{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:14:37Z","timestamp":1791810877978,"version":"4.3.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2011,12,1]],"date-time":"2011-12-01T00:00:00Z","timestamp":1322697600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2011,12]]},"abstract":"\n Background and Purpose:<\/jats:title>\n Efforts to improve postprostatectomy incontinence have led to many modifications in surgical technique. We present our experience with a novel technique to improve continence outcomes in patients who are undergoing robot-assisted radical prostatectomy (RARP).<\/jats:p>\n <\/jats:sec>\n \n Patients and Methods:<\/jats:title>\n A consecutive series of 159 patients after initiation of a bladder neck plication stitch was compared with the most recent group before the change. After completion of the vesicourethral anastomosis, a single suture was used to plicate the distal bladder neck. A structured questionnaire was used for follow-up. Continence criteria used were 1 pad per day for social continence and 0 pad per day for total continence.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A total of 334 patients were included in the study: 159 in the plication stitch group\n vs<\/jats:italic>\n 175 in the control group. Average age was 59.1\n vs<\/jats:italic>\n 59.6 years, average body mass index was 27.9\n vs<\/jats:italic>\n 28.3\u2009kg\/m\n 2<\/jats:sup>\n , and average prostate volume was 58.1\n vs<\/jats:italic>\n 60.9\u2009cc, respectively. The mean time to reach social continence was 3.63\u00b13.01\n vs<\/jats:italic>\n 5.33\u00b14.89 weeks (\n P<\/jats:italic>\n =0.004), and total continence was 5.10\u00b13.80\n vs<\/jats:italic>\n 8.49\u00b16.32 weeks (\n P<\/jats:italic>\n =0.002), respectively. Chance of total continence improved with the bladder plication stitch: Odds ratio of 1.95\u00b10.72 (\n P<\/jats:italic>\n <0.001) at 1 month, 1.25\u00b10.56 (\n P<\/jats:italic>\n =0.113) at 3 months, and 2.07\u00b10.66 (\n P<\/jats:italic>\n =0.005) at 12 months. There were no bladder neck contractures or other urinary complications noted in either group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n The bladder plication stitch is a simple and effective technical modification for shortening the period of recovery of urinary continence in RARP patients. Randomized controlled trials are under way to further evaluate this technique.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/end.2011.0279","type":"journal-article","created":{"date-parts":[[2011,9,23]],"date-time":"2011-09-23T12:07:53Z","timestamp":1316779673000},"page":"1873-1877","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Bladder Neck Plication Stitch: A Novel Technique During Robot-Assisted Radical Prostatectomy to Improve Recovery of Urinary Continence"],"prefix":"10.1177","volume":"25","author":[{"given":"David I.","family":"Lee","sequence":"first","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexei","family":"Wedmid","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Mendoza","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurabh","family":"Sharma","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Walicki","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Hastings","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Monahan","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Eun","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,12,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23027"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.06.007"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.07424.x"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(06)00262-X"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.10.014"},{"key":"e_1_3_2_7_2","first-page":"1","article-title":"[Modifications in the technique for apical dissection of radical retropubic prostatectomy to improve urinary incontinence.]","volume":"97","author":"Terakawa T","year":"2006","unstructured":"Terakawa T, , Takenaka A, , Tunemori H et al. [Modifications in the technique for apical dissection of radical retropubic prostatectomy to improve urinary incontinence.] (Jap) Nihon Hinyokika Gakkai Zasshi, 2006; 97:1\u20139.","journal-title":"(Jap) Nihon Hinyokika Gakkai Zasshi"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.09.017"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2009.0630"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(00)00547-1"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00479-2"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2005.10.002"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20442"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)01596-0"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)02543-8"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2004.09.066"}],"container-title":["Journal of Endourology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/end.2011.0279","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/end.2011.0279","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/end.2011.0279","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T20:13:00Z","timestamp":1777407180000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/end.2011.0279"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,12]]},"references-count":15,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["10.1089\/end.2011.0279"],"URL":"https:\/\/doi.org\/10.1089\/end.2011.0279","relation":{},"ISSN":["0892-7790","1557-900X"],"issn-type":[{"value":"0892-7790","type":"print"},{"value":"1557-900X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,12]]}}}