{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T18:51:50Z","timestamp":1763664710931,"version":"build-2065373602"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T00:00:00Z","timestamp":1638748800000},"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":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the effects of posterior musculofascial reconstruction robot\u2010assisted laparoscopic prostatectomy (PR\u2010RALP) compared to no PR during standard RALP (S\u2010RALP) for the treatment of clinically localised prostate cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>We performed a systematic search with no restrictions including randomised controlled trials (RCTs) comparing variations\u2009of PR\u2010RALP vs S\u2010RALP for clinically localised prostate cancer. The quality of evidence was assessed on outcome\u2009basis according to Grades of Recommendation, Assessment, Development and Evaluation (GRADE) approach. Our search identified 13 records of eight unique RCTs, of which six were published studies, and two were abstract proceedings. There were 1085 randomised patients, of whom 963 completed the trials. All patients had either cT1c or cT2 or cT3a disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A PR\u2010RALP may improve urinary continence 1\u2009week after catheter removal compared to no PR (risk ratio [RR] 1.25, 95% confidence interval [CI] 0.90\u20131.73;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200942%, five studies, 498 patients, low certainty of evidence [CoE]). A PR\u2010RALP may have little to no effect on urinary continence 3\u2009months after surgery compared to no PR (RR 0.98, 95% CI 0.84\u20131.14;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200967%, six studies, 842 patients, low CoE). A PR\u2010RALP probably results in little to no difference in serious adverse events compared to no PR (RR 0.75, 95% CI 0.29\u20131.92;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%, six studies, 835 patients, moderate CoE).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This review found evidence that PR\u2010RALP may improve early continence 1\u2009week after catheter removal but not thereafter. Meanwhile, adverse event rates are probably not impacted and positive surgical margin rates are likely similar. There was no difference in our subgroup analysis for all outcomes with anterior reconstruction technique when combined with PR vs only PR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15657","type":"journal-article","created":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T04:40:02Z","timestamp":1637901602000},"page":"6-17","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Posterior musculofascial reconstruction in robot\u2010assisted laparoscopic prostatectomy for the treatment of clinically localised prostate cancer: a Cochrane Review"],"prefix":"10.1111","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4040-6729","authenticated-orcid":false,"given":"Joel E.","family":"Rosenberg","sequence":"first","affiliation":[{"name":"University of California San Diego University of California  San Diego CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Hung","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Urology Yonsei University Wonju College of Medicine  Wonju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hunju","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine Yonsei University Wonju College of Medicine  Wonju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solam","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine Yonsei University Wonju College of Medicine  Wonju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin J.","family":"Bakker","sequence":"additional","affiliation":[{"name":"Health Sciences Libraries University of Minnesota  Minneapolis MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2819-2553","authenticated-orcid":false,"given":"Philipp","family":"Dahm","sequence":"additional","affiliation":[{"name":"Department of Urology University of Minnesota  Minneapolis MN USA"},{"name":"Urology Section Minneapolis VA Health Care System  Minneapolis MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.11.115"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2017.0490"},{"issue":"9","key":"e_1_2_10_4_1","first-page":"CD009625","article-title":"Laparoscopic and robotic\u2010assisted versus open radical prostatectomy for the treatment of localised prostate cancer","author":"Ilic D","year":"2017","journal-title":"Cochrane Database Syst 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