{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T15:49:07Z","timestamp":1777045747960,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T00:00:00Z","timestamp":1697587200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asia-Pac J Clncl Oncology"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate quality of life (QOL) after non\u2010nerve\u2010sparing, robot\u2010assisted radical prostatectomy (RARP) and factors associated with worsened QOL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who underwent non\u2013nerve\u2010sparing RARP (<jats:italic>n<\/jats:italic>\u00a0=\u00a0115) were enrolled. The Expanded Prostate Cancer Index Composite and 8\u2010item Short Form Health Survey were used to evaluate QOL at baseline and postoperative 1, 3, 6, 12, and 24 months. Preoperative factors were evaluated by multivariate analysis for worsened QOL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postoperative 24\u2010month urinary QOL worsened in 68 of 115 (59%) patients. In multivariate analysis, membranous urethral length \u226510.8\u00a0mm [odds ratio (OR): .26, 95% confidence interval (CI): .07\u2013.96] and intravesical prostatic protrusion \u226512\u00a0mm (OR: .14, 95% CI .06\u2013.35) were significantly associated with maintaining postoperative 24\u2010month urinary QOL. Significantly more patients with intravesical prostatic protrusion \u226512\u00a0mm than\u00a0&lt;\u00a012\u00a0mm had improved urinary QOL. At postoperative 24 months, 43 of 115 (38%) patients had worsened sexual QOL. In multivariate analysis, higher Sexual Health Inventory for Men score (OR: 8.39, 95% CI 2.28\u201330.9), sexual activity (OR: 6.94, 95% CI: 2.27\u201321.2), and intercourse activity (OR: 6.81, 95% CI: 1.64\u201328.3) preoperatively were significantly associated with worsened postoperative 24\u2010month sexual QOL. More patients with high preoperative intercourse activity (12\/23,53%) had significantly worsened (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.009) QOL regarding sexual bother than those who had no preoperative intercourse activity (21\/92, 23%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>After non\u2010nerve\u2010sparing RARP, patients with long membranous urethral length and\/or intravesical prostatic protrusion maintain urinary QOL. Patients with high intercourse activity presented with impairment of sexual QOL after non\u2010nerve\u2010sparing RARP.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajco.14031","type":"journal-article","created":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T08:53:43Z","timestamp":1697619223000},"page":"93-100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Quality of life after non\u2010nerve\u2010sparing, robot\u2010assisted radical prostatectomy"],"prefix":"10.1111","volume":"20","author":[{"given":"Yasushi","family":"Nakai","sequence":"first","affiliation":[{"name":"Department of Urology Nara Medical University  Kashihara Japan"},{"name":"Department of Prostate Brachytherapy Nara Medical University  Kashihara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9242-7877","authenticated-orcid":false,"given":"Nobumichi","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Urology Nara Medical University  Kashihara Japan"},{"name":"Department of Prostate Brachytherapy Nara Medical University  Kashihara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Urology Nara Prefecture General Medical Center  Nara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenta","family":"Onishi","sequence":"additional","affiliation":[{"name":"Department of Urology Nara Medical University  Kashihara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yosuke","family":"Morizawa","sequence":"additional","affiliation":[{"name":"Department of Urology Nara Medical University  Kashihara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunta","family":"Hori","sequence":"additional","affiliation":[{"name":"Department of Urology Nara Medical University  Kashihara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Gotoh","sequence":"additional","affiliation":[{"name":"Department of Urology Nara Medical University  Kashihara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makito","family":"Miyake","sequence":"additional","affiliation":[{"name":"Department of Urology Nara Medical University  Kashihara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazumasa","family":"Torimoto","sequence":"additional","affiliation":[{"name":"Department of Urology Nara Medical University  Kashihara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyohide","family":"Fujimoto","sequence":"additional","affiliation":[{"name":"Department of Urology Nara Medical University  Kashihara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.53.5096"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.13441"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2017.03.040"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-018-2310-y"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1606221"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pros.24507"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15981"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2016.06.023"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa074311"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2022.08.193"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/andr.12699"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-95525-2"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.10.044"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.5980\/jpnjurol1989.96.657"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4733.2008.00449.x"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-020-00740-0"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.01.109"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.12.028"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-017-0717-4"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10066"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.02.019"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2017.05.047"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.12419"},{"key":"e_1_2_12_25_1","first-page":"59","article-title":"Preoperative predictive model of early urinary continence recovery after laparoscopic radical prostatectomy","author":"Zhang F","year":"2023","journal-title":"World J Urol"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.08.015"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.08.164"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15317"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.14826"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-1906-4"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2018"}],"container-title":["Asia-Pacific Journal of Clinical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajco.14031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T17:17:44Z","timestamp":1711646264000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajco.14031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,18]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/ajco.14031"],"URL":"https:\/\/doi.org\/10.1111\/ajco.14031","archive":["Portico"],"relation":{},"ISSN":["1743-7555","1743-7563"],"issn-type":[{"value":"1743-7555","type":"print"},{"value":"1743-7563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,18]]},"assertion":[{"value":"2023-06-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}