{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T20:20:43Z","timestamp":1784578843274,"version":"3.55.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"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":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim of the study was to investigate the relationship between prostatic apical shape and continence recovery after robot-assisted radical prostatectomy (RARP) in a large multicentric cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Data of patients who underwent transperitoneal RARP at 10 referral robotic centers between January 2017 and December 2022 were retrospectively analyzed. Patients were stratified into four groups based on the multiparametric magnetic resonance imaging (mpMRI) prostatic apex shape. Pre-, intra-, and postoperative variables were compared. Continence recovery was defined as no pad or 1 safety pad\/day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 822 patients were retrieved and classified as Group A (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 206), Group B (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 221), Group C (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 143), and Group D (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 252) based on the mpMRI. At baseline, statistically significant differences were found in Charlson\u2019s comorbidity index (CCI) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), body mass index (BMI) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.01), prostatic urethral length (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.008), and membranous urethral length (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.03). In terms of bladder neck-sparing technique, a statistically significant difference was found among groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.005). Group D achieved continence significantly earlier than the other groups after RARP, with a median recovery time of 3 months (95% confidence interval [CI]: 3\u20133), compared with 4 months for all other groups (95% CI: 4\u20134). Group D showed an earlier continence recovery after RARP with respect to all the other shapes (hazard ratio [HR] = 1.23, 95% CI: 1.05\u20131.43,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.005). The estimated HR remained unchanged after adjusting by age, BMI, CCI, bladder neck-sparing, nerve-sparing, and presence of median lobe (HR = 1.17, 95% CI: 1.00\u20131.38,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.046). Cox model showed an association with BMI (HR = 0.97, 95% CI: 0.95\u20130.99,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.03), bladder neck-sparing (HR = 1.45, 95% CI: 1.24\u20131.70,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), and nerve-sparing (HR = 1.27, 95% CI: 1.11\u20131.46,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our multi-institutional study confirmed that prostatic apical shape has a significant impact on time-to-continence after RARP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2024.0605","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T04:20:27Z","timestamp":1740025227000},"page":"381-388","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Early Continence Recovery after Robot-Assisted Radical Prostatectomy: A Multicenter Analysis on the Role of Prostatic Shape"],"prefix":"10.1177","volume":"39","author":[{"given":"Marco","family":"Carilli","sequence":"first","affiliation":[{"name":"Urology Unit, San Carlo di Nancy Hospital\u2014GVM Care and Research, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5138-3177","authenticated-orcid":false,"given":"Valerio","family":"Iacovelli","sequence":"additional","affiliation":[{"name":"Urology Unit, San Carlo di Nancy Hospital\u2014GVM Care and Research, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1422-5695","authenticated-orcid":false,"given":"Marco","family":"Sandri","sequence":"additional","affiliation":[{"name":"Big &amp; Open Data Innovation Laboratory (BODaI-Lab), University of Brescia, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerio","family":"Forte","sequence":"additional","affiliation":[{"name":"Radiology Unit, San Carlo di Nancy Hospital\u2014GVM Care and Research, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Verze","sequence":"additional","affiliation":[{"name":"Urology Unit, Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana,\u201d University of Salerno, Baronissi, Italy."},{"name":"Department of Neurosciences, Reproductive and Odontostomatologic Sciences, University of Naples \u201cFederico II,\u201d Naples, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluigi","family":"Califano","sequence":"additional","affiliation":[{"name":"Urology Unit, Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana,\u201d University of Salerno, Baronissi, Italy."},{"name":"Department of Neurosciences, Reproductive and Odontostomatologic Sciences, University of Naples \u201cFederico II,\u201d Naples, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Di Bello","sequence":"additional","affiliation":[{"name":"Urology Unit, Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana,\u201d University of Salerno, Baronissi, Italy."},{"name":"Department of Neurosciences, Reproductive and Odontostomatologic Sciences, University of Naples \u201cFederico II,\u201d Naples, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Antonelli","sequence":"additional","affiliation":[{"name":"Department of Urology, AOUI Verona, University of Verona, Verona, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0260-4601","authenticated-orcid":false,"given":"Riccardo","family":"Bertolo","sequence":"additional","affiliation":[{"name":"Department of Urology, AOUI Verona, University of Verona, Verona, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Minervini","sequence":"additional","affiliation":[{"name":"Unit of Oncologic Minimally-Invasive Urology and Andrology, Department of Experimental and Clinical Medicine, Careggi University Hospital, University of Florence, Florence, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Di Maida","sequence":"additional","affiliation":[{"name":"Unit of Oncologic Minimally-Invasive Urology and Andrology, Department of Experimental and Clinical Medicine, Careggi University Hospital, University of Florence, Florence, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Cadenar","sequence":"additional","affiliation":[{"name":"Unit of Oncologic Minimally-Invasive Urology and Andrology, Department of Experimental and Clinical Medicine, Careggi University Hospital, University of Florence, Florence, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Giudici","sequence":"additional","affiliation":[{"name":"Unit of Oncologic Minimally-Invasive Urology and Andrology, Department of Experimental and Clinical Medicine, Careggi University Hospital, University of Florence, Florence, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Falabella","sequence":"additional","affiliation":[{"name":"Urology Unit, AO San Carlo, Potenza, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"La Falce","sequence":"additional","affiliation":[{"name":"Urology Unit, AO San Carlo, Potenza, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Costantino","family":"Leonardo","sequence":"additional","affiliation":[{"name":"\u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavia","family":"Proietti","sequence":"additional","affiliation":[{"name":"\u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Luigi","family":"Pastore","sequence":"additional","affiliation":[{"name":"Urology Department of Medico-Surgical Sciences and Biotechnologies, ICOT, Sapienza University of Rome, Latina, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yazan","family":"Al 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