{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T07:07:15Z","timestamp":1769065635691,"version":"3.49.0"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,5,11]],"date-time":"2015-05-11T00:00:00Z","timestamp":1431302400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To analyse the continence outcomes of robot\u2010assisted radical prostatectomy (\n                      <jats:styled-content style=\"fixed-case\">RARP<\/jats:styled-content>\n                      ) in suboptimal patients that have challenging continence recovery factors such as enlarged prostates, elderly patients, higher body mass index (\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      ), salvage prostatectomy, and bladder neck procedures before\n                      <jats:styled-content style=\"fixed-case\">RARP<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>\n                      From January 2008 through November 2012, 4\u00a0023 patients underwent\n                      <jats:styled-content style=\"fixed-case\">RARP<\/jats:styled-content>\n                      by a single surgeon at our institution. Retrospective analysis of prospectively collected data identified 3\u00a0362 men who had minimum of 1\u2010year follow\u2010up. This cohort of patients was stratified into six groups: Group I, aged \u226570\u00a0years (451 patients); Group\n                      <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      \u226535\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (197); Group\n                      <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\n                      , prior bladder neck procedures (103); Group\n                      <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content>\n                      , prostate weight \u226580\u00a0g (280); and Group V, salvage prostatectomy (41). Group\n                      <jats:styled-content style=\"fixed-case\">VI<\/jats:styled-content>\n                      consisted of patients (2\u00a0447) with none of these risk factors. Continence outcomes at follow\u2010up were analysed for all groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The continence rate at 1\u00a0year and mean (\n                      <jats:sc>sd<\/jats:sc>\n                      ) time to continence in different groups were: for patients aged \u226570\u00a0years, 85.6% and 3.2\u00a0(4.5)\u00a0months;\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      of \u226535\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , 87.8% and 3.1\u00a0(4.5)\u00a0months; prior bladder neck treatment, 82.4% and 3.4\u00a0(4.7)\u00a0months; prostate weight of \u226580\u00a0g, 85.8% and 3.3\u00a0(4.4)\u00a0months; salvage procedures, 51.3% and 6.6\u00a0(8.3)\u00a0months; and in Group\n                      <jats:styled-content style=\"fixed-case\">VI<\/jats:styled-content>\n                      (none of the risk factors), 95.1% and 2.4\u00a0(3.2)\u00a0months. The continence rate was significantly higher in group\n                      <jats:styled-content style=\"fixed-case\">VI<\/jats:styled-content>\n                      compared with the salvage group (group V) at the different follow\u2010up intervals (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). When compared with the other groups (I\u2013\n                      <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content>\n                      ), the continence rate, although higher, was not statistically significant at the different intervals in group\n                      <jats:styled-content style=\"fixed-case\">VI<\/jats:styled-content>\n                      (no risk). The mean time to continence was significantly lower in group\n                      <jats:styled-content style=\"fixed-case\">VI<\/jats:styled-content>\n                      compared with the other groups (I\u2013V;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      This study has shown that selected risk factors adversely affect the time to return of continence after\n                      <jats:styled-content style=\"fixed-case\">RARP<\/jats:styled-content>\n                      , yet aside from salvage patients, there was no statistically significant difference demonstrated between the adverse\u2010risk groups included. Patients undergoing salvage\n                      <jats:styled-content style=\"fixed-case\">RP<\/jats:styled-content>\n                      had significantly lower continence rates at the various intervals compared with the other groups. Patients with the risk factors identified should be counselled concerning expectations for achieving urinary continence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.13106","type":"journal-article","created":{"date-parts":[[2015,2,26]],"date-time":"2015-02-26T02:57:49Z","timestamp":1424919469000},"page":"764-770","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Continence outcomes of robot\u2010assisted radical prostatectomy in patients with adverse urinary continence risk factors"],"prefix":"10.1111","volume":"116","author":[{"given":"Anup","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Urology University of Central Florida College of Medicine and Global Robotics Institute Florida Hospital\u2010Celebration Health Celebration FL 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