{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:32:47Z","timestamp":1772987567088,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T00:00:00Z","timestamp":1737590400000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n The Retzius\u2010sparing technique for prostate cancer has shown favorable continence recovery outcomes. Magnetic resonance imaging after Retzius\u2010sparing showed that the bladder anterior wall is widely connected to the abdominal wall, which contributes to urinary continence. We aimed to evaluate whether the Peritoneal Fixation technique, which involves suturing the anterior bladder wall onto the abdominal wall above the pubic bone, contributes to the recovery of urinary continence.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Patients who underwent robot\u2010assisted laparoscopic radical prostatectomy between May and September 2023 were included in the study. We investigated urinary incontinence on the day of catheter removal and 1\u2009month postoperatively. The posterior urethral angle was evaluated at rest and under abdominal pressure.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 54 patients who underwent the Peritoneal Fixation technique (\n n<\/jats:italic>\n \u2009=\u200927) and conventional surgery (\n n<\/jats:italic>\n \u2009=\u200927) were included. The continence acquisition rate on the day after catheter removal was significantly higher in the Peritoneal Fixation group (40.7%) than in the conventional group (7.4%) (\n p<\/jats:italic>\n \u2009<\u20090.05). At 1\u2009month postoperatively, the Peritoneal Fixation group showed favorable results, with a continence rate of 44.4% compared with 29.6% in the conventional group (\n p<\/jats:italic>\n \u2009=\u20090.26). The change in the posterior urethral angle at rest and during abdominal pressure significantly differed between the Peritoneal Fixation and conventional groups (\u22123.0\u00b0 vs. 2.7\u00b0;\n p<\/jats:italic>\n \u2009<\u20090.05), indicating that the urethra is being pushed from the rectal side in the Peritoneal Fixation group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The use of the Peritoneal Fixation technique for prostate cancer suggests the potential for achieving favorable urinary continence outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ases.70000","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T20:04:48Z","timestamp":1737662688000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Urinary Continence After Robot\u2010Assisted Laparoscopic Radical Prostatectomy Using the Peritoneal Fixation Technique"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9639-8080","authenticated-orcid":false,"given":"Hideyuki","family":"Terao","sequence":"first","affiliation":[{"name":"Department of Urology Kanagawa Cancer Center Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotaka","family":"Nagasaka","sequence":"additional","affiliation":[{"name":"Department of Urology Kanagawa Cancer Center Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shotaro","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Urology Kanagawa Cancer Center Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsuto","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Urology Kanagawa Cancer Center Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimitsugu","family":"Usui","sequence":"additional","affiliation":[{"name":"Department of Urology Kanagawa Cancer Center Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Kishida","sequence":"additional","affiliation":[{"name":"Department of Urology Kanagawa Cancer Center Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noboru","family":"Nakaigawa","sequence":"additional","affiliation":[{"name":"Department of Urology Kanagawa Cancer Center Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.05.045"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2016.09.031"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.0463"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-07800-5"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2022.07.027"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.10.014"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2012.244"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-017-0717-4"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.11.115"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.01.109"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-014-1241-5"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22877"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70000","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70000","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70000","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:02:47Z","timestamp":1772967767000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/ases.70000"],"URL":"https:\/\/doi.org\/10.1111\/ases.70000","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-08-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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