{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:54:26Z","timestamp":1787766866862,"version":"build-2784847793"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Robotic Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    To assess the long-term urinary and sexual function outcomes for men undergoing robotic-assisted simple prostatectomy (RASP) with circumferential mucosal anastomosis performed at a single, high-volume robotics center. RASP cases performed by a single surgeon from June 2013 through June 2024 using the da Vinci\n                    <jats:sup>\u00ae<\/jats:sup>\n                    Xi robotic system were analyzed. Indications for surgery were bothersome lower urinary tract symptoms (LUTS) refractory to medical management and prostate volume\u2009\u2265\u200980\u00a0g. Urinary function and sexual function parameters were assessed by the American Urologic Association Symptoms Score (AUASS) and Sexual Health Inventory for Men (SHIM), respectively at routine 6-month postoperative visits. A uniform phone survey was conducted in September 2024, which assessed long-term functional outcomes by combining AUASS with questions on incontinence, erectile function, and orgasm. A Wilcoxon signed rank test was utilized to compare pre- and postoperative IPSS and SHIM scores with\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05 considered significant. 292 patients underwent RASP during the query interval and were included in the perioperative analysis with a mean follow-up time of 22.6\u00a0months (SD\u2009\u00b1\u200915.2). Mean preoperative AUASS was 17.9 (SD\u2009\u00b1\u20097.9). Mean postoperative AUASS was 5.7 (SD\u2009\u00b1\u20095.2);\n                    <jats:italic>W<\/jats:italic>\n                    -statistic 352.0 (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). Bother scores preoperative mean was 4.3 (SD\u2009\u00b1\u20091.5), with postoperative values of 1.1\u2009\u00b1\u20091.4;\n                    <jats:italic>W<\/jats:italic>\n                    -statistic 395.0 (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). Sexual Health Inventory for Men (SHIM) scores demonstrated a preoperative mean of 12.8 (SD\u2009\u00b1\u20098.1). Postoperatively, the SHIM mean was 12.6 (SD\u2009\u00b1\u20098.5);\n                    <jats:italic>W<\/jats:italic>\n                    -statistic: 4462.0 (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.57). No patients required reoperation for LUTS, although one patient underwent completion prostatectomy for malignancy identified on RASP pathology. No patients developed bladder neck contracture. Calls were placed to 288 patients (98.6% of total cohort) at a mean follow up of 66 (SD\u2009\u00b1\u200934.7) months postoperatively, of which 198 (68.8%) answered and consented to survey participation. At the time of the follow-up survey, mean IPSS was 2.1 (SD\u2009\u00b1\u20091.9), mean quality of life score was 0.7 (SD\u2009\u00b1\u20090.8). With respect to continence, 196\/198 (98.9%) patients experienced no stress incontinence. Two patients (1%) experienced urge incontinence and one patient (0.5%) utilized an incontinence pad. Regarding sexual activity, 157 (79.3%) patients were sexually active at the time of survey compared to 159 (80.3%) prior to surgery. Of those who remained sexually active, 152 (96.8%) were satisfied with postoperative orgasm, and 149 (94.9%) were satisfied with postoperative erectile function. Notably, 11 (7.0%) of men endorsed a \u201cbothersome or distressing\u201d orgasm change. RASP has a low complication rate, low risk of urinary incontinence, no significant impact on erectile function, and provides durable improvements in lower urinary tract symptoms. A small portion of men do experience sustained, bothersome orgasm change following RASP.\n                  <\/jats:p>","DOI":"10.1007\/s11701-025-02879-0","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T03:27:05Z","timestamp":1760585225000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Robot-assisted transvesical simple prostatectomy with circumferential mucosal anastomosis: long-term urinary and sexual function outcomes in a 292 patient cohort"],"prefix":"10.1007","volume":"19","author":[{"given":"Luke","family":"Shumaker","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zev","family":"Leopold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Max","family":"Perilstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Ricci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Eun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"issue":"4","key":"2879_CR1","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1097\/JU.0000000000002183","volume":"206","author":"LB Lerner","year":"2021","unstructured":"Lerner LB et al (2021) Management of lower urinary tract symptoms attributed to benign prostatic hyperplasia: AUA GUIDELINE PART I-initial work-up and medical management. 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