{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:31:35Z","timestamp":1772987495554,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"vor","delay-in-days":323,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"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":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Inguinal hernia (IH) occurs relatively frequently after radical prostatectomy (RP) and can impair patients' quality of life. In recent years, most RPs in Japan have been performed robotically; however, strategies for preventing postoperative IH remain diverse and are not clearly defined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In July 2024, the Japan Society for Endoscopic Surgery conducted an anonymous, web\u2010based survey of 114 members of the Japanese Urological Association to assess intraoperative IH prevention practices during RP. Twenty\u2010seven urologists responded (response rate: 24%), providing information on their clinical experience, estimated IH incidence, recognized risk factors, and prevention techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most respondents were highly experienced: 85% had more than 20\u2009years of practice, 78% had performed over 100 RPs, and 96% routinely used robotic surgery. Seventy\u2010four percent identified both patient\u2010 and surgeon\u2010related factors as contributors to IH, and 52% estimated the incidence of IH to be 5%\u201310%. Preventive measures were used routinely by 22% of respondents, selectively by 33%, and not at all by 45%. Common preventive techniques included ligation and transection of the patent processus vaginalis with peritoneal closure (89%), mobilization of the vas deferens and spermatic cord (70%), and circumferential incision of the internal inguinal ring (70%). Mesh reinforcement was rarely employed (4%), although 74% reported documenting IH risk in the informed consent process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite limited high\u2010level evidence, Japanese urologists implement diverse intraoperative IH prevention strategies during RP. Prospective multicenter studies and standardized protocols are needed to validate these techniques and reduce postoperative IH rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70185","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T07:44:48Z","timestamp":1763711088000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Current Practices for Preventing Inguinal Hernia During Radical Prostatectomy: Findings From the \u201cAnatomy on the Border\u201d Consensus Survey by the Japan Society for Endoscopic Surgery"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0344-5892","authenticated-orcid":false,"given":"Shuichi","family":"Morizane","sequence":"first","affiliation":[{"name":"Division of Urology, Department of Surgery, Faculty of Medicine Tottori University  Tottori Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7760-0771","authenticated-orcid":false,"given":"Satoshi","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Medical Sciences Kyushu University  Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shintaro","family":"Narita","sequence":"additional","affiliation":[{"name":"Department of Urology Akita University Graduate School of Medicine  Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kei","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Surgery Hara Sanshin Hospital  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2148-4852","authenticated-orcid":false,"given":"Toshiya","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Surgery and Oncology, Graduate School of Medical Sciences Kyushu University  Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenoki","family":"Ohuchida","sequence":"additional","affiliation":[{"name":"Department of Surgery and Oncology, Graduate School of Medical Sciences Kyushu University  Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masatoshi","family":"Eto","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Medical Sciences Kyushu University  Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomonori","family":"Habuchi","sequence":"additional","affiliation":[{"name":"Department of Urology Akita University Graduate School of Medicine  Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Eguchi","sequence":"additional","affiliation":[{"name":"Department of Surgery Hara Sanshin Hospital  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masafumi","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Surgery and Oncology, Graduate School of Medical Sciences Kyushu University  Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuko","family":"Kitagawa","sequence":"additional","affiliation":[{"name":"Department of Surgery Keio University School of Medicine  Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Takenaka","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, Faculty of Medicine Tottori University  Tottori Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers17061013"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15561"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.11.036"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182975c88"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-020-02178-7"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2012.03118.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000133"},{"key":"e_1_2_11_10_1","first-page":"418","article-title":"Postoperative Inguinal Hernia After Robotic\u2010Assisted Radical Prostatectomy for Prostate Cancer: Evaluation of Risk Factors and Recommendation of a Convenient Prophylactic Procedure","volume":"72","author":"Iwamoto H.","year":"2019","journal-title":"Central European Journal of Urology"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15544"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-021-01245-0"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-017-1588-9"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2021.738421"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euros.2020.09.004"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2017.00052"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-023-01761-1"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2009.05.051"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.08.037"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.12954\/PI.12009"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15170"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.14989"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2017.0340"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2018.0898"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-023-01574-2"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-017-0737-6"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-023-04625-3"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70185","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70185","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70185","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:01:32Z","timestamp":1772967692000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70185"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/ases.70185"],"URL":"https:\/\/doi.org\/10.1111\/ases.70185","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":"2025-10-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70185"}}