{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T06:31:27Z","timestamp":1788244287556,"version":"build-2803163510"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"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":[[2014,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To describe our bladder neck dissection during robot-assisted radical prostatectomy (RARP), to describe the degrees of robot-assisted bladder neck preservation (R-BNP) we have encountered, and to determine the effect of increasing R-BNP on postoperative continence and positive surgical margin (PSM) rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>We performed a retrospective analysis of 599 patients who underwent robot-assisted radical prostatectomy (RARP) by a single surgeon (DIL). All bladder neck dissections were graded between 1 and 4; higher grades corresponded to an increasing degree of robot-assisted bladder neck preservation (R-BNP). After grouping patients by R-BNP grade, postoperative continence and positive surgical margin (PSM) rates were compared. The association between R-BNP and continence was also assessed using multivariate binary logistic regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Similar outcomes were seen for two definitions of continence (0 pads per day [ppd]; 0 ppd or security pad, respectively). A higher proportion of patients were continent at 3 months postoperatively who received grade 4 compared with grade 1 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.043;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.001) and grade 2 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.006;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.009); and grade 3 compared with grade 1 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.048;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.002) and grade 2 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.009;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.030) R-BNP. There was no difference between grade 1 and 2 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.541;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.064), and grade 3 and 4 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.898;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.584) R-BNP. At 1 year postoperatively, there was no difference among the four groups in continence rate (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.771;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.411). R-BNP was an independent predictor of continence at 3 months (odds ratio [OR] [95% confidence interval (CI)]=1.33 [1.06\u20131.67]; OR [95% CI]=1.45 [1.1\u20131.82]), but not at 1 year (OR [95% CI]=1.07 [0.82\u20131.39]; OR (95% CI)=1.30 [0.92\u20131.85]). There was no difference among the four groups in PSM rates (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.946).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>R-BNP is a graded, rather than all-or-none outcome. An increasing degree of R-BNP is associated with an earlier return to continence, without compromising oncologic outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2013.0290","type":"journal-article","created":{"date-parts":[[2013,8,27]],"date-time":"2013-08-27T13:55:07Z","timestamp":1377611707000},"page":"48-55","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Functional and Oncologic Outcomes of Graded Bladder Neck Preservation During Robot-Assisted Radical Prostatectomy"],"prefix":"10.1177","volume":"28","author":[{"given":"Ziho","family":"Lee","sequence":"first","affiliation":[{"name":"University of Pennsylvania School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailen S.","family":"Sehgal","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reid V.","family":"Graves","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Kai","family":"Su","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elton","family":"Llukani","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Monahan","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"McGill","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Eun","sequence":"additional","affiliation":[{"name":"Temple University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David I.","family":"Lee","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,1,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa074311"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000074941.27370.c4"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)36519-9"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/MOU.0b013e32835b0ae5"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)01956-8"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(96)00324-X"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00463-9"},{"key":"e_1_3_3_9_2","first-page":"51","article-title":"Bladder-neck preservation during radical retropubic prostatectomy","volume":"18","author":"Soloway MS","year":"2000","unstructured":"Soloway MS, , Neulander E. 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