{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T14:02:52Z","timestamp":1789048972188,"version":"build-2803163510"},"reference-count":30,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"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":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>We detail our approach and experience with a hybrid version of the endopelvic hood-sparing (HS) robot-assisted radical prostatectomy (RARP) using the da Vinci robotic platform.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      We retrospectively reviewed the records of 200 patients who underwent RARP by a single surgeon. Patients were propensity-matched into three cohorts depending on biopsy and prostatectomy Gleason Grade Groups: traditional retropubic (RP) (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 80), retzius-sparing (RS) (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 40), and HS (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 80). Patient characteristics and oncologic and functional outcomes were examined. Zero pads per day defined return of continence. Erections suitable for penetrative intercourse with\/without medications defined return of sexual function.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Patient characteristics were similar between cohorts excluding prostate-specific antigen levels (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.014), which were significantly lower in the RS cohort (7.1 \u00b1 5.3 ng\/mL) compared with RP (9.2 \u00b1 9.3 ng\/mL) and HS (8.8 \u00b1 8.9 ng\/mL). Clinically significant positive margin rates were significantly higher (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.046) in the RS cohort (32.5%) compared with RP (17.5%) and HS (13.9%). Biochemical recurrence and metastasis rates were similar between all cohorts. Median time to continence was significantly lower for RS and HS-RARP (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) compared with RP-RARP at 1.3, 1.6, and 5.4 months, respectively. Median time to return of sexual function was significantly lower for RS and HS-RARP (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) compared with RP-RARP at 4.0, 7.7, and 15.1 months, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our hybrid HS-RARP approach provides functional outcomes similar to RS-RARP with the early oncologic control of traditional RP-RARP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2024.0203","type":"journal-article","created":{"date-parts":[[2024,6,15]],"date-time":"2024-06-15T04:34:10Z","timestamp":1718426050000},"page":"997-1003","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["A Hybrid Approach to Hood-Sparing Robotic Prostatectomy to Maximize Functional Outcomes and Maintain Early Oncologic Efficacy"],"prefix":"10.1177","volume":"38","author":[{"given":"Ethan H.","family":"Vargo","sequence":"first","affiliation":[{"name":"Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel M.","family":"Vetter","sequence":"additional","affiliation":[{"name":"Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Sherburne","family":"Figenshau","sequence":"additional","affiliation":[{"name":"Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0284-8342","authenticated-orcid":false,"given":"Eric H.","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, University of Nevada Reno School of Medicine; Department of Physiology and Cell Biology, University of Nevada Reno School of Medicine, Reno, Nevada, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,1]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"National Comprehensive Cancer Network. Prostate cancer. Version 4. 2023. Available from: https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/prostate.pdf"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2005.08.029"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09233.x"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1451"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.12.021"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.2003.04311.x"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2017.05.001"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1590\/1518-8345.2757.3131"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-023-03603-3"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.06.008"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2020.09.044"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.3109\/21681805.2014.913259"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.5152\/tud.2022.22113"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2022.0330"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-022-01464-z"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.06.046"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.euo.2019.03.006"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2020.05.010"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25193"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-023-01687-8"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41391-021-00459-5"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.11.115"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15196"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2020.09.042"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15385"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2010.0692"},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2196"},{"key":"e_1_3_5_29_2","doi-asserted-by":"publisher","DOI":"10.1002\/bco2.188"},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.03.126"},{"key":"e_1_3_5_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2023.107168"}],"container-title":["Journal of Endourology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/end.2024.0203","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/end.2024.0203","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/end.2024.0203","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T20:15:37Z","timestamp":1777407337000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/end.2024.0203"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":30,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1089\/end.2024.0203"],"URL":"https:\/\/doi.org\/10.1089\/end.2024.0203","relation":{},"ISSN":["0892-7790","1557-900X"],"issn-type":[{"value":"0892-7790","type":"print"},{"value":"1557-900X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}