in the last 6\u2009years and known risk factors for postoperative incontinence like age, nerve\u2010sparing surgery, and level of experience were reproduced in our analyses. We conclude not only to carefully select but also to counsel patients before being treated for prostate cancer and to strongly advice treatment at certified centers.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cnr2.70092","type":"journal-article","created":{"date-parts":[[2024,12,28]],"date-time":"2024-12-28T15:40:11Z","timestamp":1735400411000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Short\u2010Term Urinary Incontinence After Radical Prostatectomy Is Still Based on Patients' Age, Nerve\u2010Sparing Approach, and Surgical\u2010Experience, Despite the Higher\u2010Use of Robotic Surgery in 2022 Compared to 2016 Real\u2010World Results of a Large Rehabilitation Center in Germany"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7505-1740","authenticated-orcid":false,"given":"Lukas","family":"P\u00fcllen","sequence":"first","affiliation":[{"name":"Department of Urology University Hospital Essen  Essen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Naumann","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Essen  Essen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Krafft","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Essen  Essen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"P\u00fcllen","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology St. Augustinus Hospital  D\u00fcren Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osama","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"Department of Urology, Qena Faculty of Medicine South Valley University  Qena Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mulham","family":"Al\u2010Nader","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Essen  Essen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Darr","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Essen  Essen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hendrik","family":"Borgmann","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Health Sciences Brandenburg Brandenburg Medical School Theodor Fontane  Brandenburg an der Havel Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Briel","sequence":"additional","affiliation":[{"name":"Department of Urology Klinik am Kurpark  Bad Wildungen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boris","family":"Hadaschik","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Essen  Essen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Salem","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Health Sciences Brandenburg Brandenburg Medical School Theodor Fontane  Brandenburg an der Havel Germany"},{"name":"CUROS Urologisches Zentrum Klinik Links vom Rhein  Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timur","family":"Kuru","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Health Sciences Brandenburg Brandenburg Medical School Theodor Fontane  Brandenburg an der Havel Germany"},{"name":"CUROS Urologisches Zentrum Klinik Links vom Rhein  Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,28]]},"reference":[{"issue":"11","key":"e_1_2_10_2_1","first-page":"1566","article-title":"Economic Importance of Postoperative Urinary Incontinence","volume":"54","author":"Lent V.","year":"2015","journal-title":"Urologe A"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.02.029"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.05.045"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2022.02.002"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30357-7"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.12.037"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.07.037"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.10.135"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13398"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-022-01810-x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-013-3201-x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-023-02197-z"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-020-03411-9"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002391"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euo.2023.02.005"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-023-01311-9"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-014-3705-z"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000541"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14071644"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-024-12850-1"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0295179"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-148-6-200803180-00209"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.26491"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.20675"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-019-0519-8"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-023-01640-9"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13514"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-024-03340-6"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2018.04.021"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2023.06.010"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1159\/000534486"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-020-01321-7"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.11.004"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2023.107865"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-022-03989-2"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1159\/000209353"}],"container-title":["Cancer Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cnr2.70092","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T06:44:55Z","timestamp":1735541095000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cnr2.70092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":36,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1002\/cnr2.70092"],"URL":"https:\/\/doi.org\/10.1002\/cnr2.70092","archive":["Portico"],"relation":{},"ISSN":["2573-8348","2573-8348"],"issn-type":[{"type":"print","value":"2573-8348"},{"type":"electronic","value":"2573-8348"}],"subject":[],"published":{"date-parts":[[2024,12]]},"assertion":[{"value":"2024-08-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70092"}}