{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T01:10:15Z","timestamp":1790212215893,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Prostate"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Curative surgery for prostate cancer is uncommonly offered to patients aged \u2265\u200975, balancing functional outcomes against survival benefit. The increased adoption of robotic\u2010assisted radical prostatectomy (RARP) and improved overall life expectancy challenges this paradigm. The objective of this study was to compare functional outcomes between elderly and younger patients following RARP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Retrospective review of a prospective multicentre database including all RARP patients between October 2016 and December 2023. Patients were divided into cohorts based on age; elderly (\u2265\u200975 years) and younger (&lt;\u200975 years). Variables included baseline demographics (body mass index [BMI], American Society of Anaesthesiologists [ASA] classification, prostate specific antigen [PSA], and Gleason score), surgical (technique, complications, and length of stay), pathological (histopathology, margins, and PSA) and functional (incontinence, International Prostate Symptom Score [IPSS], International Index of Erectile Function [IIEF\u20105], and Expanded Prostate Index Composite [EPIC]) outcomes. Univariate (chi\u2010square and\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests) and multivariate analysis were performed to compare cohorts against the primary outcome of continence at 1\u2010year (number of pads\/day), with\n                      <jats:italic>p<\/jats:italic>\n                      \u2010values\u2009&lt;\u20090.05 considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 397 patients were included (&lt;\u200975;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009332, \u2265\u200975;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200965). No statistically significant differences were detected in continence at 1\u2010year in \u2265\u200975 (&lt;\u200975; 0.73 [0.59\u20130.87], \u2265\u200975; 0.66 [0.37\u20130.95] mean pads\/24\u2009h,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.8), despite significantly lower nerve preservation and bladder\u2010neck spare rates (&lt;\u200975; 37.3%, \u2265\u200975; 21.5%). IIEF\u20105 scores were worse in the \u2265\u200975 group (1.60\u2009\u00b1\u20091.17 vs. 5.73\u2009\u00b1\u20096.93\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), however there were no significant differences in IPSS. Patient in the elderly cohort had more severe disease (67.7% T3, \u2265\u200975 vs. 47.3%, &lt;\u200975,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Rates of positive surgical margins (28.3% vs. 30.8% [\u2265\u200975]) and PSA recurrence (25% vs. 23% [\u2265\u200975]) were similar. Complication rates were low in both groups with no significant differences (3% vs. 6.6% [\u2265\u200975]) and were of lower severity in the \u2265\u200975 group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RARP in carefully selected elderly patients does not increase risk of urinary incontinence and should not be disregarded in an aging population with higher overall life expectancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pros.70063","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T13:35:46Z","timestamp":1759239346000},"page":"158-166","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Robotic\u2010Assisted Radical Prostatectomy in the Elderly Patient\u2014A Study of Functional, Surgical, and Oncological Outcomes in an Australian Cohort"],"prefix":"10.1002","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7606-1190","authenticated-orcid":false,"given":"Victor","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Urology Royal Prince Alfred Hospital Camperdown New South Wales Australia"},{"name":"Surgical Outcomes Research Centre (SOuRCe) Royal Prince Alfred Hospital Camperdown New South Wales Australia"},{"name":"Institute of Academic Surgery Royal Prince Alfred Hospital Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick\u2010Julien","family":"Treacy","sequence":"additional","affiliation":[{"name":"Department of Urology Royal Prince Alfred Hospital Camperdown New South Wales Australia"},{"name":"Surgical Outcomes Research Centre (SOuRCe) Royal Prince Alfred Hospital Camperdown New South Wales Australia"},{"name":"Institute of Academic Surgery Royal Prince Alfred Hospital Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruban","family":"Thanigasalam","sequence":"additional","affiliation":[{"name":"Institute of Academic Surgery Royal Prince Alfred Hospital Camperdown New South Wales Australia"},{"name":"Department of Uro\u2010Oncology Chris O'Brien Lifehouse Camperdown New South Wales Australia"},{"name":"Faculty of Health and Medicine, Central Clinical School The University of Sydney Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nariman","family":"Ahmadi","sequence":"additional","affiliation":[{"name":"Department of Uro\u2010Oncology Chris O'Brien Lifehouse Camperdown New South Wales Australia"},{"name":"Department of Urology Concord Repatriation General Hospital Concord New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert","family":"Doeuk","sequence":"additional","affiliation":[{"name":"Department of Uro\u2010Oncology Chris O'Brien Lifehouse Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Woo","sequence":"additional","affiliation":[{"name":"Department of Uro\u2010Oncology Chris O'Brien Lifehouse Camperdown New South Wales Australia"},{"name":"Department of Urology Blacktown Hospital Blacktown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lewis","family":"Chan","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medicine, Central Clinical School The University of Sydney Camperdown New South Wales Australia"},{"name":"Department of Urology Concord Repatriation General Hospital Concord New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Bird","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Research Centre (SOuRCe) Royal Prince Alfred Hospital Camperdown New South Wales Australia"},{"name":"Institute of Academic Surgery Royal Prince Alfred Hospital Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7163-097X","authenticated-orcid":false,"given":"Kate","family":"Alexander","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Research Centre (SOuRCe) Royal Prince Alfred Hospital Camperdown New South Wales Australia"},{"name":"Institute of Academic Surgery Royal Prince Alfred Hospital Camperdown New South Wales Australia"},{"name":"Faculty of Health and Medicine, Central Clinical School The University of Sydney Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9167-4902","authenticated-orcid":false,"given":"Juliette","family":"Cotte","sequence":"additional","affiliation":[{"name":"Department of Urology Royal Prince Alfred Hospital Camperdown New South Wales Australia"},{"name":"Surgical Outcomes Research Centre 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