{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:20:27Z","timestamp":1792657227261,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,4,7]],"date-time":"2016-04-07T00:00:00Z","timestamp":1459987200000},"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":[[2016,7]]},"abstract":"<jats:p>\n                    To evaluate the influence of posterior musculofascial plate reconstruction (\n                    <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                    ) on early return of continence after radical prostatectomy (\n                    <jats:styled-content style=\"fixed-case\">RP<\/jats:styled-content>\n                    ); an updated systematic review of the literature. A systematic review of the literature was performed in June 2015, following the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses (\n                    <jats:styled-content style=\"fixed-case\">PRISMA<\/jats:styled-content>\n                    ) statement and searching Medline, Embase, Scopus and Web of Science databases. We searched the terms posterior reconstruction prostatectomy, double layer anastomosis prostatectomy across the \u2018Title\u2019 and \u2018Abstract\u2019 fields of the records, with the following limits: humans, gender (male), and language (English). The authors reviewed the records to identify studies comparing cohorts of patients who underwent\n                    <jats:styled-content style=\"fixed-case\">RP<\/jats:styled-content>\n                    with or without restoration of the posterior aspect of the rhabdosphincter. A meta\u2010analysis of the risk ratios estimated using data from the selected studies was performed. In all, 21 studies were identified, including three randomised controlled trials. The overall analysis of comparative studies showed that\n                    <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                    improved early continence recovery at 3\u20137, 30, and 90 days after catheter removal, while the continence rate at 180 days was statistically but not clinically affected. Statistically significantly lower anastomotic leakage rates were described after\n                    <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                    . There were no significant differences for positive surgical margins rates or for complications such as acute urinary retention and bladder neck stricture. The analysis confirms the benefits at 30 days after catheter removal already discussed in the review published in 2012, but also shows a significant advantage in terms of urinary continence recovery in the first 90 days. A multicentre prospective randomised controlled trial is currently being conducted in several institutions around the world to better assess the effectiveness of\n                    <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                    in facilitating an earlier recovery of postoperative urinary continence.\n                  <\/jats:p>","DOI":"10.1111\/bju.13480","type":"journal-article","created":{"date-parts":[[2016,3,18]],"date-time":"2016-03-18T09:45:53Z","timestamp":1458294353000},"page":"20-34","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":86,"title":["Posterior musculofascial reconstruction after radical prostatectomy: an updated systematic review and a meta\u2010analysis"],"prefix":"10.1111","volume":"118","author":[{"given":"Angelica A.C.","family":"Grasso","sequence":"first","affiliation":[{"name":"Department of Urology Fondazione IRCCS Ca' Granda\u2010Ospedale Maggiore Policlinico University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco A.","family":"Mistretta","sequence":"additional","affiliation":[{"name":"Department of Urology Fondazione IRCCS Ca' Granda\u2010Ospedale Maggiore Policlinico University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Sandri","sequence":"additional","affiliation":[{"name":"DMS StatLab Data Methods and Systems Statistical Laboratory University of Brescia Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Cozzi","sequence":"additional","affiliation":[{"name":"Department of Urology Fondazione IRCCS Ca' Granda\u2010Ospedale Maggiore Policlinico University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"De Lorenzis","sequence":"additional","affiliation":[{"name":"Department of Urology Fondazione IRCCS Ca' Granda\u2010Ospedale Maggiore Policlinico University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Rosso","sequence":"additional","affiliation":[{"name":"Department of Urology Fondazione IRCCS Ca' Granda\u2010Ospedale Maggiore Policlinico University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giancarlo","family":"Albo","sequence":"additional","affiliation":[{"name":"Department of Urology Fondazione IRCCS Ca' Granda\u2010Ospedale Maggiore Policlinico University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franco","family":"Palmisano","sequence":"additional","affiliation":[{"name":"Department of Urology Fondazione IRCCS Ca' Granda\u2010Ospedale Maggiore Policlinico University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Mottrie","sequence":"additional","affiliation":[{"name":"OLV Robotic Surgery Institute Aalst Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Haese","sequence":"additional","affiliation":[{"name":"Martini Clinic Prostate Cancer Center University Clinic Eppendorf Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Graefen","sequence":"additional","affiliation":[{"name":"Martini Clinic Prostate Cancer Center University Clinic Eppendorf Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Coelho","sequence":"additional","affiliation":[{"name":"Global Robotics Institute Florida Hospital\u2010Celebration Health Celebration University of Central Florida School of Medicine Orlando FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vipul R.","family":"Patel","sequence":"additional","affiliation":[{"name":"Global Robotics Institute Florida Hospital\u2010Celebration Health Celebration University of Central Florida School of Medicine Orlando FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernardo","family":"Rocco","sequence":"additional","affiliation":[{"name":"Department of Urology Fondazione IRCCS Ca' Granda\u2010Ospedale Maggiore Policlinico University of Milan Milan Italy"},{"name":"Global Robotics Institute Florida Hospital\u2010Celebration Health Celebration University of Central Florida School of Medicine Orlando FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,4,7]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"MottetN BellmuntJ BriersEet al.Guidelines on Prostate Cancer.European Association of Urology 2015. 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