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Preoperatively, the patients were randomized to undergo VUAEC (<jats:bold>Group-A<\/jats:bold>) or not (<jats:bold>Group-B<\/jats:bold>). Patients in <jats:bold>Group-A<\/jats:bold> were evaluated in 2 subgroups: those with no extravasation observed during VUAEC (<jats:bold>Group-A1<\/jats:bold>; <jats:italic>n<\/jats:italic>\u2009=\u200931 (62%)) and those with extravasation (<jats:bold>Group-A2<\/jats:bold>; <jats:italic>n<\/jats:italic>\u2009=\u200919 (38%)). On the 8th post-operative day, a gravity cystogram (GC) was performed on all patients to assess VUA healing.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>There was no statistically significant difference between the groups in terms of clinical features, drain removal time, length of hospital stay, extravasation on GC, catheter removal time and postoperative complications (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05, for each). There was also no statistically significant difference between the subgroups in terms of drain removal time, length of hospital stays, catheter removal time (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05, for each). In <jats:bold>Group-A2<\/jats:bold>, urinary extravasation on GC was found in a greater percentage, but the difference remained statistically insignificant (<jats:italic>p<\/jats:italic>\u2009=\u20090.082).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Performing intraoperative VUAEC did not have a significant role in the prediction of VUA healing and early postoperative outcomes in patients undergoing RARP. The current study did not identify a substantial clinical benefit of routine intraoperative VUAEC.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00345-024-05177-w","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T13:33:59Z","timestamp":1724420039000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Checking vesicourethral anastomosis for urinary extravasation during radical prostatectomy: is it still necessary in the robotic era? 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The study protocol was approved by the Acibadem M.A. Aydinlar University and Acibadem Health Institutions Medical Researches Ethics Committee, Ethics Committee for Clinical Research (IRB No: 2020-27\/22). A written informed consent was obtained from each patient who participated in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interest"}}],"article-number":"493"}}