{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:44:02Z","timestamp":1765889042123,"version":"3.37.3"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T00:00:00Z","timestamp":1674777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To propose a novel S.I.S technique during the robotic\u2010assisted radical prostatectomy (RARP), encompassing pubourethral suspension, posterior wall intensification, and bladder neck stripping, and to present functional and oncological outcomes with a special focus on long\u2010term continence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 1,\u00a02018, to December 31,\u00a02019, consecutive patients who underwent RARP were retrospectively investigated and separated into the S.I.S group and the conventional group. Preoperative patient characteristics, tumor status, and perioperative parameters were collected, followed by the assessment of self\u2010reported status on continence, using an International Consultation on Incontinence Modular Questionnaire\u2014urinary incontinence short form (ICIQ\u2010UI\u2010SF). Statistical comparisons were performed on variables between the two surgery groups, and multivariate logistic regression analysis was used to determine predictive factors for postoperative incontinence severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 602 subjects were analyzed with a median follow\u2010up of 24 months. There was no significant difference regarding baseline characteristics and perioperative parameters, except for a more advanced tumor stage in the S.I.S group. The application of the S.I.S technique did not jeopardize the positive surgical margin rate at the bladder neck or long\u2010term tumor control. Notably, the patient\u2010reported degree of incontinence was significantly reduced with the assistance of S.I.S technique, as evidenced by the diminished severe\u2010to\u2010very severe cases. On multivariate analysis, both preoperative body mass index and use of S.I.S modification were independent predictive factors for the long\u2010term incontinence severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The application of S.I.S technique during RARP is feasible\u00a0and superior compare with the conventional approach, with a significantly alleviated long\u2010term incontinence severity, without compromising cancer control.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25131","type":"journal-article","created":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T10:45:32Z","timestamp":1674816332000},"page":"650-661","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The application of \u201cS.I.S\u201d technique improves long\u2010term continence after robotic radical prostatectomy"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6393-9275","authenticated-orcid":false,"given":"Qi\u2010Xiang","family":"Song","sequence":"first","affiliation":[{"name":"Department of Urology, Ren Ji Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiayi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Urology, Ren Ji Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Urology, Ren Ji Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zehong","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Urology, Ren Ji Hospital Shanghai Jiao Tong 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