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Anna de Sommer Champalimaud e Dr. Carlos Montez Champalimaud"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Robotic Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The influence of anatomical parameters on urinary continence (UC) after Retzius-sparing robot-assisted radical prostatectomy (RS-RARP) remains uncharted. Our objective was to evaluate their association with UC at 3, 6 and 12\u00a0months post-operatively. Data from patients who underwent RS-RARP were prospectively collected. Continence was defined as no pad use. Anatomic variables were measured on preoperative magnetic resonance imaging (MRI). Regression analyses were performed to identify predictors of UC at each time point. We included 158 patients with a median age of 60\u00a0years, most of whom had a localized tumor (\u2264\u2009cT2). On multivariate analyses, at 3\u00a0months post-surgery, urinary incontinence (UI) rises with age, odds ratio (OR) 1.07 [95% confidence interval (CI) 1.004\u22121.142] and with prostate volume (PV), OR 1.029 (95% CI 1.006\u22121.052); it reduces with longer membranous urethral length (MUL), OR 0.875 (95% CI 0.780\u22120.983) and with higher membranous urethral volume (MUV), OR 0.299 (95% CI 0.121\u22120.737). At 6\u00a0months, UI rises with PV, OR 1.033 (95% CI 1.011\u22121.056) and decreases with MUV, OR 0.1504 (95% CI 0.050\u22120.444). Significantly, at 12\u00a0months post-surgery, the only predictor of UI is MUL, OR 0.830 (95% CI 0.706\u22120.975), establishing a threshold associated with a risk of UI of 5% (MUL\u2009&gt;\u200915\u00a0mm) in opposition to a risk of 25% (MUL\u2009&lt;\u200910\u00a0mm). This single institutional study requires external validation. To our knowledge, this is the first prospective cohort study supporting MUL as the single independent predictor of UC at 12\u00a0months post-surgery. By establishing MUL thresholds, we enable precise patient counseling.<\/jats:p>","DOI":"10.1007\/s11701-024-01986-8","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T10:01:46Z","timestamp":1716976906000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Membranous urethral length is the single independent predictor of urinary continence recovery at 12\u00a0months following Retzius-sparing robot-assisted radical prostatectomy"],"prefix":"10.1007","volume":"18","author":[{"given":"Jorge","family":"Fonseca","sequence":"first","affiliation":[]},{"given":"Maria Francisca","family":"Moraes-Fontes","sequence":"additional","affiliation":[]},{"given":"In\u00eas","family":"Sousa","sequence":"additional","affiliation":[]},{"given":"Francisco","family":"Oliveira","sequence":"additional","affiliation":[]},{"given":"Gon\u00e7alo","family":"Froes","sequence":"additional","affiliation":[]},{"given":"Ana","family":"Gaiv\u00e3o","sequence":"additional","affiliation":[]},{"given":"Artur","family":"Palmas","sequence":"additional","affiliation":[]},{"given":"Jorge","family":"Rebola","sequence":"additional","affiliation":[]},{"given":"Ciprian","family":"Muresan","sequence":"additional","affiliation":[]},{"given":"Tiago","family":"Santos","sequence":"additional","affiliation":[]},{"given":"Daniela","family":"Dias","sequence":"additional","affiliation":[]},{"given":"M\u00e1rio","family":"Varandas","sequence":"additional","affiliation":[]},{"given":"Antonio","family":"Lopez-Beltran","sequence":"additional","affiliation":[]},{"given":"Ricardo","family":"Ribeiro","sequence":"additional","affiliation":[]},{"given":"Avelino","family":"Fraga","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2024,5,29]]},"reference":[{"key":"1986_CR1","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1016\/j.eururo.2020.09.042","volume":"79","author":"N Mottet","year":"2021","unstructured":"Mottet N, van den Bergh RCN, Briers E, Van den Broeck T, Cumberbatch MG, De Santis M et al (2021) EAU-EANM-ESTRO-ESUR-SIOG guidelines on prostate cancer\u20142020 update. 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